Doctor insights on:
Are There Any Proven Alternatives To Chemotherapy For Breast Cancer Treatment
Alternative to what?: Chemotherapy is the administration of a drug that circulates throughout the body and kills cancer cells. Our goal is to choose the most effective drug tailored to one's specific cancer subtype. If by "alternative" you mean alternative to proven, standard therapy...No. However, many of our "standard" drugs are well-tolerated w/o traditional side-effects like hair loss, nausea, etc. ...Read moreSee 1 more doctor answer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Yes: In some cases hormonal treatment can be as effective as chemotherapy. However if there is benefit from chemotherapy then it would be in addition to hormonal therapy. You should ask what percent benefit chemotherapy would give your circumstance and then decide if it's worth it to you to not accept that benefit. ...Read moreSee 3 more doctor answers
Medication: Begin with basic nausea medicines such as Compazine or phenergan, (promethazine) if not improved then more expensive medications such as Zofran or others. It also helps if patients avoid smells or foods that seem to trigger the symptom. Sometimes even perfumes and non food smells may be an issue and you can avoid them if suspected. Foods like crackers, 7-up, ginger ale or ginger root can help. ...Read moreSee 2 more doctor answers
Many ways: In many ways it has improved. First of all withearlier detection there is less need of less aggressive excisions and chemo and radiotherapy. Have many advances in chemotherapy, for example it is a lot more targeted to specific receptors on the cancer. ...Read moreSee 1 more doctor answer
Chemotherapy: Tamoxifen is a very effective drug for the treatment of hormone-sensitive (estrogen receptor +) breast cancers. It may be used alone or in combination with traditional IV chemotherapy, depending on the cancer stage. Furthermore, tamoxifen has been shown to be effective reducing the chance of developing breast cancer in high-risk women ("chemoprevention"). ...Read moreSee 1 more doctor answer
Depends on treatment: This is a complex question. Each treatment-surgery, radiation, chemo, hormonal- has it's own uniques set of side effects. In addition, not everyone will experience side effects. The good news is that most side effects can be managed with treatment or medications. Be sure to ask your oncology team questions. ...Read moreSee 1 more doctor answer
Are there negative effects of breast cancer treatment/ mammography after a year? What should I expect?
Mammo is low risk: Treatment effects can vary significantly depending on what is done (type of surgery, radiation, chemo). Mammography should not have any significant effects, especially after one year. Mammograms are low dose radiation, but any radiation can increase cancer risk over the long term (decades). The cancer risk from mammograms is extremely low. Note that you are below the recommended screening age. ...Read more
?: I have never had an issue of trastuzumab (herceptin) coverage in appropriate patients. Individual co-pays are based on each patients insurance. There may be a benefit of trastuzumab in 0/low expression breast cancer that is the subject of a cooperative group clinical trial -- nsabp b-47 - clinicaltrials.Gov id: nct01275677. ...Read moreSee 2 more doctor answers
Breast cancer tx: During a breast cancer treatment, you would work closely with your oncology team- including a breast surgeon, medical oncologist and radiation oncologist. All of them will work with you so you can get the best therapy available tailored to your case and to ensure that you can get through the therapy well, cope with those possible adverse events and still able to maintain descent quality of life. ...Read moreSee 2 more doctor answers
Probably: You MUST have your 2 Drs coordinate with each other.You MUST discuss this with both Drs. ...Read more
Get a team: ...Of specialists (breast surgeon, med onc, and rad onc), preferably working together in a multidisciplinary setting, who will evaluate the situation from the beginning and make a concerted plan of attack. This should include dietitian, physical therapist, and if needed a genetics counselor. ...Read more
How does breast cancer treatment affect work? How long will i be off of work for breast cancer treatment?
Highly variable: I agree with dr. Wilson. There are many treatments for breast cancer ranging from minor surgery and hormone pills, to more extensive surgery with chemotherapy and radiation therapy. You would need to discuss your specific situation with your oncologist who would have much more information for you. ...Read moreSee 4 more doctor answers
Depends...: ...On many factors. Current standards of care do not recommend scans for patients with low risk for recurrence as they do not improve the overall chances of surviving the cancer (this was proven in at least 2 or 3 clinical studies). Patients with stage 3 cancer often do get scans, especially in the beginning, to do a complete staging. ...Read more
Yes: Tamoxifen has been shown to increase the risk of uterine cancer, not unlike estrogen replacement therapy, with an incidence of ~1:500. However, this is almost-always caught at its earliest stage, with very high cure rates. If you compare the benefit of tamoxifen for either treating or preventing breast cancer compared to this risk, the benefit far outweighs the risk. ...Read moreSee 1 more doctor answer
Do not assume: This is best answered by your doctors who are members of you oncology team. You need an immediate appointment and imaging to get this figured out. It could be tumor or late radiation effects or other non breast cancer conditions. Good luck and please call your doctor. ...Read moreSee 2 more doctor answers
Vaginal lubricants: I recommend you work with your oncologist and gynecologist for recommendations. You may need a vaginal cream or lubricant to help. A preparation with a low dose of estrogen may be helpful, but again please work with your gynecologist and breast cancer team for optimal results. ...Read moreSee 1 more doctor answer
Yes: The chance is about 1% and treatment is hysterectomy. With such a low chance then tamoxifen is worth the risk. A gynecologist needs to keep track of the patient and any unusual bleeding evaluated. There are also other hormone alternatives with less risk. Check with your medical oncologist to see which drug is best for a particular patient. ...Read moreSee 1 more doctor answer
Can the experts please talk about the newest breast cancer treatment + free or cheap for stage 4 breast cancer?
Clinical trial: Stage 4 breast cancer treatments include a variety of complex options. I suggest that you look into enrolling into a funded clinical trial for stage 4 breast cancer, which will provide options for reduced or free treatment (see: http://www.Cancer.Gov/clinicaltrials). In addition, please consult with a social worker to see what other options for coverage that may be available to you. Good luck. ...Read more
Occurs when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. Often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast ...Read more
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