A member asked:

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

6 doctors weighed in across 3 answers

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 7/20/2012

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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 12/9/2013

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Dr. Travis Kidner answered

Specializes in Surgical Oncology

Depends: This depends on the tumor characteristics. Best to discuss this your friendly oncologist.

Answered 4/7/2013

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