Patient: radical left breast surgery in September 06, no lymphatic metastasis, estrogen receptor strong 2 positive. After 6 courses of chemotherapy, she took triamcinolone acetonide 20mg/day, and had amenorrhea from Jan 09 to Feb 10. How should I use the medication now? I had a big reaction to triamcinolone, mainly hot flashes and stomach upset. Laboratory and test results: Last checkup on 10/31/09, normal. Last seen at: Henan Provincial People’s Hospital, Zhengzhou University First Affiliated Hospital, Breast Surgery Department, Li Meng Circle
Li Meng circle, Breast Surgery Department, First Affiliated Hospital of Zhengzhou University: Estrogen receptor positive after breast cancer surgery, endocrine therapy is needed after other treatments. If there is no menopause, triamcinolone acetonide, or triamcinolone acetonide followed by sequential aromatase inhibitors are needed. If menopausal, aromatase inhibitors can be used directly.
Patient: Thank you for your busy reply! Aromatase inhibitor after triamcinolone acetonide? Please tell me the specific name of the drug, thank you.
Li Meng Circle, Department of Breast Surgery, First Affiliated Hospital of Zhengzhou University: There are several kinds of aromatase inhibitors, usually using the domestic Fury can be, relatively cheap.
Patient: Professor Li: Hello! I have been taking triamcinolone plus Chinese herbal medicine for 4 years now. The size of my uterus has increased to 105x67x54mm with a small amount of effusion and a cyst on the left ovary. There was a 12x4mm lymph node in the left side of the neck. She had her menstruation 3 days after the change of Feri, and after 10 days of stopping the medication, she had an endocrinology test and her estrogen was not high. I have uploaded the checklist to you. What should I do? Should I continue the triamcinolone or switch to Fosfomycin? I look forward to your reply, thank you!
Li Meng Circle, Department of Breast Surgery, Zhengzhou University First Affiliated Hospital: The estrogen is not high and is at menopausal level, so continue with Feri.