Hi
Need some input.
Got my biopsy result yesterday from Sunway medical pj.
The result is her2 positive, grade 2
Breast surgeon said is probably stage 1, lump size approx 1cm
Her advice is
1. See oncologist to get treatment for targeted therapy 6 cycle
2. After that see if result of the treatment
3.remove lump or whole breast decision
4. Radiotherapy or chemo depends on the lump status

We going see Dr John Low the oncologist in Sunway.
Do you have any good oncologist to recommend in beacon?

Generally will Beacon cost lower than Sunway Med?

I have lose some weights, is there any nutritional drink suitable for cancer patient. Trying to avoid sugar.
If you have anything to share on diet, etc do feel free to do so.
I'm not much of a meat eater but guess I need to push myself to consume poultry.


Thanks in advance .

How old are you?

If size 1cm no need operation/chemo. What is your symptom thus far?

Get a second opinion and if you have some time, also go to government hospital. Visit the usual clinic and then get referral for oncologist. Wish you well.

Sorry to hear about this. One thing you need to be prepare is that it's going to be a long journey 1-3 years... So you would need to choose a doctor who you are really comfortable with.

I would suggest you to go for Dr. Mastura in SJMC. It's not only your physical health you would be dealing with but also at some point it would hit your mental wellbeing. Choosing a doctor who is compassionate and empathic and also good in the job is very important.

Cancer is like mold on a bread, if you're able to see it ... as a lump most probably you would have spread to other areas around the breast.

doctor would most probably suggest a removal of the lump, then do chemo + radio combo.

If you wanna play it very safe, suggest to remove the breast altogether to reduce the likeliness of it coming back. If it's a relapse it all gonna be back to 0 all over again. The hardest question is whether you would want to take this risk or not.

Couple of question that would help you to choose wisely would be :-
- Do you have enough mental and physical strength to fight this a 2nd time if ever it comes back.

- Do you have enough cash at hand to go through the treatment for a 2nd round?.

- When it does comes back it tends to metastasize to other parts of the body. The treatment would be far more wider and extensive that time.

During treatement , you would need to keep your blood numbers up, such as your red blood cells, platlet counts, hemogloblin etc...

Battle with cancer does not only happen in the cancer center when you go for your treatment but also at home through the food you eat...

Seek second opinion and not John low please..

Late 40s

90% of cancer patients recovery is from surgery, advised to remove both breast early.

breast cancer is often caused by defective brca1 and brca2 genes. genetic test could offer early treatment.


This post has been edited by icemanfx: Jan 24 2024, 09:41 AM

my former went to ampang gleneagles for an op, sadly, it was not properly done. went for 2nd op at damansara specialist centre, after goin for 2nd opinion. can't remember the doc name, but a chinese male around 50+, but that was a decade ago. hers was in early stage. had her one side breast removed. before all this, did went to singapore gleneagles for opinions too. it includes reconstruct for artificial breast.

she was cleared of c, but need to go for checkups on certain month...

This is wrong.

Yes some people opt to remove both breast but some do not. It's easy to tell a woman remove both breast but we need to consider their mental well being. If one breast is fine and her cancer type isn't triple negative, don't need to remove both.

Also genetic testing can only be done AFTER surgery not before. It costs 15k myr. Most doctors suggest this to be done the last to focus on the cancer removal. Brca is meant to give the patient a decision to do chemo or not. It's meant for those cancers like my wife who's one the fence. Not too serious and not too light, donno if need chemo or not that kind of thing. If your biopsy, pet scan and ultrasound and post surgery test shows u need chemo. Cannot run away

seek for 2nd opinion first

SJMC Dr Yip

so many breast cancer patient recommended her , one of the famous doctor in the country in this field, try ask to slot in the soonest time ever with other doc referral / recommendation etc

after that for chemo n radio u can look into Institute Kanser Negara for long term recover

Genetic test could be carried out anytime. genetic test is used to determine reoccurrence risks. Hence, treatment.

This advice is recommended. Government hospital will give advice without any monetary self interest. Good to explore this option while diagnosing at private hospital.

Stage 1 should have high chance of recovery so don't worry too much. My mother (70+ years old) had survived a stage 3c her2+ cancer for 6+ years now. A relapse occurred last year but current treatment still able to put the cancer cells under control. There are very effective targeted therapy for her2+ breast cancer with less severe side effects than other chemotherapy.

If finance is a concern, you may get your treatment in PPUM. The doctors there work in team and are very professional. Due to the number of patients there queuing is inevitable though.

If you are not a regular, can start exercise. It can help your body to withstand the treatment and recover quickly. My mother joined Guolin Qigong but I think any low to moderate intensity exercise will work.

No more process food. Those come with barcode and not how it appear in nature throw it out. No bread, no rice, no pasta.
No sugar
72h water only fast before chemo will increase chemo.effect in cancer while reducing the side effect and protect your own cell
Broccoli sprout -the pursest is pure thera rx
Lycopene
Metformin
Green tea extract
Increase more soya products like tofu, Tempe.

The above target multiple anticancer pathway.

Go pickup
1. Eat to beat disease by Dr William li. You can even join his online course at USD400+. One time payment. Lifetime content with weekly Q&A. Optional. I will join in the future. Hear so many of his podcast.
2. Anticancer: A New Way of Life by David Servan-Schreiber
3. The Doctor’s Kitchen: Supercharge your health with 100 delicious everyday recipes

This post has been edited by Ramjade: Jan 24 2024, 12:43 PM

Dr Arkonam Balasubramaniam Manivannan (dr. Mani)

My friend consume this
https://www.nestlehealthscience.my/brands/o...act/oral-impact
during her radiotherapy treatment. Neck CA
She go for the lump removal and radiotherapy session.
Wish you fast recovery

If you knew the types of breast cancer out there you wouldn't suggest this. There's a cancer subtype called er and pr positive which means the cancer is fed by the hormone estrogen. Increasing soya intake increases estrogen.

72 hour water fast is deadly with chemo therapy. You are supposed to eat as much as u can so you have energy to stand the chemo process. Why are you asking people to fast for chemo??!

We asked my wife oncologist about sugar and he said this. Cancer is just like any cell in our body. All of them feeds on sugar. The thing is if you wanna "starve" the cancer out of nutrients you also have to starve the rest of the body of sugar and carbs which you need to be strong to handle the surgery and chemo.

Metformin is to control diabetes. Why are you blatantly suggesting supplements?

You should stay in finance section than giving out statements like this. Leave it to those who went through cancer.



Thank you

This post has been edited by Avangelice: Jan 24 2024, 01:20 PM

Maybe second opinion at government facility will be good. Nowadays govt hospitals are well equiped. Not sure about appointment date.

This is correct. With chemo you lose your appetite and your digestive system essentially shuts down.

Meal replacements like this goes easy on the stomach.