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Doctor insights on: Therapy Breast Cancer Port A Cath

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DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

It depends: It may depend on your age. Radiotherapy to your involved breast may be required as it is the standard of care. Ask your doctor and let us know what advice you receive. Tamoxifen is another medication recommended after completion of Radiotherapy. ...Read more

Dr. Barry Rosen
4,344 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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Is chemo required for an invasive carsinoma in situ stage 1b grade 2, 0.8 CM in size mastec done, fibroadipose and breast tissue, sentinel lymph clear?

Is chemo required for an invasive carsinoma in situ stage 1b grade 2, 0.8 CM in size mastec done, fibroadipose and breast tissue, sentinel lymph clear?

Maybe: With a node negative cancer. { i don't understand the invasive and in situ as they are apposite. } current recommendations are for genomic testing to see if the tumor has a high or low risk of recurrence. ...Read more

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What are statistical odds for cancer returning in a 63 yr old woman 20 yrs after treatment for stage 1 breast cancer (lumpectomy, chemo, & radiation)?

What are statistical odds for cancer returning in a 63 yr old woman 20 yrs after treatment for stage 1 breast cancer (lumpectomy, chemo, & radiation)?

Low, but not zero.: First of all, congratulations on being a 20-yr survivor! it is impossible to give you a number or even a range without knowing more specifics about your cancer, however, the fact that it hasn't returned in 20 years certainly puts you in favorable statistical category. I suggest that you meet with your medical oncologist to discuss this, as well as any measures you can take to prevent a recurrence. ...Read more

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Does a growing lump on a one-stage immediate breast reconstruction after mastectomy because of cancer followed by a tissue flap procedure meancancer?

Does a growing lump  on a one-stage immediate breast reconstruction after mastectomy because of cancer followed by a tissue flap procedure meancancer?

Must get it checked: A new lump doesn't necessarily mean cancer, but you definitely must get it checked out to be sure. New lumps can appear after mastectomy and reconstruction, more with flap surgery than implants. More often than not, it is fat necrosis (hard fat) or scar tissue. Fat turns hard when the blood supply to that area isn't quite as good as it should be. Neither fat necrosis or scar tissue are harmful. ...Read more

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Breast cancer stage 1b with 1/3 lymph node micrometastasis at 1.9. Left breast, pt 32y. Radiation therapy controversial. Need opinions?

Breast cancer stage 1b with 1/3 lymph node micrometastasis at 1.9.  Left breast, pt 32y.  Radiation therapy controversial.  Need opinions?

Surgery?: would need radiation if surgical treatment was lumpectomy. Patient is young and need further evaluation with detailed family history. Estrogen and HER2neu receptor status, ki 67 would help to make better treatment decision. ...Read more

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What is the survival rate for a 46 yr old pt with stage 2B invasive lobular breast cancer w/node involvement?

What is the survival rate for a 46 yr old pt with stage 2B invasive lobular breast cancer w/node involvement?

Better than 85%: Invasive lobular carcinoma begins in the milk-producing glands (lobules) of the breast the cells having broken out of the lobule where they began and in Stage IIB have spread to regional lymph nodes. It typically doesn't form a lump, but often causes a fullness in one part of the breast.. They tend to have more hormone-receptor–positive tumors , lower nuclear grade and survival better than 85% ...Read more

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What is the survival rate for a 46 yr old pt with stage 2B invasive lobular breast cancer w/node involvement?

What is the survival rate for a 46 yr old pt with stage 2B invasive lobular breast cancer w/node involvement?

Approximately 80%: The exact answer to this question depends on a number of factors: actual tumor size, level of estrogen expression, number of nodes involved, medications given and individual response to medications. Lifestyle factors are also key. 80% 5-year survival comes from pooled data from a variety of patients. It's best to ask you medical oncologist to calculate your survival based upon your personal data ...Read more

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What is the survival rate for breast cancer stage 3C? Right breast mastectomy done with auxillary clearance. ER/PR is +VE and HER2 is -VE. Suggested with 6 rounds chemo and radiation therapy.

What is the survival rate for breast cancer stage 3C? Right breast mastectomy done with auxillary clearance. ER/PR is +VE and HER2 is -VE. Suggested with 6 rounds chemo and radiation therapy.

See your oncologisf: For something as personal as this, this should really be answered or discussed with your oncologist. Your information is helpful but there are so many more details that need to be known that can't be discussed here. Good luck. ...Read more

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Is radiation therapy for lung cancer painful?

Is radiation therapy for lung cancer painful?

Possibly: Radiation is painless during the treatments. If the esophagus is in the treatment fields it can cause a painful condition called esophagitis about 3 weeks into the treatment. This is worse when a patient also takes chemotherapy. There are medicines that help this discomfort and when treatment is done it should resolve. ...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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What is done for breast cancer with small tumors?

What is done for breast cancer with small tumors?

Credible information: Start here for overview of breast cancer and treatment. This is a noncommercial site that might be updated. Best wishes. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001911/. ...Read more

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Breast cancer:mastectomy done;1/12 affedctes nodes; positive hormonal receiver; score0;stage 2; is there a possibility to have a breast cancer again?

Breast cancer:mastectomy done;1/12 affedctes nodes; positive hormonal receiver; score0;stage 2; is there a possibility to have a breast cancer again?

Possible...: It all depends on the pathology report (her2 status..) and treatment provided. No guarantees in life but ! not knowing all the details, she has at least more than 60% chance of cure. Be postive. Encourage her, continue hormonal teatement for at least 5 years. Discuss the case with the oncologist who has all the information and treatment in front of him. Do not be shy. Thanks for asking. ...Read more

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68y,left breast IDC in 2011,received Chemo+Radio+lumpectomy.Now,Angiosarchoma in same breast,had mastectomy.All margins are clear.Need Chemo or Radio?

68y,left breast IDC in 2011,received Chemo+Radio+lumpectomy.Now,Angiosarchoma in same breast,had mastectomy.All margins are clear.Need Chemo or Radio?

Cancer treatment: Only you and your Drs can make the best decision as to what is the best treatment for you. Discuss with your team and ask for second opinion as well. ...Read more

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Sister almost done radiation treatments for mixed ductal/lobular breast cancer. noticed that her breast looks dimpled. Could this be from radiation?

Sister almost done radiation treatments for mixed ductal/lobular breast cancer. noticed that her breast looks dimpled.  Could this be from radiation?

Unlikely: Radiation therapy can cause some degree of scarring or deformity of the breast. But it doe snot develop so soon...it takes a few years for radiation related changes in the breast form to show. Therefore it is most likely due to prior surgery. Ask your treating doctors for better explanation of the changes in the appearance of her breast ...Read more

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O had surgery for positive breast cancer. Is sentinel lymph node biopsy accurate for breast cancer surgery. Node was negative.

O had surgery for positive breast cancer. Is sentinel lymph node biopsy accurate for breast cancer surgery. Node was negative.

Yes they are: by now sentinel lymph node are the standard of care for breast cancer surgery and staging, and yes they are very accurate. node is negative is a very good news that will make the cancer early stage and hopefully cureable ...Read more

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On what basis an oncologist decides whether a uterine cancer patient needs internal radiation therapy or external radiation therapy after a surgery?

On what basis an oncologist decides whether a uterine cancer patient needs internal radiation therapy or external radiation therapy after a surgery?

It is based on prior: Prior experience and scientific data guides our practice of Oncology. The treatment is based on stage of disease and it is standardized on the basis of published data and available evidence. ...Read more

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What are the current breast reconstruction techniques after breast cancer surgery?

What are the current breast reconstruction techniques after breast cancer surgery?

Flap or implant: Basically - you can use your own tissue or reconstruct with a breast implant. There are several options when your own tissue is used including tram (uses the rectus muscle in the abdomen with attached skin and fat), latissimus (the muscle going from shoulder to back - usually for relatively small defects), diep (uses skin and fat on abdomen, but preserves the muscle). ...Read more

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Twin sister has breast cancer. Says she has ductal AND lobular cancer. Surgery,chemo,radiation And hormone therapy after. Prognosis for this type?

Twin sister has breast cancer. Says she has ductal AND lobular cancer. Surgery,chemo,radiation And hormone therapy after. Prognosis for this type?

Prognosis is Stage-b: The prognosis of breast Cancer is dependent on stage of her Cancer at the time of diagnosis. Most breast cancers are stage-1 or 2 and patients do very well, living near normal lives. Check in case she had stage-3 cancer....which does carry risk for recurrence in the future. I think she will do well over the next 5-10 years but needs to remain under surveillance as there is always some unpredictabi ...Read more

Dr. Barry Rosen
1,379 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
1,062 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