Treatment FAQ

how long after breast cancer treatment should i wait before other procedures

by Mrs. Melyna Crooks Published 2 years ago Updated 1 year ago
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Full Answer

How long should you wait to have surgery for breast cancer?

All of the people had early stage (non-metastatic) breast cancer with surgery as their first treatment. 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.

When should chemotherapy start after breast cancer surgery?

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. There is little research looking at the optimal time until treatment for metastatic breast cancer, though it appears that waiting more than 12 weeks has been linked with lower survival.

How long do I have to wait for cancer treatment?

no more than 2 months (62 days) wait between the date the hospital receives an urgent referral for suspected cancer and the start of treatment no more than 31 days wait between the meeting at which you and your doctor agree the treatment plan and the start of treatment You might have to wait longer if you need extra...

How often should I see a doctor after breast cancer treatment?

Doctor visits: If you have finished treatment, your follow-up doctor visits will probably be scheduled for every few months at first. The longer you have been free of cancer, the less often the appointments are needed. After 5 years, they are typically done about once a year. Mammograms: If you had breast-conserving...

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How long should you wait after chemo to have surgery?

“You usually need a one-to-two-month break between the last chemo treatment to the time of your surgery,” says Dr. Law. “Chemotherapy can stay in your body well beyond four weeks. So, your doctor has to time your surgery for when most of the chemo has faded away,” he explains.

How long after chemo can you have breast surgery?

But when mentioned, a surgery between 2 and 5 weeks after the last chemotherapy cycle was recommended (11-13). In the clinic, accepted practice is to perform surgery when the neutropenic window is overcome, normally resulting in a 3- to 4-week interval.

What is the time gap between two chemotherapy?

Most cycles range from 2 to 6 weeks. The number of treatment doses scheduled within each cycle also depends on the prescribed chemotherapy. For example, each cycle may contain only 1 dose on the first day.

Can cancer spread while waiting for surgery?

You may begin to worry that the cancer will spread during this time. But we know that most cancers usually grow slowly. So waiting a few weeks for a scan or treatment does not usually affect how well the treatment works.

How long can you wait between lumpectomy and radiation?

What you can expect. Radiation therapy usually begins three to eight weeks after surgery unless chemotherapy is planned.

Which is harder on the body chemo or radiation?

Since radiation therapy is focused on one area of your body, you may experience fewer side effects than with chemotherapy. However, it may still affect healthy cells in your body.

Why do oncologists push chemo?

An oncologist may recommend chemotherapy before and/or after another treatment. For example, in a patient with breast cancer, chemotherapy may be used before surgery, to try to shrink the tumor. The same patient may benefit from chemotherapy after surgery to try to destroy remaining cancer cells.

Is second chemo worse than first?

For most people the side effects were worst in the first few days after treatment, then they gradually felt better until the next treatment. Some said the effects were worse with each successive treatment. Most side effects don't persist and disappear within a few weeks after the end of treatment.

How long is immune system compromised after chemo?

Treatment can last for anywhere from 3 to 6 months. During that time, you would be considered to be immunocompromised — not as able to fight infection. After finishing chemotherapy treatment, it can take anywhere from about 21 to 28 days for your immune system to recover.

Which cancer has highest recurrence rate?

Some cancers are difficult to treat and have high rates of recurrence. Glioblastoma, for example, recurs in nearly all patients, despite treatment. The rate of recurrence among patients with ovarian cancer is also high at 85%....Related Articles.Cancer TypeRecurrence RateGlioblastoma2Nearly 100%18 more rows•Nov 30, 2018

When are you considered cancer free after breast cancer?

The cancer may come back to the same place as the original primary tumor or to another place in the body. If you remain in complete remission for five years or more, some doctors may say that you are cured, or cancer-free.

What percentage of breast cancer patients have recurrence?

According to the Susan G. Komen® organization, women with early breast cancer most often develop local recurrence within the first five years after treatment. On average, 7 percent to 11 percent of women with early breast cancer experience a local recurrence during this time.

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 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 does a doctor look for in a woman with cancer?

If the cancer recurrence is confirmed, your doctor may also look for circulating tumor cells in the blood, or measure levels of blood tumor markers such as CA-15-3, CA 27-29, or CEA. The blood levels of tumor markers go up in some women if their cancer recurs or has spread to other parts of the body.

Is breast cancer a risk factor for cervical cancer?

In fact, women who have had breast cancer are at higher risk for certain other cancers. Because of this, it’s important to follow the American Cancer Society guidelines for the early detection of cancer, such as those for colorectal cancer and cervical cancer.

What Is Breast Reconstruction

Breast reconstruction may help restore the look and feel of the breast after a mastectomy. Many women who have had a breast removed opt for breast reconstructionin some limited cases, at the same time as the mastectomy, but more often after the mastectomy procedure.

How Does Breast Cancer Start

Breast cancer occurs when cells in the breast grow out of control. Different kinds of breast cells develop into different . Most breast cancers begin in the breast ducts or lobules . These are known respectively as invasive ductal carcinoma and invasive lobular carcinoma.

What Are The Implications

There may be various reasons why a woman is not ready to start chemotherapy within four weeks. This study suggests there are compelling reasons to avoid non-essential delays.

Take Advantage Of Patient Navigators

Though intuition would tell us that people who are insured would experience shorter delays before surgery, that doesn’t appear to be true. A large 2019 study in PLoS One looked at over 1.3 million people to see how time to initial treatment affected survival.

How Much Experience Do You Have Treating My Type And Stage Of Breast Cancer

Oncologists who are experienced in not only treating breast cancer but in your specific type of breast cancer are typically better equipped to explain and deliver the full range of treatment options. You should feel comfortable asking your doctor about his or her experience.

What Causes Breast Cancer Recurrence

The goal of cancer treatments is to kill cancer cells. But, cancer cells are tricky. Treatments can reduce tumors so much that tests dont detect their presence. These weakened cells can remain in the body after treatment. Over time, the cells get stronger. They start to grow and multiply again.

Has The Cancer Spread To My Lymph Nodes Or Other Organs

Cancer may spread from the site where it originated to other parts of the body. When cancer cells move away from a tumor, they may travel through the bloodstream to distant organs. If they travel through the lymph system, the cancer cells may end up in lymph nodes.

Survival Happens Every Day

These rough estimates for how long breast cancer takes to treat can be helpful to plan your life around treatment. More importantly, they provide a light at the end of the tunnel for you to focus on. However, for your daily sanity, it may be better to break down your treatment into smaller parts. Take it from one day to the next.

Surgery

In some cases, where the tumor is still relatively small, your doctor may choose to administer a cycle of chemotherapy prior to surgery. This attempts to shrink the tumor. There are a number of reasons your doctor may suggest this practice.

Chemotherapy

Although some early cases can be treated with radiation therapy, many breast cancer patients have to go through chemotherapy. Medical News Today’s professionally-reviewed article explains that your doctor’s approach to chemotherapy will vary based on your condition. Typically, they will sketch out a plan based on your prognosis.

Keeping Cancer in its Place

It’s frustrating when you don’t know exactly how long this nightmare will last, but every step you take has the opportunity to give you hope if you’re willing to treat it as progress. Whether your battle with cancer lasts for three months, six months, or a year, the most important thing is to create a support network you can rely on.

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, ...

Will big pharma take away a doctor's license?

Unfortunately, big pharma will take away a dr.'s license, call them quacks, raid their practice and even kill doctors who get in their way. The Rockefellers, Carnegie and others billionaires paid medical school big bucks, since 1910 - to have their medical students only prescribe their drugs, sad I know.

Can you delay chemo surgery?

Speaking of adjuvant therapy, delays in chemotherapy are not good, either, as we shall see.

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.

Can you use chemo to prevent breast cancer?

Well you would never use chemo to prevent breast cancer, that's just stupid. Weight loss and a diet rich in fruits and vegetables are your best bets. And chances are you'd use surgery to cure a solid tumor like breast cancer, with chemo to kill of any metastases, in the form of adjuvant chemotheapy.

How long after breast cancer treatment do you need a mammogram?

If you had a total mastectomy, you only need one of the other breast. You’ll likely need a mammogram within 6 12 months after finishing your breast cancer treatment and at least annually after that. Routine chest X-rays and blood tests in women who have no symptoms of cancer aren’t always reliable.

What to do after breast cancer treatment?

Once your breast cancer treatment has ended, you’ll need to keep in touch with your cancer doctor and surgeon. Schedule regular appointments with them. Between medical visits, watch for any changes in your body.

What are the changes in breasts?

Pay attention to any changes in your breast, including: Skin rashes, redness, or swelling. New lumps in your breast or chest. Also pay attention to: Bone pain, back pain, or tenderness that doesn't go away. Shortness of breath or chest pain. Persistent belly pain.

Do you need a blood test if you have cancer?

Routine chest X-rays and blood tests in women who have no symptoms of cancer aren’t always reliable. If you had chemotherapy, you’ll need regular blood tests to make sure that your body has recovered from it.

Do you need a Pap smear if you have a uterus?

If you take it and still have your uterus, you need an annual Pap smear, regardless of age. If you are postmenopausal, if you are taking a medicine called an aromatase inhibitor, or if you've had chemotherapy in the past, get regular screening tests for osteoporosis.

What type of cancer needs to be treated right away?

You have a type of cancer that needs to be treated right away, like some leukemias, lymphomas, and certain other cancers that tend to be aggressive (grow and spread very fast). You have a tumor that's pressing on an organ or other vital part of the body, and treatment is needed to relieve the pressure.

Do you need to make adjustments before starting treatment?

You want more time to get a second opinion. It's important to know each person's case is different.

Can you wait to get lab results back?

You are waiting to get lab results back that will help decide what treatment option is best. You have already had surgery to remove a tumor, and you need time to recover before starting more treatment. You need to make adjustments at home, work, or for child care before starting treatment.

Does cancer need to be started right away?

Does cancer treatment always need to be started right away? Sometimes, it's important to start treatment as quickly as possible, but that's not always the case. Planning cancer treatment can be complex and might take some time, depending on the type and stage of your cancer.

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