Top
30
Doctor insights on: Should Stage 1 Breast Cancer Patients With No Lymph Node Involvement Generally Receive Chemo

Share
1

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

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

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. ...Read more

Dr. Barry Rosen
4,351 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


2

2
Is it true that stage 1 breast cancer patients with no lymph node involvement recommended to take chemo?

Is it true that stage 1 breast cancer patients with no lymph node involvement recommended to take chemo?

It Depends: Typically, it depends on the receptor status (estrogen/progesterone/her2) and the size of the tumor. Tumors greater than a centimeter are generally prescribed chemotherapy, although er/pr+ patients may just get hormonal therapy. The oncotype assay is sometimes used to decide on equivocal cases on when to give chemo. You might want to ask your doctors if this is right for you. ...Read more

3

3
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

4

4
Do all stage 1 breast cancer patients without lymph node involvement have to take chemo?

Do all stage 1 breast cancer patients without lymph node involvement have to take chemo?

On the contrary: The decision to recommend chemotherapy is based on the stage of the cancer, the pt's age, as well as the molecular features, including the estrogen-, progesterone-, & her2/neu receptor status +/-oncotype-dx recurrence score. Stage i-, ln(-) pts may have no chemo-, hormonal rx, or chemotherapy recommended based on the above factors. ...Read more

6

6
After successful double mastectomy with no lymph node involvement what are my chances of breast cancer coming back in my brain, liver, lungs or?

After successful double mastectomy with no lymph node involvement what are my chances of breast cancer coming back in my brain, liver, lungs or?

Slight chance: Recurrence of breast cancer is dependent on the nature of the lesion resected in terms of size and hormone receptors. If the lesion was under 1 cm. and hormone receptor positive, with negative nodes after mastectomy cure rate should be in the 90%. Also, when over the age of 60, results are better than if the condition were the same in a premenopausal 30-year old. ...Read more

7

7
Breast cancer with lymph node involvement prognosis?

Breast cancer with lymph node involvement prognosis?

Depends: Lymph nodes are one aspect of evaluation for stage and treatment of breast cancer. It depends on size of breast cancer itself, number of lymph nodes involved, hormone status of the tumor, and dna testing can also help identify breast cancer risks. If the lymph node involvement is small, then there is little additioanl risk to the patient. There are many factors involved in assessing breast cancer. ...Read more

8

8
What is the survival rate for breast cancer with lymph node involvement?

What is the survival rate for breast cancer with lymph node involvement?

Need More Info: There are lots of variables that help estimate survival, including tumor size, type, number of lymph nodes involved, and additional factors such as comorbidities (diabetes, heart disease, lung disease, etc). Here's a good reference: http://sgoti. Ws/upp2y2 good luck. ...Read more

9

9
Breast cancer, 2 tumors, one 1.4x1.7, the other .5. Biopsy states IDC, ER+, PR- and HER2 neg. Ki67 score 50 Treatment mastectomy, chemo and tamoxifen. What are your thoughs on treatment??? Patient is 32 years old

Breast cancer, 2 tumors, one 1.4x1.7, the other .5.  Biopsy states IDC, ER+, PR- and HER2 neg.  Ki67 score 50

Treatment mastectomy, chemo and tamoxifen.  What are your thoughs on treatment???  Patient is 32 years old

Curative: At 32, you have a long life ahead of you. By removing the breast with multiple tumors, you are saving yourself a lot of aggravation. There is nothing to keep a cancer from reoccurring in that breast! You did the right thing. Do not look back. You need to move forward! You are getting good treatment from your Provider! ...Read more

10

10
Survival rate for triple neg receptors for early stage breast cancer after chemo treatment? No lymph nodes involve, stage 1b, grade 2, mastec done

Survival rate for triple neg receptors for early stage breast cancer after chemo treatment?  No lymph nodes involve, stage 1b, grade 2, mastec done

Excellent: According to adjuvant online (www.Adjuvantonline. Com), you have about an 82% 10 yr survival rate based on your specific information provided. This is only an estimate since there are details I do not have such as type of chemotherapy being used. For triple negative breast cancer, these survival rates are quite excellent. ...Read more

12

12
I was diagnosed with breast cancer in 2000 I had radical bilateral mastectomy chemo and radiation I had metastasis to the rib in 2006 and 2010 recent biopsy of lymph nodes on the left upper chest near my clavicle and neck showed adenocarcinoma what treatm

I was diagnosed with breast cancer in 2000 I had radical bilateral mastectomy chemo and radiation I had metastasis to the rib in 2006 and 2010 recent biopsy of lymph nodes on the left upper chest near my clavicle and neck showed adenocarcinoma what treatm

Chemo and/or radiati: Your case is too complicated for a simple answer. You need to be in a cancer center where your treatment can be tailored to what your specific case requires. Sorry I can't provide more info. ...Read more

13

13
Could my immune system still be compromised 2 years after chemo and radiation for stage 1 breast cancer? I seem to get sick a lot now.

Could my immune system still be compromised 2 years after chemo and radiation for stage 1 breast cancer?  I seem to get sick a lot now.

Not likely: Your immune system should have recovered in this interval. It is appropriate to have an evaluation by your physician to see what may be contributing to your problem of frequent illness. ...Read more

14

14
Are there any other treatments for stage 1 breast cancer other than chemo?

Are there any other treatments for stage 1 breast cancer other than chemo?

Surgery+/-RT+/-Chemo: Stage I breast ca reflects a small (<2cm) cancer w/minimal or no lymph node involvement. While prognosis is excellent, some women would still benefit from chemotherapy, primarily related to age and tumor receptor status. This can include a pill, IV chemo, or a combination. Regardless of stage, local rx includes surgery+/-radiation therapy. ...Read more

15

15
Does stage 1 breast cancer need an immediate chemotherapy after total mastectomy?

Does stage 1 breast cancer need an immediate chemotherapy after total mastectomy?

Well. The treatment : Plan depends on a number of factors that would need to be discussed with the breast surgeon, radiation oncologist etc. Was a total mastectomy recommended for a stage 1 breast cancer? ...Read more

16

16
I'm a breast cancer positive, stage 1 with her2 positive, is completly necesary the chemotherapy in my case?

Breast CA: It really depends on your risk factors and tumor characteristics. You should have a thorough consultation with a medical oncologist to determine the best course. ...Read more

17

17
Does a breast cancer patient benefit from chemo if she is er+, pr+ and her2-?

Does a breast cancer patient benefit from chemo if she is er+, pr+ and her2-?

Possibly: The biggest predicting factors are the size of your tumor and the lymph node status. There are many helpful pieces of information online. Adjuvantonline. Com
nccn. Org patient section. This is really a complex question because we now have oncotyping to tell us recurrence risk. I would ask your physician, and consider two opinions. ...Read more

18

18
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

19

19
What are the survival rates for a stage three breast cancer patient? Going to chemo and following doctor orders. And what to expect. Symptoms etc.

What are the survival rates for a stage three breast cancer patient? Going to chemo and following doctor orders. And what to expect. Symptoms etc.

Ask your oncologist: Most women with breast cancer do very well. Yet stage 3 breast cancer does carry risk of relapse despite good treatments. So be alert and follow instructions and remain under supervision of your doctor(oncologist) for 5-10 years. ...Read more

20

20
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 an antihormone type of medication, commonly used as the treatment for tumors that are ER positive. Good luck ...Read more

21

21
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, 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

22

22
Is there any test that can be done to know whether the chemotherapy drugs for breast cancer stage 1 are working properly?

Is there any test that can be done to know whether the chemotherapy drugs for breast cancer stage 1 are working properly?

Not really: Remember that chemo given after surgery is meant to treat potentially existing microscopic deposits of cells and thus improve the odds of surviving cancer, not to treat cancer that we can see and measure. For that reason, only time will tell if it was successful. From now on, it is time for surveillance. Be alert but don't live in fear. Best to you. ...Read more

24

24
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

25

25
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

26

26
Is it fine to add fish in the daily meals after Vp shunt surgery or should it be a strict vegan diet? Patient is also on chemo for breast cancer

Is it fine to add fish in the daily meals after Vp shunt surgery or should it be a strict vegan diet? Patient is also on chemo for breast cancer

Whoa: Whoever has told you that a person who has had a ventriculoperitoneal shunt needs to eat a vegan diet was simply lying to you. The decision to become a vegan is a moral choice, not a medical one, and a vegan who does not know EXACTLY what they are doing will ruin his/her health. If a health care provider has urged a chemotherapy patient to "go vegan" as Rx, report it to the licensing board. ...Read more

28

28
Can breast cancer come from an enlarged intramammary lymph node?

Can breast cancer come from an enlarged intramammary lymph node?

No: Usually cancer will cause enlarged lymph nodes, not the other way around. ...Read more

29

29
I had a stage 1 mic breast cancer, clear nodes, estpr positive, 5 years ago, would it have been necessary to remove 13 lymph nodes?

Times change: It is now standard to do a sentinel node biopsy first and if a pathologist finds it is negative not to go after other nodes. However, it was less clear 5 years ago that this was safe, and so many surgeons at that time did full axillary node dissections when removing a breast cancer. One can't say now that that was "wrong" as it was within the standards of care then. ...Read more

30

30
It was I that has the lymph node my mother died at 46 from breast cancer and my grandmother died at 61 from breast cancer.

It was I that has the lymph node my mother died at 46 from breast cancer and my grandmother died at 61 from breast cancer.

Need Genetic test: If your mother had breast cancer at 46 and grandmother died at 61, you have a very strong family hx of breast cancer suggesting the possibility of a gene mutation. You should undergo a biopsy under ultrasound. Depending on your insurance, you may also be a candidate for BRCA genetic testing. Genetic testing will help determine what type of treatment and screening you should undergo. ...Read more

Dr. Barry Rosen
1,380 doctors shared insights

Breast Cancer (Definition)

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


Dr. Mark Hoepfner
1,063 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