Treatment FAQ

breast cancer maintenance treatment how long does it take

by Quinten Johnson Published 2 years ago Updated 2 years ago
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If you’re lucky and catch your condition early on, then your breast cancer treatment will generally last between three and six months. This assumes there is no further growth while you are undergoing treatment. In more advanced cases, you should typically expect a minimum of six months of treatment.

Full Answer

How long does it take to treat breast cancer?

A few facts about time to treatment: The average time from the date of cancer diagnosis to the day of lumpectomy surgery is about 32 days. The average time to mastectomy surgery is about 40 days. It can take anywhere from 3 to 12 months from cancer diagnosis to complete your final treatments, and up to ten years if you need hormonal therapy.

Does timely breast cancer treatment improve survival?

Timely Breast Cancer Treatment Improves Survival. Overall, after the first 30 days after diagnosis, each 30-day delay in surgery was associated with a 9% decrease in survival. So the longer women delayed surgery, the worse survival they had. This worse survival was statistically significant for women diagnosed with stage I...

What is the optimal time of chemotherapy administration for breast cancer?

The optimal time of chemotherapy administration for patients with breast cancer is not precisely defined. Furthermore, it is possible that the time to chemotherapy (TTC) has a different effect according to tumor subtype, tumor stage, and tumor grade.

How soon after a diagnosis of breast cancer should surgery be done?

Though we don't have a solid answer on how soon surgery should be done after a diagnosis of breast cancer (it would be unethical to conduct a definitive study), it would seem earlier surgery is ideal (though taking a short time to plan is equally as important).

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How long does it take to complete breast cancer treatment?

If you're lucky and catch your condition early on, then your breast cancer treatment will generally last between three and six months. This assumes there is no further growth while you are undergoing treatment. In more advanced cases, you should typically expect a minimum of six months of treatment.

What does it mean when a cancer patient is on maintenance?

Maintenance therapy is the treatment of cancer with medication, typically following an initial round of treatment. Maintenance treatment may include chemotherapy, hormonal therapy, or targeted therapy.

How long is breast cancer treatment recovery?

Recovery time for breast cancer surgeryLumpectomy: Most people can get back to day-to-day activities within 5–10 days.Mastectomy: People may feel back to themselves 3–4 weeks after surgery.Mastectomy with reconstruction: This procedure has the longest recovery time, and takes up to 6–8 weeks.

How long does a cancer treatment session take?

Chemotherapy treatment varies in length and frequency and depends on the individual treatment plan prescribed by your doctor. Some last as long as three or four hours, while others may only take a half-hour.

What are the side effects of maintenance chemo?

Other side effects of chemotherapy treatment might include: constipation. jaw pain. numbness and tingling in the fingers or toes.

Does hair grow back on maintenance chemo?

Hair regrowth usually starts one to three months after maintenance starts or intensive chemotherapy ends. The color and texture may be different from the original hair. Straight hair may regrow curly; blond hair may grow back brown. Sometimes during maintenance, some children's hair begins to thin or fall out again.

How long do you see an oncologist after breast cancer?

Once your initial breast cancer treatment ends, you will need to see your oncologist every three or four months during the first two or three years. Then, you can visit your doctor once or twice a year. After that, these visits will depend on the type of cancer you have had.

How soon after breast cancer surgery do you start radiation?

Radiation therapy usually begins three to eight weeks after surgery unless chemotherapy is planned. When chemotherapy is planned, radiation usually starts three to four weeks after chemotherapy is finished. You will likely have radiation therapy as an outpatient at a hospital or other treatment facility.

When are you considered a breast cancer survivor?

So, if a breast mass shows up on a mammogram or is detected during a monthly breast self-exam, you have already been living with it for some time. A such, surviving this period of time is what prompts many people to consider diagnosis the point at which you can be called a breast cancer survivor.

How many rounds of chemo is normal for breast cancer?

Typically, you receive chemotherapy in cycles. You may receive chemo every week or every two, three or even four weeks. Cycles are usually two to three treatments long. Each cycle includes a rest period to allow your body to recover.

What is a 21 day chemo cycle?

You usually have a course of several cycles of treatment over a few months. Each cycle of TC takes 21 days (3 weeks). On the first day of each cycle, you will have docetaxel and cyclophosphamide. You will then have no chemotherapy for the next 20 days. At the end of the 21 days, you will start your second cycle of TC.

How long does a chemo session take for breast cancer?

Chemo cycles are most often 2 or 3 weeks long. The schedule varies depending on the drugs used. For example, with some drugs, chemo is given only on the first day of the cycle. With others, it is given one day a week for a few weeks or every other week.

How long can you live with stable cancer?

How much longer? According to the National Cancer Institute, 67% of people diagnosed with cancer have survival rates of at least 5 years. That's a more than 20% increase in the past four decades. Even when a cure isn't available, you can often live and thrive for years.

What is meant by maintenance treatment?

Maintenance therapy: Treatment designed to help the original primary treatment to succeed. Maintenance therapy may be given to patients who have cancer that is in remission to prevent a relapse.

What is maintenance treatment after chemo?

Treatment that is given to help keep cancer from coming back after it has disappeared following the initial therapy. It may include treatment with drugs, vaccines, or antibodies that kill cancer cells, and it may be given for a long time.

What is meant by maintenance therapy?

Maintenance Therapy - Glossary Ans : Treatment that is given to help a primary (original) treatment keep working. Maintenance therapy is often given to help keep cancer in remission.

How long does it take to get breast cancer surgery?

They then looked at wait times to surgery and survival rates at five different intervals: a wait of less than 30 days, a wait time of 31 to 60 days, a wait time of 61 to 90 days, a wait time of 91 to 120 days, and a wait time of 121 to 180 days.

How long can you delay breast cancer?

Delaying for a lengthy period of time can be dangerous, with studies finding that those who delay over six months are twice as likely to die from the disease. This is important to keep in mind for those who have breast lumps they are "observing" without a clear diagnosis. Any breast lump needs to be explained.

How long after surgery can you start chemo?

Ideally, it would seem that chemotherapy should be started if at all possible within 30 days of surgery, especially for those who have high risk tumors.

What is the average diameter of a tumor?

The average diameter and volume of tumors at diagnosis was 14.7 millimeters and 1.3 centimeters vs. 15.6 millimeters and 1.6 centimeters.

How soon after a diagnosis can you have surgery?

For women who are young (defined as 15 to 39), a 2013 study in JAMA Surgery suggested that young women should have surgery no more than six weeks after diagnosis and preferably earlier. This study of close to 9,000 women found 5-year survival rates as follows: 4 

What is the goal of MBC?

With MBC, the goal is often to use the least amount of treatment necessary to control the disease .

Is it better to wait 30 days after breast cancer surgery?

The conclusion was the same as above—earlier surgery (ideally within 30 days) is better.

When will breast cancer stage be available?

Complete information about your cancer's stage may not be available until after you undergo breast cancer surgery.

What is the procedure for breast MRI?

The table slides into the large opening of the MRI machine. Tests and procedures used to diagnose breast cancer include: Breast exam.

What is the best test for breast cancer?

Tests and procedures used to diagnose breast cancer include: Breast exam. Your doctor will check both of your breasts and lymph nodes in your armpit, feeling for any lumps or other abnormalities. Mammogram. A mammogram is an X-ray of the breast. Mammograms are commonly used to screen for breast cancer.

How to determine if a breast lump is a solid mass or a fluid filled cyst?

Ultrasound uses sound waves to produce images of structures deep within the body. Ultrasound may be used to determine whether a new breast lump is a solid mass or a fluid-filled cyst. Removing a sample of breast cells for testing (biopsy). A biopsy is the only definitive way to make a diagnosis of breast cancer.

How does a doctor determine breast cancer?

Your doctor determines your breast cancer treatment options based on your type of breast cancer, its stage and grade, size, and whether the cancer cells are sensitive to hormones. Your doctor also considers your overall health and your own preferences.

Why are cancer drugs used after surgery?

Some medications are used after surgery to reduce the risk that the cancer will return. Others are used in cases of advanced breast cancer to slow the growth of the tumor.

Why is chemotherapy given before surgery?

The goal is to shrink a tumor to a size that makes it easier to remove with surgery. Chemotherapy is also used in women whose cancer has already spread to other parts of the body.

What is the first treatment for breast cancer?

Surgery is usually the first treatment for early-stage breast cancer.

How long does it take to find breast cancer?

Finding your breast cancer (1 – 3 weeks) Most small breast cancers are found on screening mammography and possibly by ultrasound or maybe a breast MRI. You may have detected your own breast lump and sought further help from your physician.

How long does it take to get a lumpectomy?

The average time from the date of cancer diagnosis to the day of lumpectomy surgery is about 32 days. The average time to mastectomy surgery is about 40 days.

What is the hardest part of breast cancer?

Making good decisions is the most difficult part of having breast cancer. You will feel pressed for time to learn everything and start your treatment as soon as possible. Time is usually on your side. You must work with your team to learn everything about your cancer and treatment options.

How long does it take to get a breast radiation?

Whole breast radiation is the most common type and takes 4 to 6 weeks.

How long does it take to get a biopsy report?

Ask for a copy of your initial biopsy report that will be available in 2-3 days.

How long does it take to get a mammogram?

The time to schedule a mammogram, have it performed, return for further breast imaging and then get the results can take days to weeks. Always ask to have your tests and appointments scheduled as soon as possible.

Is metastatic breast cancer incurable?

Metastatic breast cancer (MBC) occurs in 20-30% of women with breast cancer and is an incurable disease. Treatment is palliative and directed to prolong survival, decrease symptoms and improve patients' quality of life.

Is cytotoxic chemotherapy for breast cancer incurable?

For patients with hormone receptor-negative disease or for hormone receptor-positive disease that has become resistant to endocrine therapy, or is progressing rapidly and life threatening, cytotoxic chemotherapy is indicated. However, the optimal duration of chemotherapy treatment for MBC is still a matter of debate. Studies using maintenance chemotherapy regimens standard in the 1990s showed a consistent benefit with a more prolonged time to progression, although an improvement in survival was only demonstrated in one study. Two recent trials with newer cytotoxic agents showed controversial results; whereas one study concluded that the policy of prolonging treatment in chemotherapy-sensitive patients, after aggressive, modern combination chemotherapy, cannot be recommended for women with MBC, the other study showed that maintenance therapy with pegylated liposomal doxorubicin significantly prolonged time to progression in MBC patients after first-line chemotherapy without significant clinical toxicity. Initial data regarding metronomic chemotherapy indicate that continuously low-dose cyclophosphamide and methotrexate is minimally toxic and effective in heavily pretreated breast cancer patients. In daily practice, maintenance chemotherapy is a reasonable strategy that prolongs time to progression in patients with MBC who did not show progression after first-line chemotherapy. However, this benefit should be considered together with toxicities of treatment and the patient's preference.

How long does breast cancer treatment last?

Almost any cancer treatment can have side effects. Some might only last for a few days or weeks, but others might last a long time.

How long after cancer treatment do side effects show?

Some side effects might not even show up until years after you have finished treatment. Visits with your doctor are a good time for you to ask questions and talk about any changes or problems you notice or concerns you have. However, if you have additional concerns about your cancer, you do not have to wait until your next scheduled visit.

Why do you need a pelvic exam after breast cancer surgery?

Pelvic exams: If you are taking either of the hormone drugs tamoxifen or toremifene and still have your uterus, you should have pelvic exams every year because these drugs can increase your risk of uterine cancer.

Why aren't breast cancer tests included in follow up?

Other tests: Other tests such as blood tests and imaging tests (like bone scans and chest x-rays) are not a standard part of follow-up because they haven’t been shown to help a woman who's been treated for breast cancer live longer.

What factors affect follow up on breast cancer?

Your follow-up schedule can depend on many factors, including the type of breast cancer, how advanced it was when it was found, and how it was (or is being) treated.

What happens if cancer comes back?

If cancer does return, your treatment options will depend on where it comes back, what treatments you've had before, and your current health and preferences. For more information on how recurrent cancer is treated, see Treatment of Recurrent Breast Cancer .

What is a survivorship plan?

This plan might include: A schedule for other tests you might need in the future, such as early detection (screening) tests for other types of cancer, or tests to look for long-term health effects from your cancer or its treatment.

How long does it take to get chemo after breast cancer surgery?

This study didn’t use the SEER database or NCDB. Instead it examined a total of 24,843 patients from the California Cancer Registry diagnosed with stage I to III breast cancer between January 1, 2005 and December 31, 2010 treated with adjuvant chemotherapy. Time to chemotherapy was defined as the number of days between the last surgery for breast cancer and the first dose of chemotherapy, and delayed time to chemotherapy was defined as 91 or more days. Overall, the authors found no evidence of adverse effects when patients started chemotherapy between 31-60 or 61-90 days after their surgery as compared to patients who started their chemotherapy in 30 days. However, for patients who started their chemotherapy 91+ days after their surgery the results weren’t so good. These patients experienced worse overall survival (hazard ratio [HR], 1.34; 95% CI, 1.15-1.57) and worse breast cancer–specific survival (HR, 1.27; 95% CI, 1.05-1.53). The authors then did a subgroup analysis examining different subtypes of cancer to subtype, longer time-to-chemotherapy was associated with worse OS in the subgroups one would predict. Specifically patients with triple-negative breast cancer had worse overall survival (HR, 1.53; 95%CI, 1.17-2.00) and worse breast cancer–specific survival (HR, 1.53; 95%CI 1.17-2.07). This finding intuitively makes sense because it is patients whose tumors are estrogen receptor-negative for whom there is the greatest benefit due to adjuvant chemotherapy.

How long does it take to start chemo for breast cancer?

Most patients with breast cancer start adjuvant chemotherapy within 30 to 40 days of surgery. It is thought that chemotherapy administration delayed beyond this time can decrease the benefit provided by cytotoxic systemic therapies. Possible explanations for these effects include accelerated growth of micrometastases after resection of the primary tumor, increased tumor angiogenesis, or development of primary resistance. The optimal time of chemotherapy administration for patients with breast cancer is not precisely defined. Furthermore, it is possible that the time to chemotherapy (TTC) has a different effect according to tumor subtype, tumor stage, and tumor grade. Administration of combination systemic chemotherapy within 120 days of diagnosis in women younger than 70 years with T1cN0M0 or stage II or III hormone receptor–negative breast cancer is considered a quality metric by the Centers for Medicare & Medicaid Services. This metric will now be reported by 11 cancer hospitals as part of the Prospective Payments System-Exempt Cancer Hospital Reporting Program.

What is adjuvant chemotherapy?

Adjuvant chemotherapy is chemotherapy given after surgery with the intent of decreasing the chance of tumor recurrence. It is standard of care for many kinds of breast cancer. For instance, in two of the kinds of breast cancer with poorer prognosis, triple negative breast cancer [PDF] and HER2 (+) breast cancer, ...

Why wait a while for breast cancer?

When a patient with breast cancer comes in to see me, not infrequently I have to reassure her that she doesn’t need to be wheeled off to the operating room tomorrow , that it’s safe to wait a while. One reason, of course, is that it takes years for a cancer to grow from a single cell to a detectable mass. The big question, of course, is: What is “a while”? Two studies published online last month attempt to answer that question. One study (Bleicher et al) comes from Fox Chase Cancer Center and examines the effect of time to surgery on breast cancer outcomes; the other (Chavez-MacGregor et al) is from the M.D. Anderson Cancer Center and examines the effect of time to chemotherapy on outcome. Both find a detrimental effect due to delays in treatment.

Is it safe to delay chemo for breast cancer?

I realize that these two studies are about as close to “Well, duh!” studies as there are. Of course, delaying surgery for breast cancer is not a good thing. Of course, delaying chemotherapy when it’s indicated is also not a good thing. These are results that are not unexpected. However, these studies are still very important because they give us estimates of how much of a delay is safe and at what point delaying care starts to have a measurable impact on patient outcomes. Putting the results of these studies together suggests that it’s best to do surgery within about 60 days in patients not needing chemotherapy first, and that for patients with disease lacking the estrogen and progesterone receptor it’s best to start chemotherapy within 90 days of surgery.

Is it possible to have chemotherapy for breast cancer?

Furthermore, it is possible that the time to chemotherapy (TTC) has a different effect according to tumor subtype, tumor stage, and tumor grade .

Is inflammatory breast cancer treated first with chemotherapy?

Patients with inflammatory breast cancer were excluded, which makes sense because inflammatory cancer is generally treated first with chemotherapy. The SEER-Medicare cohort included 94,544 patients 66 years or older diagnosed between 1992 and 2009, while the NCDB cohort included 115,970 patients 18 years or older diagnosed between 2003 and 2005.

How long does it take for chemotherapy to start?

50% started chemotherapy 31 to 60 days after surgery. 19.2% started chemotherapy 61 to 90 days after surgery. 9.8% started chemotherapy 91 or more days after surgery. The researchers considered chemotherapy that started 91 or more days after surgery to be delayed treatment.

Why is it important to delay cancer treatment?

Timely treatment reduces the risk that the cancer will spread and increases the chances for survival. Still, sometimes women delay treatment for a number of reasons, including cost and scheduling. But if treatment is delayed too long it can affect survival. Echoing results from earlier research, two studies have found that delaying surgery by 30 ...

Why is follow up care important for breast cancer?

One goal of follow-up care is to check for a recurrence, which means that the cancer has come back. Treatment for early stage or locally advanced breast cancer is given to eradicate as many cancer cells in the body as possible. However, cancer recurs because small areas of cancer cells that don't respond to treatment may remain undetected in ...

What is a recurrence of breast cancer?

Generally, a recurrence is found when a person has symptoms or an abnormal finding during a physical examination. Annual mammograms are also recommended after a diagnosis of breast cancer. The symptoms depend on where the cancer has recurred and may include: A lump under the arm or along the chest wall.

How do you know if you have breast cancer?

Breast cancer can come back in the breast or other areas of the body. Generally, a recurrence is found when a person has symptoms or an abnormal finding during a physical examination. Annual mammograms are also recommended after a diagnosis of breast cancer. The symptoms depend on where the cancer has recurred and may include: 1 A lump under the arm or along the chest wall 2 Pain that is constant, worsening, and not relieved by over-the-counter medication such as nonsteroidal anti-inflammatory medications (NSAIDs) 3 Bone, back, neck, or joint pain, fractures, or swelling, which are possible signs of bone metastases 4 Headaches, seizures, dizziness, confusion, personality changes, loss of balance, nausea, vomiting, or changes in vision, which are possible signs of brain metastases 5 Chronic coughing, shortness of breath, or trouble breathing, which are possible symptoms of lung metastases 6 Abdominal pain, itchy skin or rash, or yellow skin and eyes from a condition called jaundice, which may be associated with liver metastases 7 Changes in energy levels, such as feeling ill or extremely tired 8 Having a low appetite and/or weight loss 9 Nausea or vomiting 10 Rash or skin changes on the breast or chest wall 11 Changes in the shape or size of the breast, or swelling in the breast or arm

What does it feel like to have a breast removed?

Having a low appetite and/or weight loss. Nausea or vomiting. Rash or skin changes on the breast or chest wall. Changes in the shape or size of the breast, or swelling in the breast or arm. It is important that your surgeon explain what your breast will feel like after surgery and, when used, radiation therapy.

Why is follow up care important?

Doctors want to keep track of your recovery in the months and years ahead. Follow-up care is also important for screening for other types of cancer. In some instances, patients may be able to visit a survivorship clinic that specializes in the post-treatment needs of people diagnosed with breast cancer.

What is cancer rehabilitation?

Cancer rehabilitation may be recommended, and this could mean any of a wide range of services, such as physical therapy, career counseling, neurocognitive testing, pain management, nutritional planning, and/or emotional counseling. The goal of rehabilitation is to help people regain control over many aspects of their lives and remain as independent and productive as possible. Learn more about cancer rehabilitation.

How long does it take for a person to feel a swollen chest after radiation?

This is a life-long risk for survivors. Long-term effects of radiation therapy. Some survivors experience breathlessness, a dry cough, and/or chest pain 2 to 3 months after finishing radiation therapy. That is because radiation therapy can cause swelling and a hardening or thickening of the lungs called fibrosis.

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Diagnosis

  • Diagnosing breast cancer
    Tests and procedures used to diagnose breast cancer include: 1. Breast exam.Your doctor will check both of your breasts and lymph nodes in your armpit, feeling for any lumps or other abnormalities. 2. Mammogram.A mammogram is an X-ray of the breast. Mammograms are co…
  • Staging breast cancer
    Once your doctor has diagnosed your breast cancer, he or she works to establish the extent (stage) of your cancer. Your cancer's stage helps determine your prognosis and the best treatment options. Complete information about your cancer's stage may not be available until af…
See more on mayoclinic.org

Treatment

  • Your doctor determines your breast cancer treatment options based on your type of breast cancer, its stage and grade, size, and whether the cancer cells are sensitive to hormones. Your doctor also considers your overall health and your own preferences. Most women undergo surgery for breast cancer and many also receive additional treatment after surgery, such as che…
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Alternative Medicine

  • No alternative medicine treatments have been found to cure breast cancer. But complementary and alternative medicine therapies may help you cope with side effects of treatment when combined with your doctor's care.
See more on mayoclinic.org

Coping and Support

  • A breast cancer diagnosis can be overwhelming. And just when you're trying to cope with the shock and the fears about your future, you're asked to make important decisions about your treatment. Every person finds his or her own way of coping with a cancer diagnosis. Until you find what works for you, it might help to: 1. Learn enough about your breast cancer to make decision…
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Preparing For Your Appointment

  • Consulting with your health care team
    Women with breast cancer may have appointments with their primary care doctors as well as several other doctors and health professionals, including: 1. Breast health specialists 2. Breast surgeons 3. Doctors who specialize in diagnostic tests, such as mammograms (radiologists) 4. …
  • What you can do to prepare
    1. Write down any symptoms you're experiencing,including any that may seem unrelated to the reason for which you scheduled the appointment. 2. Write down key personal information,including any major stresses or recent life changes. 3. Write down your family histor…
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