Abstract
The importance of symptoms in breast cancer follow-up
Highlights
She made consultation due to two months fatigue and bone pain in her back and hips
Bone metastasis are frequent in breast cancer, affecting two-thirds to three-quarters of patients with advanced disease [1, 2]
The morbidity associated with metastatic bone disease includes pain, hypercalcemia, pathologic fractures, and spinal cord compression
Summary
A 75-year-old woman was under follow-up by medical oncologist due to an early stage breast cancer treated eight years before and without tumor relapse evidence She made consultation due to two months fatigue and bone pain in her back and hips. Pathologic subtrochanteric fracture over previous known lytic lesion was confirmed by X-ray-image (Figure 3). She was operated by orthopedics service by close reduction and short gamma nail (Figure 4). Rivilla et al 2 disease progression after three months of treatment Her liver metastases had enlarged and she developed bone marrow infiltration and performance status was worsening. She started treatment with oral vinorelbine, with stable disease during five months. In that moment she began third line treatment with oral capecitabine, which is her current treatment after three months from its beginning
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