18 doctors weighed in:

What recommendations do oncologists have for a stage 1 breast cancer patient?

18 doctors weighed in
Dr. Liawaty Ho
Internal Medicine - Hematology & Oncology
8 doctors agree

In brief: D/w your oncologist

Stage 1 in general is treated with surgery and radation therapy if lumpectomy is chosen.
In addition, anti hormonal therapy is recommended for er+ cancer. Chemo +/- biological therapy i.e. Anti her2neu inhibitor - is given for some cases of stage i breast cancer- depending on the size, prognostic factors, oncotype dx, her2neu receptor status, age, preference, ps, etc. D/w oncologist in detail.

In brief: D/w your oncologist

Stage 1 in general is treated with surgery and radation therapy if lumpectomy is chosen.
In addition, anti hormonal therapy is recommended for er+ cancer. Chemo +/- biological therapy i.e. Anti her2neu inhibitor - is given for some cases of stage i breast cancer- depending on the size, prognostic factors, oncotype dx, her2neu receptor status, age, preference, ps, etc. D/w oncologist in detail.
Dr. Liawaty Ho
Dr. Liawaty Ho
Thank
Dr. William A Biermann
Internal Medicine - Oncology
3 doctors agree

In brief: It depends

Surgery is the first step.
Either lumpectomy or mastectomy depending on several factors. Radiation is used mostly after lumpectomy in stage 1 patients. Chemo hormone blockers, both or additionally Herceptin (trastuzumab) can be used depending on the pathology results. It sounds complicated but will be explained by your physician in detail.

In brief: It depends

Surgery is the first step.
Either lumpectomy or mastectomy depending on several factors. Radiation is used mostly after lumpectomy in stage 1 patients. Chemo hormone blockers, both or additionally Herceptin (trastuzumab) can be used depending on the pathology results. It sounds complicated but will be explained by your physician in detail.
Dr. William A Biermann
Dr. William A Biermann
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1 comment
Dr. Michael Thompson
Additional testing -- OncotypeDx or Mammaprint -- can be used to help determine risk and absolute risk reduction with chemotherapy and/or hormone therapy. See also Adjuvant! Online risk calculator.
Dr. Richard Orr
Surgery - Oncology
2 doctors agree

In brief: Complex

Surgery definitely (lumpectomy with radiation or mastectomy - depending on size, pt preference, etc.
) decisions for chemo and/or hormonal therapy are complex and require much thought. Size of tumor and estrogen receptor and her-2 status are important as are the patien'ts age and overall health and her wishes. Oncotype-dx helps predict risk of relapse which helps decision making.

In brief: Complex

Surgery definitely (lumpectomy with radiation or mastectomy - depending on size, pt preference, etc.
) decisions for chemo and/or hormonal therapy are complex and require much thought. Size of tumor and estrogen receptor and her-2 status are important as are the patien'ts age and overall health and her wishes. Oncotype-dx helps predict risk of relapse which helps decision making.
Dr. Richard Orr
Dr. Richard Orr
Thank
Dr. Manoj Reddy
Radiation Oncology
1 doctor agrees

In brief: Nccn and cancer.gov

General recommendations for stage i breast cancer involve surgery mastectomy + sentinel node biopsy or lumpectomy + sentinel node biopsy + radiation (whole breast + boost vs partial breast).
Age may play factor in decision regarding radiation. +- adjuvant endocrine +- adjuvant chemotherapy. Nccn.Org and cancer.Gov are good websites.

In brief: Nccn and cancer.gov

General recommendations for stage i breast cancer involve surgery mastectomy + sentinel node biopsy or lumpectomy + sentinel node biopsy + radiation (whole breast + boost vs partial breast).
Age may play factor in decision regarding radiation. +- adjuvant endocrine +- adjuvant chemotherapy. Nccn.Org and cancer.Gov are good websites.
Dr. Manoj Reddy
Dr. Manoj Reddy
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Dr. John Rimmer
Surgery
1 doctor agrees

In brief: Very good prognosis

Stage one breast cancer has a very good prognosis if treated appropriately the usual treatment includes surgery and radiation and hormonal treatment with tablets that block estrogens.

In brief: Very good prognosis

Stage one breast cancer has a very good prognosis if treated appropriately the usual treatment includes surgery and radiation and hormonal treatment with tablets that block estrogens.
Dr. John Rimmer
Dr. John Rimmer
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