How does breast cancer treatment affect work? How long will I be off of work for breast cancer treatment?
Highly variable. I agree with dr. Wilson. There are many treatments for breast cancer ranging from minor surgery and hormone pills, to more extensive surgery with chemotherapy and radiation therapy. You would need to discuss your specific situation with your oncologist who would have much more information for you.
Variable. Depends a lot on what treatment you received and how well you handled it. Your doctors can address this best.
Depends. This depends on the treatment plan. Discuss these concerns with your radiation oncologist, surgeon, and medical oncologist.
Depends. These are good questions for your oncologist. If you're referring to high dose chemotherapy, most people are able to take only 1/2 to 2 days away from work to recover.
Many Work Thru It. Surgery: days-to-weeks depending on lumpectomy vs. Mastectomy. Chemotherapy: perhaps a few days a month provided there are no complications. Radiation therapy: often done before or after work (or during lunch breaks). In general, it has a lot to do with one's type of work & whether work helps with recovery or makes rx worse. I advise my patients to resume their normal lives asap.
Breast Cancer Cure. If you had lumpectomy and adjuvant chemotherapy and radiation therapy will have almost 80% cure rate. If you tumor was quite large you should have neoadjuvant chemotherapy to reduce the tumor size before surgery. The surgical oncologist will decide if you can have lumpectomy or mastectomy. Adjuvant radiation therapy will be given after lumpectomy. If tumor is her 2 positive will need herceptin (trastuzumab).
Treatment of Breast. During breast cancer chemotherapy treatment, there are long list of possible side effects, nausea, vomiting, diarrhea, abdominal pain, low white blood cell counts with possible fever which might need admission to hospital. Patient will also have hair loss. Also they may have low red blood cells counts, low platelets which may need blood transfusion, platelet transfusion as necessary.
Breast cancer tx. During a breast cancer treatment, you would work closely with your oncology team- including a breast surgeon, medical oncologist and radiation oncologist. All of them will work with you so you can get the best therapy available tailored to your case and to ensure that you can get through the therapy well, cope with those possible adverse events and still able to maintain descent quality of life.
Many ways. In many ways it has improved. First of all withearlier detection there is less need of less aggressive excisions and chemo and radiotherapy. Have many advances in chemotherapy, for example it is a lot more targeted to specific receptors on the cancer.
Yes, remarkable. Progress is achieved in recent years, but still long way to reach the goal the cure, due to awareness, early diagnosis, improved diagnostic tools, (better mammography, MRI, etc), improved knowledge in biology of tumor, genetics, availability and advances in chemotherapy and more and financial contribution for research by people like you.
Probably. You MUST have your 2 Drs coordinate with each other. You MUST discuss this with both Drs.
Get a team.. ..Of specialists (breast surgeon, med onc, and rad onc), preferably working together in a multidisciplinary setting, who will evaluate the situation from the beginning and make a concerted plan of attack. This should include dietitian, physical therapist, and if needed a genetics counselor.
One. One of the first steps a patient should take when trying to find a clinical trial for breast cancer is to speak to her physician regarding whether she might be a good candidate for a clinical trial. The type of trial she could be enrolled in will be determined by the extent of her disease, her physical condition, and previous treatment. There may be available trials at the patient's own medical institution. If not, one of the most comprehensive resources available is the national cancer institute's website - http://www. Cancer. Gov/clinicaltrials/search. The patient is asked to answer a few short questions online about her cancer and where she lives, and then a list of available trials in her general locale is immediately displayed. She can then show this list to her physician to clarify whether any of the trials is appropriate for her.
NCI. Seek care at a national cancer institute designated comprehensive cancer center. This will give you the best access to available clinical trials. Another option is to go to the website www. Cancer. Gov and click in the clinical trial link!
Ask. Either ask your treating physicians or you can look here: http://www. Cancer. Gov/clinicaltrials/results/type/breast.
Alternative to what? Chemotherapy is the administration of a drug that circulates throughout the body and kills cancer cells. Our goal is to choose the most effective drug tailored to one's specific cancer subtype. If by "alternative" you mean alternative to proven, standard therapy...No. However, many of our "standard" drugs are well-tolerated w/o traditional side-effects like hair loss, nausea, etc.
Yes. Not every breast cancer needs chemotherapy and many are managed by surgery and hormone therapy with or without radiation.
No. Actually, it's er/pr positive women who are potential candidates for tamoxifen. This is advised for women whose cancer stage mandates chemotherapy, sometimes combined with traditional IV chemotherapy. Furthermore, we often recommend tamoxifen to prevent the development of a second cancer is breast cancer survivors.
No. This and similar medicines are anti Estrogens that block the receptors. So if the patient has negative receptors there is little benefit from the medication. So it's not a must.
Yes. Tamoxifen is a very effective drug for the treatment of hormone-sensitive (estrogen receptor +) breast cancers. It may be used alone or in combination with traditional IV chemotherapy, depending on the cancer stage. It has no role in rx of estrogen (-) breast ca. Furthermore, aromatase inhibitors are an effective alternative to tamoxifen for estrogen (+) breast cancer after menopause.
Yes! Tamoxifen is only useful in breast cancers which are estrogen receptor positive (er+). So tamoxifen is of no use if the tumor is er negative. Check your tumor's hormone receptor status and you will have the answer to your question>.
Small risk. Tamoxifen is asociated with a small (less than 5%) risk of uterine cancers, women on tamoxifen require regular gynecologic checkups every 6-12 months and high-risk women may need ultrasound screeenings too.
Possible but rare. Uterine wall thickening is a known side effect of tam. It usually presents as abnormal spotting or bleeding. Definitive DX is via endometrial biopsy. If ignored it can progress to uterine cancer. This is usually cured with hysterectomy alone.