A 24-year-old member asked:
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should stage 1 breast cancer patients with no lymph node involvement generally receive chemo?

3 doctor answers
Dr. Barry Rosen
33 years experience General Surgery
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.
Answered on Jul 20, 2012
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1 comment
Dr. Andrew Turrisi
46 years experience Radiation Oncology
I completely agree with Dr Rosen's answer.
Jul 11, 2012
Dr. Marci Dietrich
40 years experience Bariatrics
Depends: If the tumor is hormone positive and or her2 positive there is chemo hormone blockerstypically, radiation, lumpectomy followed by anti hormone meds.On the other hand, triple negative breast cancer stage i will most likely need chemotherapy iv. It is a bit controversial about a tumor less than 5mm, but anything above that has lumpectomy, node bx, and adjuvant chemonow, docs are trying chemo presurg.
Answered on Dec 9, 2013
Dr. Travis Kidner
16 years experience Surgical Oncology
Depends: This depends on the tumor characteristics. Best to discuss this your friendly oncologist.
Answered on Apr 7, 2013

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