Treatment FAQ

cancer of breast, overies: explain treatment and how dangerous it is, mayo clinic

by Susan Hoppe Published 2 years ago Updated 2 years ago

Why choose Mayo Clinic for breast cancer care?

Satisfaction is especially high among patients with metastatic cancer, where 100% of patients with metastatic cancer who responded to a survey gave Mayo Clinic the top or next-to-top overall rating of care for their office visits for breast cancer at Mayo Clinic. What treatment options are offered?

What is breast cancer?

Breast anatomy Breast cancer is cancer that forms in the cells of the breasts. After skin cancer, breast cancer is the most common cancer diagnosed in women in the United States. Breast cancer can occur in both men and women, but it's far more common in women.

What is the most common type of breast cancer?

Ductal carcinoma is the most common type of breast cancer. This type of cancer forms in the lining of a milk duct within your breast. The ducts carry breast milk from the lobules, where it's made, to the nipple.

How can I reduce my risk of breast and ovarian cancer?

Women with a very high risk of breast cancer may choose to have their healthy breasts surgically removed (prophylactic mastectomy). They may also choose to have their healthy ovaries removed (prophylactic oophorectomy) to reduce the risk of both breast cancer and ovarian cancer.

Is it common for breast cancer to spread to the ovaries?

Metastatic breast cancer to the ovary, although less frequent than the above metastatic sites, is also quite common (3). The probability of ovarian metastasis in breast cancer is 3–30%. The ovarian metastasis mostly occurs in the advanced stage of breast cancer, and the prognosis is generally poor (4).

What are treatments for breast and ovarian cancer?

The most effective option for preventing cancer is surgery to remove the breasts (mastectomy) and ovaries and fallopian tubes (salpingo-oophorectomy).

Which is more dangerous ovarian or breast cancer?

Though ovarian cancer occurs considerably less often than breast cancer, it is considerably more deadly — and harder to detect. There's no test for ovarian cancer so women need to be aware of their family health history to determine if they may have a genetic predisposition for it.

What are the chances of getting ovarian cancer after breast cancer?

Results: The 10-year actuarial risk of ovarian cancer after breast cancer was 12.7% for BRCA1 carriers and 6.8% for BRCA2 carriers (P = 0.03).

What is the best treatment for ovarian cancer?

Surgery is the main treatment for ovarian cancer, recommended primarily when the vast majority of the cancer or affected tissue can be removed successfully. Some early-stage ovarian patients may undergo minimally-invasive procedures to remove ovarian tumors and/or preserve fertility.

Can cancer of the ovarian be cured?

Approximately 20% of women with advanced-stage ovarian cancer survive beyond 12 years after treatment and are effectively cured. Initial therapy for ovarian cancer comprises surgery and chemotherapy, and is given with the goal of eradicating as many cancer cells as possible.

Is ovarian cancer painful?

Ovarian Cancer and Pain. Pain -- sharp or dull, in your belly, pelvis, or elsewhere -- can be one of the earliest warning signs of ovarian cancer. Your disease and the treatments for it also may cause pain.

How quickly does ovarian cancer grow?

How fast does ovarian cancer spread? Research has shown that ovarian tumors that begin in the fallopian tubes — as is thought to be the case in high-grade serous ovarian carcinoma, which is the most common subtype of ovarian cancer — take an average of 6.5 years to spread to the ovaries.

What type of cancer is ovarian cancer?

There are three types of ovarian cancers: epithelial ovarian carcinomas, germ cell tumors, and stromal cell tumors. Each has different characteristics and traits: About 85% to 90% of these cancers start in the cells that cover the outer surface of the ovary.

Is ovarian cancer more common after breast cancer?

You have an increased risk of ovarian cancer if you've had breast cancer in the past. The risk is higher in women diagnosed with breast cancer at a younger age. And those with oestrogen receptor negative (ER negative) breast cancer.

What is the survival rate for ovarian cancer?

Survival rates can give you an idea of what percentage of people with the same type and stage of cancer are still alive a certain amount of time (usually 5 years) after they were diagnosed....Invasive epithelial ovarian cancer.SEER stage5-year relative survival rateRegional75%Distant31%All SEER stages combined49%1 more row•Mar 1, 2022

Can you have ovarian cancer and breast cancer at the same time?

HBOC is most common in families who have had multiple cases of breast cancer and/or ovarian cancer on the same side of the family. In families with 4 or more cases of breast cancer diagnosed before age 60, the chance of HBOC is about 80%.

Why is breast cancer and ovarian cancer linked?

The genes most often linked to breast and ovarian cancer are called BRCA1 and BRCA2. BRCA is short for BReast CAncer. Women with an inherited BRCA1 or BRCA2 gene mutation have a higher risk of developing breast or ovarian cancer during their lifetime.

What causes breast and ovarian cancer?

Most cases of hereditary breast and ovarian cancer syndrome are caused by certain mutations (changes) in the BRCA1 or the BRCA2 gene. People with hereditary breast and ovarian cancer syndrome may also have an increased risk of other types of cancer, including pancreatic cancer, prostate cancer, and melanoma.

in What Part of The Breast Did Your Cancer Begin?

The type of tissue where your breast cancer arises determines how the cancer behaves and what treatments are most effective. Parts of the breast wh...

How Do Your Cancer Cells Appear Under A microscope?

When a sample of your breast cancer is examined under a microscope, here's what the pathologist looks for: 1. Cancer cells with unique appearances....

Are Your Cancer Cells Fueled by Hormones?

Some breast cancers are sensitive to your body's naturally occurring female hormones — estrogen and progesterone. The breast cancer cells have rece...

What Is The Genetic Makeup of Your Breast Cancer cells?

Doctors are just beginning to understand how the individual DNA changes within cancer cells might one day be used to determine treatment options. B...

What is breast cancer?

Small tubes (ducts) conduct the milk to a reservoir that lies just beneath your nipple. Breast cancer is cancer that forms in the cells of the breasts. After skin cancer, breast cancer is the most common cancer diagnosed in women in the United States. Breast cancer can occur in both men and women, but it's far more common in women.

What are the best medications for breast cancer?

Estrogen-blocking medications, such as selective estrogen receptor modulators and aromatase inhibitors, reduce the risk of breast cancer in women with a high risk of the disease. These medications carry a risk of side effects, so doctors reserve these medications for women who have a very high risk of breast cancer.

How does breast cancer spread?

These cells divide more rapidly than healthy cells do and continue to accumulate, forming a lump or mass. Cells may spread (metastasize) through your breast to your lymph nodes or to other parts of your body.

How do you know if you have breast cancer?

Signs and symptoms of breast cancer may include: Peeling, scaling, crusting or flaking of the pigmented area of skin surrounding the nipple (areola) or breast skin. Redness or pitting of the skin over your breast, like the skin of an orange.

How to do a breast self exam?

Breast self-exam. Breast self-exam. To perform a breast self-exam for breast awareness, use a methodical approach that ensures you cover your entire breast. For instance, imagine that your breasts are divided into equal wedges, like pieces of a pie, and sweep your fingers along each piece in toward your nipple.

What happens if you have lobular carcinoma in situ?

If you've had a breast biopsy that found lobular carcinoma in situ (LCIS) or atypical hyperplasia of the breast, you have an increased risk of breast cancer. A personal history of breast cancer. If you've had breast cancer in one breast, you have an increased risk of developing cancer in the other breast.

What percentage of breast cancer is inherited?

Inherited breast cancer. Doctors estimate that about 5 to 10 percent of breast cancers are linked to gene mutations passed through generations of a family. A number of inherited mutated genes that can increase the likelihood of breast cancer have been identified.

What hormones are sensitive to breast cancer?

Some breast cancers are sensitive to your body's naturally occurring female hormones — estrogen and progesterone. The breast cancer cells have receptors on the outside of their walls that can catch specific hormones that circulate through your body.

What hormones are used to block the growth of breast cancer cells?

The cells of this type of breast cancer have receptors that allow them to use the hormone estrogen to grow. Treatment with anti-estrogen hormone (endocrine) therapy can block the growth of the cancer cells. Progesterone receptor (PR) positive. This type of breast cancer is sensitive to progesterone, and the cells have receptors ...

What is the name of the cancer that begins in the connective tissue?

Rarely breast cancer can begin in the connective tissue that's made up of muscles, fat and blood vessels. Cancer that begins in the connective tissue is called sarcoma.

What is the name of the cancer that is examined under a microscope?

When a sample of your breast cancer is examined under a microscope, here's what the pathologist looks for: Cancer cells with unique appearances. Some subtypes of breast cancer are named for the way they appear under the microscope. Subtypes include tubular, mucinous, medullary and papillary.

Where does breast cancer start?

Parts of the breast where cancer begins include: Milk ducts. Ductal carcinoma is the most common type of breast cancer. This type of cancer forms in the lining of a milk duct within your breast. The ducts carry breast milk from the lobules, where it's made, to the nipple.

What are the subtypes of cancer?

Subtypes include tubular, mucinous, medullary and papillary. Your subtype gives your doctor some clues about your prognosis and how your cells may respond to treatment. The degree of difference between the cancer cells and normal cells. How different your cancer cells look from normal cells is called your cancer's grade.

Is breast cancer sensitive to estrogen?

Knowing your breast cancer is sensitive to hormones gives your doctor a better idea of how best to treat the cancer or prevent cancer from recurring. Hormone status of breast cancers includes: Estrogen receptor (ER) positive.

What is ovarian cancer?

Overview. Ovarian cancer. Open pop-up dialog box. Close. Ovarian cancer. Ovarian cancer. Ovarian cancer is a type of cancer that begins in the ovaries. The ovaries — each about the size of an almond — produce eggs (ova) as well as the hormones estrogen, progesterone and testosterone. Ovarian cancer is a type of cancer that begins in the ovaries.

What type of cancer is ovarian cancer?

Types of ovarian cancer. The type of cell where the cancer begins determines the type of ovarian cancer you have. Ovarian cancer types include: Epithelial tumors, which begin in the thin layer of tissue that covers the outside of the ovaries. About 90 percent of ovarian cancers are epithelial tumors.

What percentage of ovarian cancer is epithelial?

About 90 percent of ovarian cancers are epithelial tumors. Stromal tumors, which begin in the ovarian tissue that contains hormone-producing cells. These tumors are usually diagnosed at an earlier stage than other ovarian tumors. About 7 percent of ovarian tumors are stromal.

How does cancer start?

In general, cancer begins when a cell develops errors (mutations) in its DNA. The mutations tell the cell to grow and multiply quickly, creating a mass (tumor) of abnormal cells. The abnormal cells continue living when healthy cells would die.

Can you have ovarian cancer if you have a family history?

If you have a family history of breast and ovarian cancers, bring this up with your doctor. Your doctor can determine what this may mean for your own risk of cancer . In some cases, your doctor may refer you to a genetic counselor who can help you decide whether genetic testing may be right for you.

Can estrogen be used for long term?

Estrogen hormone replacement therapy, especially with long-term use and in large doses . Age when menstruation started and ended. Beginning menstruation at an early age or starting menopause at a later age, or both, may increase the risk of ovarian cancer.

Does Lynch syndrome cause breast cancer?

These genes also increase the risk of breast cancer. Other gene mutations, including those associated with Lynch syndrome, are known to increase the risk of ovarian cancer. Family history of ovarian cancer. People with two or more close relatives with ovarian cancer have an increased risk of the disease.

How to remove ovarian cancer?

Operations to remove ovarian cancer include: Surgery to remove one ovary. For very early stage cancer that hasn't spread beyond one ovary, surgery may involve removing the affected ovary and its fallopian tube. This procedure may preserve your ability to have children. Surgery to remove both ovaries.

What tests are done to determine the size of your ovaries?

The doctor also visually examines your external genitalia, vagina and cervix. Imaging tests. Tests, such as ultrasound or CT scans of your abdomen and pelvis, may help determine the size, shape and structure of your ovaries. Blood tests.

What test can detect ovarian cancer?

Your doctor might also test your blood for tumor markers that indicate ovarian cancer. For example, a cancer antigen (CA) 125 test can detect a protein that's often found on the surface of ovarian cancer cells. These tests can't tell your doctor whether you have cancer, but may give clues about your diagnosis and prognosis.

What is targeted therapy?

Targeted therapy. Targeted therapy uses medications that target the specific vulnerabilities present within your cancer cells. Targeted therapy drugs are usually reserved for treating ovarian cancer that returns after initial treatment or cancer that resists other treatments.

Can palliative care be used for cancer?

Palliative care can be used while undergoing other aggressive treatments, such as surgery and chemotherapy. When palliative care is used along with all of the other appropriate treatments, people with cancer may feel better and live longer.

Is ovarian cancer scary?

A diagnosis of ovarian cancer can be overwhelming and scary. In time you'll find ways to cope with your feelings, but in the meantime you might find it helpful to:

What is Mayo Clinic's breast cancer treatment?

Mayo Clinic doctors use personalized medicine for breast cancer to choose treatments based on your genetic makeup or the genetics of your cancer cells. Examples include testing for CYP2D6 before prescribing tamoxifen and analyzing tumor cells to select targeted drug treatments.

What is breast cancer treatment?

Breast cancer treatment innovations are improving the ability to control cancer while reducing the impact of treatment on your daily life and increasing your satisfaction with your appearance after surgery. Mayo Clinic achieves this by:

What kind of cancer does Mayo Clinic treat?

Mayo Clinic doctors specialize in care for: All types of breast cancer including rare types, such as angiosarcoma, inflammatory breast cancer, Paget's disease of the breast and phyllodes tumor. All stages of breast cancer from precancerous and noninvasive tumors to metastatic cancer.

What is Mayo Clinic?

Breast health specialists in the Mayo Clinic Breast Clinic coordinate care for people with breast cancer. These internal medicine doctors who focus solely on caring for people with breast cancer and other breast conditions will meet with you to understand your needs and make arrangements for necessary tests and appointments. Often, your appointments can be coordinated over a matter of days in one facility.

How many people have breast cancer surgery?

Nearly 1,500 people undergo breast cancer surgery each year. Research shows that people who are treated for breast cancer at medical centers that treat many cases of breast cancer have better outcomes than do people treated at medical centers that treat breast cancer less frequently. Mayo Clinic doctors specialize in care for:

What kind of doctor is used for cancer?

Radiation oncologists. Radiologists. If you have other health conditions that could be affected by cancer treatment, your team may include additional specialists. For instance, cardiologists from the Cardio-Oncology Clinic may join your team if you have concerns related to your heart.

Does Mayo Clinic require a referral?

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need. Learn more about appointments at Mayo Clinic.

Where is Mayo Clinic located?

Mayo Clinic in Rochester, Minnesota, Phoenix and Scottsdale, Arizona , and Jacksonville, Florida, annually: *Surgical procedures performed in 2019 at Mayo Clinic in Rochester, Minnesota, Phoenix and Scottsdale, Arizona, and Jacksonville, Florida.

How many trials are there at Mayo Clinic?

Mayo Clinic provided patients access to over 40 interventional treatment trials in 2019, and over the last 10 years patients with metastatic cancer have had access to 55 trials. Many of these trials are born out of discoveries made by Mayo Clinic scientists.

Is MBI screening good for breast cancer?

As Mayo Clinic researchers have published, MBI is a good option for women seeking additional screening because of high breast density, but who do not meet the high-risk criteria to qualify for an MRI.

How many women die from ovarian cancer each year?

ANSWER: Ovarian cancer is estimated to affect more than 22,000 women each year, and it is the fifth leading cause of cancer deaths among women, according to the American Cancer Society. While most of these women are over 60, ovarian cancer can affect younger woman.

What causes ovarian cancer?

About 10% to 15% of all ovarian cancers are caused by a genetic mutation. The genes that are well-known to increase the risk of ovarian cancer are BRCA1 and BRCA2. These genes also affect a woman's risk of breast cancer. Genetic mutations that cause Lynch syndrome, an inherited condition associated with colon cancer and uterine cancer, ...

How many trials are there for ovarian cancer?

There are more than 1,300 clinical trials for ovarian cancer, including a vaccine trial aimed at preventing recurrence. Some women also may be candidates for something known as hyperthermic intraperitoneal chemotherapy, which is performed in conjunction with cancer surgery.

Is there a screening test for ovarian cancer?

Unlike other gynecologic cancers, there are no screening tests for ovarian cancer. While some women diagnosed with ovarian cancer have elevated levels of the CA 125 protein, the associated blood test is not accurate enough for ovarian cancer screening, as many noncancerous conditions can increase the CA 125 level.

Is ovarian cancer hard to detect?

Ovarian cancer is hard to detect in its early stages due to its vague symptoms, which may often be mistaken for more common benign condition. Women may experience constipation, bloating, early satiety after eating and back pain. Discomfort in the pelvic area and change in bowel habits, including a frequent need to urinate, ...

Can Lynch syndrome cause ovarian cancer?

Genetic mutations that cause Lynch syndrome, an inherited condition associated with colon cancer and uterine cancer, also raise a woman's risk of ovarian cancer. In addition to these genes, there are many other less common genetic abnormalities that can be detected easily through blood or saliva testing. For woman who have a family history of ...

Can you have a genetic mutation if you have a family history of breast cancer?

For woman who have a family history of breast cancer, colon cancer or ovarian cancer, or have a family member who is positive for a genetic mutation, it may be valuable to speak to a genetic counselor to discuss genetic testing. If she has that genetic mutation, relatively easy surgery can be performed to significantly decrease the risk ...

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…
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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…
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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.
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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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Diagnosis

Treatment

Clinical Trials

Coping and Support

Preparing For Your Appointment

  • Breast cancer risk reduction for women with an average risk
    Making changes in your daily life may help reduce your risk of breast cancer. Try to: 1. Ask your doctor about breast cancer screening. Discuss with your doctor when to begin breast cancer screening exams and tests, such as clinical breast exams and mammograms. Talk to your doct…
  • Breast cancer risk reduction for women with a high risk
    If your doctor has assessed your family history and determined that you have other factors, such as a precancerous breast condition, that increase your risk of breast cancer, you may discuss options to reduce your risk, such as: 1. Preventive medications (chemoprevention). Estrogen-blo…
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