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Integrative Tumor Board: A Case Report and Discussion From Dana-Farber Cancer Institute

Dana-Farber Cancer Institute, Boston, MA, USA, Harvard Medical School, Boston, MA, USA

Mary Jane Ott

Dana-Farber Cancer Institute, Boston, MA, USA

Stacy Kennedy

Dana-Farber Cancer Institute, Boston, MA, USA, Brigham & Women's Hospital, Boston, MA, USA

Maria B. Mathay

Dana-Farber Cancer Institute, Boston, MA, USA

Anne M. Doherty-Gilman

Dana-Farber Cancer Institute, Boston, MA, USA

Elizabeth Dean-Clower

Dana-Farber Cancer Institute, Boston, MA, USA, Harvard Medical School, Boston, MA, USA

Carolyn M. Hayes

Dana-Farber Cancer Institute, Boston, MA, USA

David S. Rosenthal

Dana-Farber Cancer Institute, Boston, MA, USA, drose{at}uhs.harvard.edu, Harvard Medical School, Boston, MA, USA

A 34-year-old woman carrying a BRCA1 gene and a significant family history was diagnosed with T1c, N1 breast cancer. The tumor was estrogen receptor, progesterone receptor, and HER-2/Neu negative.The patient received dose-dense chemotherapy with Adriamycin and Cytoxan followed by Taxol, and left breast irradiation. Later, a bilateral S-GAP flap reconstruction with right prophylactic mastectomy and left mastectomy were performed. During her treatment, the patient had an integrative medicine consultation and was seen by a team of health care providers specializing in integrative therapies, including integrative nutrition, therapeutic massage, acupuncture, and yoga. Each modality contributed unique benefit in her care that led to a satisfactory outcome for the patient.A detailed discussion regarding her care from each modality is presented.The case elucidates the need for integrative approaches for cancer patients in a conventional medical setting.

Key Words: breast cancer • integrative oncology • acupuncture • massage • yoga • nutrition • exercise • case discussion • integrative medical consult • Dana-Farber • complementary therapies • integrative therapies

Integrative Cancer Therapies, Vol. 8, No. 3, 235-241 (2009)
DOI: 10.1177/1534735409343446


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