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.See 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.See 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.See 2 more doctor answers
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").See 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.See 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.
?: 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.See 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.See 2 more doctor answers
Probably: You MUST have your 2 Drs coordinate with each other. You MUST discuss this with both Drs.
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.
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.See 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.
No: This and similar medicines are anti Estrogens that block the receptors. So if the patient has negative receptors there is little benefit from the medication. So it's not a must.See 1 more doctor answer
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.See 1 more doctor answer
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
Most breast cancers are carcinomas. This is a type of breast cancer. These cancers start in the cells that line organs and tissues. In fact, breast cancers are often a type of carcinoma called adenocarcinoma, which starts in cells that make glands (glandular tissue). Breast adenocarcinomas start in the ducts (the milk ducts) or ...Read more
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