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Doctor insights on: Why Do Some Doctors Give Chemo Before Surgery To Shrink Breast Tumor

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Why do some doctors give chemo before surgery to shrink breast tumor?

Why do some doctors give chemo before surgery to shrink breast tumor?

To shrink big tumors: Neoadjuvant chemotherapy is for three main reasons: 1. To treat inflammatory breast cancer, when chemotherapy should always be given before surgery 2. To shrink large breast cancers that are very close to the chest wall muscle before they have a chance to invade 3. To shrink large tumors in order to avoid a mastectomy and have only the lump removed instead (lumpectomy). The risk of cancer returning is no different that having chemotherapy after surgery. ...Read more

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Neoplasms (Definition)

"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more


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My mother(55) was diagnosed with CA Right Breast cancer (HER2+) on Jan 2015, immediately she started 8 cycle Chemo and 3 cycle Herceptin both completed on July 2015. Doctor was advised to go for surgery, but due to cardio 35% (reduced because of Herc?

My mother(55) was diagnosed with CA Right Breast cancer (HER2+) on Jan 2015, immediately she started 8 cycle Chemo and 3 cycle Herceptin both completed on July 2015. Doctor was advised to go for surgery, but due to cardio 35% (reduced because of Herc?

Postchemo EF: Lillian Most oncologists will stop the herceptin (trastuzumab) if they see a drop in the EF. Then resume It after ensuring some improvement in function. Her surgeon and cardiologist will help guide when it is safe to proceed as some patients can proceed with lumpectomy and sentinel node procedures with the lower EF. Best wishes for recovery to your mother. ...Read more

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If the breast tumor is shrinking with chemotherapy is there a need for surgery?

If the breast tumor is shrinking with chemotherapy is there a need for surgery?

Yes-absolutely: Congratulations for responding to chemotherapy! this will make it easier for your surgeon to get clear margins. It is important to get the entire tumor removed. If not, once the chemo is stopped the tumor may grow back and become more aggressive (i.e. Spread to other parts of body). For the best outcome (i.e. Avoid death), please adhere to the treatment by your breast cancer team. ...Read more

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If the breast tumor is shrinking with chemotherapy is there a chance not needing surgery?

If the breast tumor is shrinking with chemotherapy is there a chance not needing surgery?

No.: Cancer cells are very small. Tumor can shrink dramatically as a result of chemotherapy. As a matter of fact, most do! and some patients have their tumors shrink completely - and when surgery is performed there is absolutely no evidence of any residual cancer. But you can't be sure unless you operate. For who would want to risk leaving even one cancer cell behind? Not me. ...Read more

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Doctor test my breast tumor tissue n say it wasn't cancer. Could it be possible turn into cancer and how? What should I eat to not make it worst?

Doctor test my breast tumor tissue n say it wasn't cancer. Could it be possible turn into cancer and how? What should I eat to not make it worst?

First,...: ...Unless you have a strong family history, the odds of a young girl to have breast cancer are low. Second, you can have all sorts of findings in a breast biopsy. Some can progress to cancer down the line and some do not. Ask the md who ordered the biopsy about its implications. Finally, eat well, exercise, don't smoke and limit alcohol intake. Enjoy your life with awareness, not fear. ...Read more

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What questions do I ask the doctor about my 10 month old girl having a benign hemangioma vascular breast tumor?

What questions do I ask the doctor about my 10 month old girl having a benign hemangioma vascular breast tumor?

It is an uncommon en: Hemangiomas are benign growths which frequently regress as the baby grows in age. Sometimes they may continue to growth and require treatmnt. There are very few doctors who are familiar with their managment. So if it is growing, you should seek a second opinion ask to be referred to a children's hospital in a major city like in philadelphia or boston where there are known experts who can guide you. ...Read more

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Breast cancer ulcerated tumor (cancer is isolated in one area only) could i opt for radiation to shrink tumor prior to surgery, or must I have chemo?

Breast cancer ulcerated tumor (cancer is isolated in one area only) could i opt for radiation to shrink tumor prior to surgery, or must I have chemo?

Best AFTER surgery: A tumor such as yours is classified as a locally advanced tumor; if surgery is done first, a mastectomy is the only option. However, if chemorx is given first (neoadjuvant rx), there is a chance that the tumor will shrink enough to allow a lumpectomy alone; radiation rx would then be necessary after surgery. Preoperative radiation rx is insufficient to rx alone and could complicate the surgery. ...Read more

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A/c/t chemo for stage 2B breast cancer. Almost done with chemo and original tumor has shrunk but now there is a new tumor. How is this possible?

Likely not cancer: Most likely your new tumor is just a coincidence. On the rare occasions that new tumors show up during chemotherapy, it is the result of chemotherapy-resistant strains of cancer cells. This would not be good news. Here's to your finding out that this new tumor is benign... ...Read more

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The oncologist keeps insisting on chemo but i would rather have surgery only for breast cancer, i would like another opinion is it always necessary?

The oncologist keeps insisting on chemo but i would rather have surgery only for breast cancer, i would like another opinion is it always necessary?

Not always, but...: ...If you are not comfortable with your oncologist's opinion, you should get a second one. Unfortunately, surgery is rarely sufficient to treat breast cancer. More than half of all breast cancer patients require chemotherapy, and even more are given anti-estrogen therapy. The breast is but a battleground; the war is won or lost in the whole body. There is no better means for systemic rx than chemo. ...Read more

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Dr. Devon Webster
945 doctors shared insights

Chemotherapy (Definition)

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