What Causes Blood Clots In Legs In A Breast Cancer Patient?
No allergic reaction to radiation.
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on the clinical history and query, my opinion is as follows:
1. She was given radiation therapy, which was localized. It was given for carcinoma of breast.
2. Atherosclerosis induced thrombus and obstruction is a progressive disease and it has caused the blockage, which was treated with stenting. Its common at this age. If it were to be radiation induced injury, it would have caused extensive necrosis and myocardial damage enough to cause death.
3. If she had lupus/SLE, it would present with pancytopenia - i.e. all cell lines would be reduced. Only low rbc count indicates possible nutritional / iron deficiency anemia. However, correlation with MCV is essential. Hematologically, she does not have lupus. If doubtful, get her blood sample tested for antibodies.
4. Clot formation in legs is due to reduced movement of legs. Its called as deep vein thrombosis. Possibly due to surgery induced rest, she had it. If she is moderately XXXXXXX future risk will be low.
5. Peptic ulcers are commonly caused by Helicobacter pylori, it is normal and completely treatable.
6. I do not understand the terminology "radioactive drugs". Unless it is for thyroid cancer - specifically papillary carcinoma, radioactive drugs are not given.
7. Limb elevation could reduce limb edema. Diuretics can be added depending on the blood pressure.
8. Allergic reaction to radiation exposure is never seen. Its only radiation induced damage. No signs of radiation induced damage, other than skin burns.
Get her stress test done to evaluate her cardiac function. Its not a absolutely necessary test, however her cardiac abnormalities, if any can be evaluated.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM