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January 1, 2026Palliative & Supportive CareOpen Access

A case of recurrent breast cancer with severe hepatic dysfunction: Integrating narrative-based medicine and clinical decision-making

Kei Yamaguchi Masahiro Ohara Kazuo Matsuura Hiroshi Ishiguro Akihiko Osaki Takao Takahashi Hideki Onishi Toshiaki Saeki

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Key Points

To examine how narrative-based medicine and shared decision-making influenced treatment choices for a patient with recurrent breast cancer and liver dysfunction.
Case presentation of a woman with recurrent breast cancer and hepatic failure
Repeated shared decision-making discussions among patient, family, and oncologist
Initiation of chemotherapy with eribulin alongside supportive care
Patient showed improved liver function following adverse effects of treatment
Continuation of outpatient chemotherapy aligned with patient's goal of quality family time
Patient survived approximately 5 months after treatment initiation

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Implication

Case report highlights the role of narrative-based medicine in treatment decisions for advanced breast cancer with liver failure.

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Cite This Study

Yamaguchi et al. (2026) studied this question.

synapsesocial.com/papers/6a080ae2a487c87a6a40cef3 https://doi.org/10.1017/s1478951526102454

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