Question 1

should stage 1 breast cancer patients with no lymph node involvement generally receive chemo?

Accepted Answer

Sometimes: While the prognosis for stage 1 breast cancer is excellent, many women may benefit from traditional chemotherapy.  This is dependent on the age of the patient, whether the tumor is hormone-sensitive, if the her2/neu receptor is overexpressed, and, in select cases, what the oncotype-dx score is.  While "negative" lymph nodes are very encouraging, some breast cancers may travel via the bloodstream.

Question 2

is it true that stage 1 breast cancer patients with no lymph node involvement recommended to take chemo?

Accepted Answer

It Depends: Typically it depends on the receptor status (estrogen/progesterone/her2) and the size of the tumor.  Tumors greater than a centimeter are generally prescribed chemotherapy, although er/pr+ patients may just get hormonal therapy.  

The oncotype assay is sometimes used to decide on equivocal cases on when to give chemo.  You might want to ask your doctors if this is right for you.

Question 3

are all stage 1 breast cancer patients with no lymph node involvement recommended to take chemotherapy?

Accepted Answer

On the contrary: The decision to recommend chemotherapy is based on the stage of the cancer, the pt's age, as well as the molecular features, including the estrogen-, progesterone-, & her2/neu receptor status +/-oncotype-dx recurrence score.  Stage i-, ln(-) pts may have no chemo-, hormonal rx, or chemotherapy recommended based on the above factors.

Question 4

do all stage 1 breast cancer patients without lymph node involvement have to take chemo?

Accepted Answer

On the contrary: The decision to recommend chemotherapy is based on the stage of the cancer, the pt's age, as well as the molecular features, including the estrogen-, progesterone-, & her2/neu receptor status +/-oncotype-dx recurrence score.  Stage i-, ln(-) pts may have no chemo-, hormonal rx, or chemotherapy recommended based on the above factors.

Question 5

breast cancer with lymph node involvement prognosis?

Accepted Answer

Depends: Lymph nodes are one aspect of evaluation for stage and treatment of breast cancer. It depends on size of breast cancer itself, number of lymph nodes involved, hormone status of the tumor, and dna testing can also help identify breast cancer risks. If the lymph node involvement is small, then there is little additioanl risk to the patient. There are many factors involved in assessing breast cancer.

Question 6

what is the survival rate for breast cancer with lymph node involvement?

Accepted Answer

Missing Pieces: There are just too many other variables that have to be weighed-in before answering this question such as the tumor type, size, grade, ki-67, estrogen-, progesterone-, her2/neu receptor status, oncotype-dx (in the appropriate setting), pt's age, health, etc.  Please remember that survival statistics often reflect how people were treated a decade ago when we had fewer options for rx than today.

Question 7

breast cancer, 2 tumors, one 1.4x1.7, the other .5.   biopsy states idc, er+, pr- and her2 neg.  
ki67 score 50

treatment mastectomy, chemo and tamoxifen.

what are your thoughs on treatment???  patient is 32 years old

Accepted Answer

Appropriate: That is a young age to be diagnosed with breast cancer. Fortunately, it was diagnosed and is ER+ which makes it easier to treat. The prescribed treatment sounds appropriate. I would also want to know BRCA I and II status and family history to see if a double mastectomy is warranted and if ovarian cancer is also a risk.

Question 8

chest x-ray showed an increased asymmetric opacity in the left superhilar region. it was not seen on the chest x-ray one year ago. im a breast cancer survivor. the doctor told me it looks like an enlarged lymph node. could this be breast cancer?

Accepted Answer

: Metastatic breast cancer to the lungs less likely presents as enlarged perihilar lymphadenopathy. What was the reason for your chest X-ray? If you have a viral or bacterial pulmonary infection, increased hilar density is usually seen.

Question 9

survival rate for triple neg receptors for early stage breast cancer after chemo treatment?  no lymph nodes involve, stage 1b, grade 2, mastec done

Accepted Answer

You should be Ok: You will have good prognosis provided you take adjuvant chemotherapy as advised by your oncologist.

Question 10

i had a lumpectomy, chemo and radiation for stage 1 breast cancer. 4 lymph nodes were removed and found negative. i am 1 year out and have no lymphedema. am i able to go into a hot tub or sauna and if so, should i limit the amount of time?

Accepted Answer

A hot tub may: cause some serious skin changes in the radiated area.  Radiated tissue becomes hypo-vascular ( much less blood flow) and prone to injury much more so than non radiated tissue.  I would recommend against a hot tub.  But that is just my opinion.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Should stage 1 breast cancer patients with no lymph node involvement generally receive chemo

A member asked:

Should stage 1 breast cancer patients with no lymph node involvement generally receive chemo?

A member asked:

Is it true that stage 1 breast cancer patients with no lymph node involvement recommended to take chemo?

A member asked:

Are all stage 1 breast cancer patients with no lymph node involvement recommended to take chemotherapy?

A member asked:

Do all stage 1 breast cancer patients without lymph node involvement have to take chemo?

A member asked:

Breast cancer with lymph node involvement prognosis?

A member asked:

What is the survival rate for breast cancer with lymph node involvement?

A member asked:

Breast cancer, 2 tumors, one 1.4x1.7, the other .5. biopsy states idc, er+, pr- and her2 neg. ki67 score 50 treatment mastectomy, chemo and tamoxifen. what are your thoughs on treatment??? patient is 32 years old

A member asked:

Chest x-ray showed an increased asymmetric opacity in the left superhilar region. it was not seen on the chest x-ray one year ago. im a breast cancer survivor. the doctor told me it looks like an enlarged lymph node. could this be breast cancer?

A member asked:

Survival rate for triple neg receptors for early stage breast cancer after chemo treatment? no lymph nodes involve, stage 1b, grade 2, mastec done

A member asked:

I had a lumpectomy, chemo and radiation for stage 1 breast cancer. 4 lymph nodes were removed and found negative. i am 1 year out and have no lymphedema. am i able to go into a hot tub or sauna and if so, should i limit the amount of time?

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?