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Doctor insights on: Chemotherapy For Breast Cancer Patients

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Do people with stage IV metastatic breast cancer often undergo chemo?

Do people with stage IV metastatic breast cancer often undergo chemo?

Yes.: Under certain circumstances hormone therapy might be the initial treatment, but most stage 4 patients eventually undergo chemotherapy treatment. This will depend on age, tolerence for treatment, hormone responsiveness and other tumor characteristics. ...Read more

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Dr. Barry Rosen
4,438 doctors shared insights

Cancer (Definition)

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


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Patients with advanced breast cancer,Has received chemotherapy,Is there any need for radiotherapy?

Patients with advanced breast cancer,Has received chemotherapy,Is there any need for radiotherapy?

Breast Cancer: As you see on TV cancer Dx and Rx is very individualized. Some need radiation and some may not. So discuss this with your Dr. ...Read more

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When is tamoxifen for breast cancer treatment?

When is tamoxifen for breast cancer treatment?

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 more

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Breast cancer chemotherapy in hepatitis b patients?

Breast cancer chemotherapy in hepatitis b patients?

Challenging : Appropriate involvement of hepatologist and treatment (or prophylaxis) of hep b is imperative. ...Read more

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Chemotherapy for ovarian cancer with a liver transplant patient?

Chemotherapy for ovarian cancer with a liver transplant patient?

If needed yes: Liver transplant patients need chemotherapy will be given with close monitoring , working as team . Interesting observation, in liver transplant patients the incidence of ovarian cancer is less than the normal population. ...Read more

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Compare and contrast chemotherapy for aml with chemo for prostate cancer?

Compare and contrast chemotherapy for aml with chemo for prostate cancer?

Different drugs. : Chemotherapy for a hematologic cancer such as AML differs in the drugs & regimens from an epithelial cancer like prostatic carcinoma. AML typically uses Cytarabine and an anthracycline on a specific schedule. In prostate cancer, docetaxel and cabazitaxel are frequently used drugs. Of note, chemotherapy is not as common a treatment for prostate cancer, where hormonal therapy is often used. ...Read more

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Does chemotherapy work for breast cancer?

Does chemotherapy work for breast cancer?

It depends: Chemo treats the whole body to kill cancer cells that may have escaped from the breast tumor. Sometimes chemo is used to shrink the breast tumor before surgery (neoadjuvant chemotherapy). Breast cancers that respond best to chemotherapy are those with a high ki-67 (proliferation rate), er negative, and/or her2 positive. ...Read more

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Can elderly breast cancer patients still get radiation therapy?

Can elderly breast cancer patients still get radiation therapy?

Yes: Breast cancer is treated by stage but consideration is made to performance status not just age. So if the disease requires radiation even the elderly can usually tolerate the treatment. Stage 1 patients who have positive receptors may be able to omit the radiation if they are over 70 if they take hormone pills. ...Read more

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Hormonal effects of chemotherapy for breast cancer?

Hormonal effects of chemotherapy for breast cancer?

Please clarify.: It is unclear from your question what you are asking. Most breast cancers are estrogen-sensitive and can be treated with anti-estrogen medication (tamoxifen, aromatase inhibitors). Many women who are peri menopausal when receiving traditional chemotherapy develop ovarian suppression from the chemo and effectively "go into" menopause. I hope this helps. ...Read more

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Does anastrozole tablets for breast cancer also treat bone cancer in women with metastases?

Does anastrozole tablets for breast cancer also treat bone cancer in women with metastases?

Sort Of: We define cancers by their organ of origin. Therefore, by strict definition, bone cancer originates from bone cells; Anastrozole won't help these rare cancers. More commonly, cancers can spread to bones--we call this bone metastasis. Breast cancer can spread to bones; anastrazole can prevent the spread of certain breast cancers. Hope this helps. ...Read more

Dr. Liawaty Ho Dr. Ho
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What are some treatments for breast cancer stage iv?

Dr. Liawaty Ho Dr. Ho
4 doctors agreed:
What are some treatments for breast cancer stage iv?

Systemic therapy: Mainstay therapy for stage IV cancer would be systemic therapy - in the form of chemotherapy or antiestrogen therapy for er+ breast cancer- in the right setting. Palliative radiation or surgical procedure can be given in the right setting i.e. Painful bony metastases, spinal cord compression- to relieve symptoms. Palliative care will be always part of the treatment througout the course of cancer. ...Read more

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Treatments for prostate cancer with bone metastasis?

Treatments for prostate cancer with bone metastasis?

Many: The first line of treatment for this is androgen deprivation. In addition, there are medicines which reduce the risk of fractures with Denosumab showing the most efficacy compared to zoledronic acid, however with some risk of significant side effects. For more extensive disease, a newer IV radium therapy has shown improved survival. Localized radiation can be effective for painful foci. ...Read more

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Dysphagia and chemotherapy for colon cancer?

Dysphagia and chemotherapy for colon cancer?

It depends ... : Dysphagia is a common side effect with many chemo therapeutic regimens. Some treatments can decrease a patient's ability to fight off fungal and bacterial overgrowth in the mouth and digestive systems. The diagnosis of this isn't usually difficult and can in many cases be treated with medications. ...Read more

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Can radiation therapy for breast cancer give me leukemia?

Can radiation therapy for breast cancer give me leukemia?

Not likely: Leukemia is more likely as a cancer caused by chemotherapy since it exposes more bone marrow. Radiation to the breast will expose very little bone marrow and leukemia is not likely but nothing is impossible. ...Read more

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Is brachytherapy helpful for a prostate cancer patient who has metastasized cancer cells?

Is brachytherapy helpful for a prostate cancer patient who has metastasized cancer cells?

No.: Brachytherapy is used in the treatment of localized prostate cancer, or cancer that has not spread outside of the prostate gland. If a patient has metastatic disease, treatments need to be systemic, with the aim of halting the growth & spread of the cancer throughout the body. These treatments include hormonal therapy, chemotherapy, and immunotherapy. Urologists & medical oncologists can help. ...Read more

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Dr. Liawaty Ho Dr. Ho
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What does herceptin (trastuzumab) do for breast cancer patients?

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
What does herceptin (trastuzumab) do for breast cancer patients?

Herceptin (trastuzumab) : Herceptin (trastuzumab) is one of targetted therapy that we can use to treat a her2 positive breast cancer. There are other her 2 receptor inhibitors out there- such as lapatinib, Pertuzumab and hopefully tdm1. It is able to stop the cancer from growing and ultimately cause death to cancer cells that have the her2 receptors. ...Read more

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What chemotherapy treatments exists for patients with esophageal cancer?

What chemotherapy treatments exists for patients with esophageal cancer?

Many: It depends on the type of esophageal cancer and the stage. Cisplatin plus 5-fu is a common regimen, and it is sometimes given with radiation. Other types of chemo being studied include taxol, gemciteabine, irinotecan, and xeloda (capecitabine). A good website for cancer information is www.Cancer.Gov, the national cancer institute website. Good luck! ...Read more

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Is radiation effective for breast cancer?

Is radiation effective for breast cancer?

Very effective.: Radiation therapy (rt) is never a primary treatment for breast cancer, but rather a supplement to surgery for the local treatment of breast cancer. Rt is mandatory following breast conserving surgery: local recurrence rates are decreased from >25% to <5% with rt. Rt is also used after mastectomy for patients that are at high risk for local recurrence. ...Read more

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Why are certain chemo treatments done for a breast cancer patient in stage 3?

Why are certain chemo treatments done for a breast cancer patient in stage 3?

Yes: In the majority of cases, stage 3 breast cancer needs chemotherapy in order to cure and prevent the cancer from coming back. Speak with your navigator and oncology team and ask questions so you understand the details of treatment and your stage. ...Read more

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Patients with advanced breast cancer,Has received chemotherapy,Is there any need for radiotherapy?

Breast Cancer: As you see on TV cancer Dx and Rx is very individualized. Some need radiation and some may not. So discuss this with your Dr. ...Read more

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How long should a patient wait before starting chemotherapy and after the breast cancer surgery ?

How long should a patient wait before starting chemotherapy and after the breast cancer surgery ?

12 weeks: Studies have shown that benefit from chemotherapy doesn't begin to drop off as long as it is started within 12 weeks of surgery. I take the type of cancer into consideration, though. For more aggressive breast cancers, i like to start chemo within 4-6 weeks. For the slower growing er+ cancers, within 12 weeks is fine and supported by data. ...Read more

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Is chemotherapy required for stage 1A IDC breast cancer, tumor size 1.1 cm, ER & PR positive, HER2 negative, nuclear grade 1. Patient is 42 years old.

Is chemotherapy required for stage 1A IDC breast cancer, tumor size 1.1 cm, ER & PR positive, HER2 negative, nuclear grade 1. Patient is 42 years old.

Borderline call!: Your breast tumor is quite small, so it has >90% odds that it can be safely treated with surgery, without any chemotherapy required. You may ask your doctor for treating you with tamoxifen which is a antihormone type of medication, commonly used as the treatment for tumors that are ER positive. Good luck ...Read more

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

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

No: Most important factors are tumor size, age and overall health, estrogen receptor status and her-2-neu status. In general, most young healthy people with a tumor greater than 1 cm will receive chemo and/or hormonal therapy. Smaller tumors are treated if er negative or her-2 positive. Some small er+ tumors are treated with chemo, but the relative benefits are smaller - an oncotype DX is helpful. ...Read more

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If a breast cancer patient undergoes neo-adjuvant chemotherapy, how will she ever know her true nodal status?

If a breast cancer patient undergoes neo-adjuvant chemotherapy, how will she ever know her true nodal status?

Sentinel LN Biopsy: It is somewhat controversial when to perform sentinel lymph node (ln) biopsy in this setting: some advocate performing this prior to chemo, so as to determine an accurate stage; others believe that the status of the ln after chemo is most pertinent. In my practice, i will perform a needle-biopsy of any abnormal ln prior to chemo. If none are evident, i wait until after chemo. ...Read more

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Breast cancer chemotherapy in hepatitis b patients?

Challenging : Appropriate involvement of hepatologist and treatment (or prophylaxis) of hep b is imperative. ...Read more

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How to boost white blood counts during chemotherapy for breast cancer?

How to boost white blood counts during chemotherapy for breast cancer?

Growth factors: If your blood counts are severely low then use of growth factor injections(neulasta (pegfilgrastim) or neupogen) can help boost the recovery of your blood counts after chemotherapy. ...Read more

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How can I support my friend who has undergone chemotherapy for breast cancer?

How can I support my friend who has undergone chemotherapy for breast cancer?

Do support her: She may need your emotional support and other help. Go meet her and ask if you can help her with any probelms or issues of concern to her. She would appreciate your concern for her welfare and your offer to help her.Just the company of a good friend can be a big morale booster. ...Read more

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Please tell me what are other options besides chemotherapy for breast cancer?

Please tell me what are other options besides chemotherapy for breast cancer?

It depends: It depends on the type of breast cancer. If positive for estrogen and/or Progesterone receptors ("er" and "pr") there are other options, though in some cases it may not be as good as taking these meds in conjunction with chemo. If stage 4 breast cancer, there are many clinical trials. Again, it depends on the cancer stage, and the markers er/pr, and her2 from the cancer specimen. ...Read more

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I'm just wondering, if you opt out for chemotherapy for breast cancer what is the process you go through?

I'm just wondering, if you opt out for chemotherapy for breast cancer what is the process you go through?

Not sure if 'opt: Out' means 'refuse' or 'decide to stop'. Either is a serious decision that requires discussion with 1 or more medical oncologists. The 'oncotype' process defines benefit and risk of chemo in some. However, depending on many factors (size, nodal status, receptors), the consequences vary. Perfect for second or third opinion. ...Read more

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Hormonal effects of chemotherapy for breast cancer?

Please clarify.: It is unclear from your question what you are asking. Most breast cancers are estrogen-sensitive and can be treated with anti-estrogen medication (tamoxifen, aromatase inhibitors). Many women who are peri menopausal when receiving traditional chemotherapy develop ovarian suppression from the chemo and effectively "go into" menopause. I hope this helps. ...Read more

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
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Is benzene in certain chemotherapies? Could a caretaker of someone receiving chemotherapy for breast cancer be exposed to benzene?

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
Is benzene in certain chemotherapies? Could a caretaker of someone receiving chemotherapy for breast cancer be exposed to benzene?

No benzzene: No benzene in chemotherapy. If a caretaker get exposure to benzene, he/she gets it from somewhere else( gasoline/ other chemical agent) -and notfrom the cancer patient. ...Read more

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Are there any specific food to take and to avoid while in chemotherapy for breast cancer in stage 3. Age is 60 yrs and vegetarian.

Are there any specific food to take and to avoid while in chemotherapy for breast cancer in stage 3. Age is 60 yrs and vegetarian.

Possibly: It depends on which drugs you are getting. Each drug has a slightly different effect on taste. In general you should maintain your nutrition. Plant based diet has been suggested to reduce the risk of recurrent disease. ...Read more

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Long term effects of chemotherapy for breast cancer vs radiation?

Other cancers : Chemotherapy long-term can increase the likelihood of developing bloodstream cancers such as leukemia radiation treatment can cause tissue scarring and also increase the possibilty of developing other cancers such as sarcoma. ...Read more

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What are common proven alternatives to chemotherapy for breast cancer treatment?

What are common 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 more

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Will Chemotherapy for breast cancer have any effect on functioning of a VP shunt ?

Will Chemotherapy for breast cancer have any effect on functioning of a VP shunt ?

Hydrocephalus : No. Chemotherapy does not have an affect on the functioning of ventriculoperitoneal shunt. Infection and other medical problems can bring out the symptoms of hydrocephalus and it may appear that the shunt has malfunctioned but that is often not the case. Remain focused on beating the cancer and all the best to you. ...Read more

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A friend was told to freeze her ovaries or ovarian tissue before her chemotherapy (for breast cancer), is this a common practice or still experimental?

Great option: This is a great option for women interested in having children. Your oncologist should send you to a infertility specialist who can work with your oncology team. Care can be coordinated so that treatment can begin while eggs are harvested. ...Read more

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Is there a less toxic alternative to chemotherapy for breast cancer treatment?

Is there a less toxic alternative to chemotherapy for breast cancer treatment?

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 more

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Dr. Mark Hoepfner
1,071 doctors shared insights

Breast Carcinoma (Definition)

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


Dr. Devon Webster
991 doctors shared insights

Chemotherapy (Definition)

The term chemotherapy typically is used to describe using chemicals to treat ...Read more