--- In cancerregistrargroup@yahoogroups.com, afoster1115 <no_reply@...>
wrote:
>
> My patient was dx'd 4.5 yrs ago w/lt breast cancer & was placed on
> Tamoxifen at that time. She has now presented with cancer in her rt
> breast. She was treated by lumpectomy & then mastectomy w/axillary
> dissection. The physician did not call this mets from previous
breast
> ca, so I have put her in as having another primary. The physcian has
> recommended that she continue Tamoxifen. What date do I put in for
> the Tamoxifen??

I would put the date she began the treatment for her right breast
since the earlier date for the lft breast was for a separate primary.
>