6 doctors weighed in:
Should stage 1 breast cancer patients with no lymph node involvement generally receive chemo?
6 doctors weighed in

Dr. Barry Rosen
Surgery
2 doctors agree
In brief: 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.

In brief: 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.
Dr. Barry Rosen
Dr. Barry Rosen
Thank
1 comment
Dr. Andrew Turrisi
I completely agree with Dr Rosen's answer.
Dr. Travis Kidner
Surgery - Oncology
In brief: Depends
This depends on the tumor characteristics.
Best to discuss this your friendly oncologist.

In brief: Depends
This depends on the tumor characteristics.
Best to discuss this your friendly oncologist.
Dr. Travis Kidner
Dr. Travis Kidner
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Dr. Marci Dietrich
Bariatrics
In brief: Depends
If the tumor is hormone positive and or her2 positive there is chemo hormone blockerstypically, radiation, lumpectomy followed by anti hormone meds.
On the other hand, triple negative breast cancer stage i will most likely need chemotherapy iv. It is a bit controversial about a tumor less than 5mm, but anything above that has lumpectomy, node bx, and adjuvant chemonow, docs are trying chemo presurg.

In brief: Depends
If the tumor is hormone positive and or her2 positive there is chemo hormone blockerstypically, radiation, lumpectomy followed by anti hormone meds.
On the other hand, triple negative breast cancer stage i will most likely need chemotherapy iv. It is a bit controversial about a tumor less than 5mm, but anything above that has lumpectomy, node bx, and adjuvant chemonow, docs are trying chemo presurg.
Dr. Marci Dietrich
Dr. Marci Dietrich
Thank
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