Treatment FAQ

how many treatment steps are their for a breast cancer patient

by Prof. Oceane Weissnat Published 3 years ago Updated 2 years ago
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Medication

Treatment of Breast Cancer Stages I-III 1 Surgery. 2 Radiation therapy. 3 Adjuvant systemic therapy (chemo and other drugs). 4 Local therapy (surgery and radiation therapy). 5 Neoadjuvant and adjuvant systemic therapy (chemo and other drugs). 6 ... (more items)

Procedures

You can also provide your doctor with a copy of the ASCO Treatment Plan form to fill out. The biology and behavior of breast cancer affects the treatment plan. Some tumors are smaller but grow quickly, while others are larger and grow slowly. Treatment options and recommendations are very personalized and depend on several factors, including:

Therapy

Women who may have needed a mastectomy could have breast-conserving surgery (lumpectomy) if the tumor shrinks enough before surgery. After surgery, the next step in managing early-stage breast cancer is to lower the risk of recurrence and to get rid of any remaining cancer cells in the body.

Nutrition

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.

What are the stages of breast cancer treatment?

How do I get a treatment plan for breast cancer?

What is the next step after breast cancer surgery?

How long does it take to treat breast cancer?

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How many treatments are there for breast cancer?

In general, there are five treatment options, and most treatment plans include a combination of the following: surgery, radiation, hormone therapy, chemotherapy, and targeted therapies. Some are local, targeting just the area around the tumor.

What are the steps in treating breast cancer?

How Is Breast Cancer Treated?Surgery. An operation where doctors cut out cancer tissue.Chemotherapy. Using special medicines to shrink or kill the cancer cells. ... Hormonal therapy. Blocks cancer cells from getting the hormones they need to grow.Biological therapy. ... Radiation therapy.

How many steps are in breast cancer?

There are 5 major stages of breast cancer: stage 0 (zero), which is non-invasive ductal carcinoma in situ (DCIS), and stages I through IV (1 through 4), which are used for invasive breast cancer. The stage provides a common way of describing the cancer, so doctors can work together to plan the best treatments.

How many rounds are in a cancer treatment?

During a course of treatment, you usually have around 4 to 8 cycles of treatment. A cycle is the time between one round of treatment until the start of the next. After each round of treatment you have a break, to allow your body to recover.

How many types of treatment are there?

Three principal types of medical treatment Curative – to cure a patient of an illness. Palliative – to relieve symptoms from an illness. Preventative – to avoid the onset of an illness.

How many chemo treatments are required 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.

Is 4 cycles of chemo enough for breast cancer?

Four cycles of adjuvant chemotherapy are sufficient for most breast cancer patients, according to results of a Phase III trial of 3,173 women reported at the CTCR-AACR San Antonio Breast Cancer Symposium.

How is Stage 3 breast cancer treated?

Chemotherapyis a common treatment for stage III breast cancer. Sometimes people have chemo before surgery to shrink a tumor and make it easier to remove. It can help destroy cancer cells that remain after surgery. In cases where surgery isn't an option, chemotherapy may be the main treatment.

Does Stage 1 breast cancer need chemotherapy?

Chemotherapy is not usually offered for stage 1 breast tumours. It may be offered after surgery (called adjuvant therapy) for these tumours if there is a high risk that the cancer will come back (recur). Find out more about the risk of breast cancer recurrence and adjuvant therapy.

Does Stage 2 breast cancer require chemo?

If you've been diagnosed with stage 2 breast cancer, the outlook is very good. You are more likely to have chemotherapy and/or radiation therapy than if your tumor was stage 1, but these tumors are still very treatable.

At what stage of breast cancer is chemotherapy used?

Most women with breast cancer in stages I, II, or III will get some kind of systemic therapy as part of their treatment. This might include: Chemotherapy.

What is a 21 day chemo cycle?

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.

Fellow

This type of doctor is doing postgraduate studies specializing in the care of patients with breast cancer.

Patient Access Representative (PAS)

This team member greets you at the front desk and registers you for your appointments.

Attending physician

This doctor supervises doctors in training or in medical school. An attending physician may be your surgeon, medical oncologist, or radiation oncol...

Nurse coordinator (RN) or multidisciplinary care coordinator (MCC)

These specialized registered nurses provide one-on-one support to guide you through your breast cancer journey. MCCs serve as your point of contact...

Patient flow coordinator/Medical Scribe

This staff member supports you and your care team by recording details of your clinic visits, which may include your current medical condition, you...

Medical student

This health care provider is a student enrolled in Stanford’s medical school who is studying to become a doctor.

Advanced practice provider (APP)

This health care provider works in collaboration with your medical oncologist to help care for you during your treatment and follow up. An APP can...

Infusion treatment area (ITA) scheduler

If you are prescribed to have any injections, blood infusions, or chemotherapy, your infusion treatment area (ITA) scheduler will schedule these ap...

Resident

This doctor has graduated from medical school and is in training (also called residency) at Stanford. Residents in their first year are also called...

Clinical administrative assistant (CAA)

This team member helps with nonmedical issues such as scheduling your appointments, managing your paperwork, and requesting your medical records an...

What is the treatment for stage 1 breast cancer?

Local therapy (surgery and radiation therapy) Surgery is the main treatment for stage I breast cancer. These cancers can be treated with either breast-conserving surgery (BCS; sometimes called lumpectomy or partial mastectomy) or mastectomy.

What are the stages of breast cancer?

Most women with breast cancer in stages I to III will get some kind of drug therapy as part of their treatment. This may include: 1 Chemotherapy 2 Hormone therapy (tamoxifen, an aromatase inhibitor, or one followed by the other) 3 HER2 targeted drugs, such as trastuzumab (Herceptin) and pertuzumab (Perjeta) 4 Some combination of these

How long does HER2 therapy last?

HER2 targeted drugs: For people with HER2-positive cancers, some will be treated with adjuvant (after surgery) chemotherapy with trastuzumab with or without pertuzumab for up to 1 year. Many women with HER2-positive cancers will be treated first with trastuzumab (with or without pertuzumab) followed by surgery and then more trastuzumab (with or without pertuzumab) for up to a year. If after neoadjuvant therapy, there is any residual cancer found at the time of surgery, the trastuzumab may be changed to a different drug, called ado-trastuzumab emtansine, which is given every 3 weeks for 14 doses. For people with cancer that is hormone receptor-positive, found in the lymph nodes, and have completed 1 year of trastuzumab, your doctor might also recommend additional treatment with an oral drug called neratinib for 1 year.

How long does it take to get rid of HER2 cancer?

Many women with HER2-positive cancers will be treated with trastuzumab (with or without pertuzumab) followed by surgery and more trastuzumab (with or without pertuzumab) for up to 1 year. If after neoadjuvant therapy, residual cancer is found during surgery, trastuzumab may be changed to a different drug, called ado-trastuzumab emtansine, which is given every 3 weeks for 14 doses. If hormone receptor-positive cancer is found in the lymph nodes, your doctor might recommend one year of trastuzumab followed by additional treatment with an oral drug called neratinib for 1 year.

What is the treatment for BCS?

Women who have BCS are treated with radiation therapy after surgery. Women who have a mastectomy are typically treated with radiation if the cancer is found in the lymph nodes.

What stage of breast cancer do you get drug therapy?

Most women with breast cancer in stages I to III will get some kind of drug therapy as part of their treatment. This may include:

Why do you need radiation after breast surgery?

If BCS is done, radiation therapy is usually given after surgery to lower the chance of the cancer coming back in the breast and to also help people live longer.

How is breast cancer treated?

Breast cancer is treated in several ways. It depends on the kind of breast cancer and how far it has spread. People with breast cancer often get more than one kind of treatment. Surgery.

How to choose the right cancer treatment?

Choosing the treatment that is right for you may be hard. Talk to your cancer doctor about the treatment options available for your type and stage of cancer. Your doctor can explain the risks and benefits of each treatment and their side effects . Side effects are how your body reacts to drugs or other treatments.

What are the different types of doctors who treat breast cancer?

Doctors from different specialties often work together to treat breast cancer. Surgeons are doctors who perform operations. Medical oncologists are doctors who treat cancer with medicine. Radiation oncologists are doctors who treat cancer with radiation.

What is biological therapy?

Biological therapy. Works with your body’s immune system to help it fight cancer cells or to control side effects from other cancer treatments.

What is the treatment for cancer?

Chemotherapy. Using special medicines to shrink or kill the cancer cells. The drugs can be pills you take or medicines given in your veins, or sometimes both.

What is clinical trial?

Clinical Trials. Clinical trials use new treatment options to see if they are safe and effective. If you have cancer, you may want to take part. Visit the sites listed below for more information.

What is the second opinion on cancer?

Side effects are how your body reacts to drugs or other treatments. Sometimes people get an opinion from more than one cancer doctor. This is called a “second opinion.”. Getting a second opinion. external icon. may help you choose the treatment that is right for you.

What are the different types of breast cancer treatment?

a. There are three main types of treatment for breast cancer: surgery, drug therapy, and radiation therapy. A combination of treatment types may be recommended to take place in a specific order to best treat your specific condition.

What are the goals of breast cancer treatment?

Different types of treatment for breast cancer have different goals, such as: Slowing or stopping the growth of cancer. Preventing a return of cancer.

How to determine the stage of breast cancer?

Staging: Surgery can help determine the stage of breast cancer by identifying the size of the tumor and whether cancer has spread to the lymph nodes.

What to do after breast cancer diagnosis?

Following a diagnosis of breast cancer, we work carefully to determine the best treatment options for you and to prepare a treatment plan personalized for your needs. We try to maximize treatment success while minimizing the impact that diagnosis and treatment can have on your life.

How does breast cancer affect your body?

Breast cancer treatment can affect your strength and mobility, especially in the shoulder and arm. Physical therapists work with you and your family to recover your physical function after treatment, such as improving your: Strength, especially in the upper body. Sensation, to relieve numbness in treated areas.

What are the best things to discuss with your doctor about breast cancer?

There are three topics to consider when discussing with your doctor what works best for you. Medical goals. Your care team will recommend treatment options based on your specific diagnosis. Different types of treatment for breast cancer have different goals, such as: Slowing or stopping the growth of cancer.

What is the treatment for cancer before surgery?

Adjuvant therapy: This treatment occurs after surgery and make include: chemotherapy, hormone therapy, or radiation therapy. Your care team may recommend surgery to diagnose, stage, or treat cancer:

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.

What is the most common type of breast cancer?

The most common type of breast cancer is ductal carcinoma, which begins in the cells of the ducts. Cancer that begins in the lobes or lobules is called lobular carcinoma and is more often found in both breasts than are other types of breast cancer.

What is breast cancer?

Key Points. Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast. A family history of breast cancer and other factors increase the risk of breast cancer. Breast cancer is sometimes caused by inherited gene mutations (changes).

How does cancer spread?

Cancer can spread through tissue, the lymph system, and the blood:

What are the risk factors for breast cancer?

Risk factors for breast cancer include the following: A personal history of invasive breast cancer, ductal carcinoma in situ (DCIS), or lobular carcinoma in situ (LCIS). A personal history of benign (noncancer) breast disease.

Why do cancer tests have to be repeated?

Some tests will be repeated in order to see how well the treatment is working. Decisions about whether to continue, change, or stop treatment may be based on the results of these tests.

How much of breast cancer is hereditary?

The genes in cells carry the hereditary information that is received from a person’s parents. Hereditary breast cancer makes up about 5% to 10% of all breast cancer. Some mutated genes related to breast cancer are more common in certain ethnic groups.

What is the name of the disease where malignant cells form in the tissues of the breast?

Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast. The breast is made up of lobes and ducts. Each breast has 15 to 20 sections called lobes. Each lobe has many smaller sections called lobules. Lobules end in dozens of tiny bulbs that can make milk.

What to do after breast cancer diagnosis?

After a breast cancer diagnosis, you and your doctors will put together a treatment plan specific to your situation, based on your pathology report. Your treatment plan will be made up of one or more specific treatments ...

Can breast cancer cause nausea?

Eating When You Have Nausea and Vomiting. Almost all breast cancer treatments have varying degrees of risk for nausea and vomiting.

How to decide on a treatment plan?

There are two approaches that your healthcare team may use to decide your treatment plan. The first is through a tumor board. In this approach, your oncologist, surgeon, radiologist, and other clinicians in your healthcare team will plan your treatment as a team . The tumor board typically occurs all in one day. There will be assessment and discussion of your treatment. A tumor board may be overwhelming because you will be meeting with your entire healthcare team at once. However, it is a highly effective step because everyone is gathered together and working toward finding the best plan for you.

Can you have breast cancer without a break?

Having breast cancer doesn’t necessarily mean you’ll get a break from your existing daily responsibilities and activities during treatment. There may be many unforeseen bumps in the road that you cannot plan for. However, taking the time to think through various decisions you may have to make during treatment can help you manage your life.

What is standard of care for breast cancer?

This section explains the types of treatments that are the standard of care for early-stage and locally advanced breast cancer. “Standard of care” means the best treatments known. When making treatment plan decisions, you are strongly encouraged to consider clinical trials as an option.

How long does it take for breast cancer to recur?

In fact, with modern surgery and radiation therapy, recurrence rates in the breast are now less than 5% in the 10 years after treatment or 6% to 7% at 20 years. Survival is the same with lumpectomy or mastectomy.

How does chemotherapy work?

Chemotherapy is the use of drugs to destroy cancer cells, usually by keeping the cancer cells from growing, dividing, and making more cells . It may be given before surgery to shrink a large tumor, make surgery easier, and/or reduce the risk of recurrence, called neoadjuvant chemotherapy. It may also be given after surgery to reduce the risk of recurrence, called adjuvant chemotherapy.

How long does radiation therapy last after a lumpectomy?

After a lumpectomy. Radiation therapy after a lumpectomy is external-beam radiation therapy given Monday through Friday for 3 to 4 weeks if the cancer is not in the lymph nodes. If the cancer is in the lymph nodes, radiation therapy is given for 5 to 6 weeks. However, this duration is changing, as there is a preference for a shorter duration to be given in women who meet the criteria for shorter treatment. This often starts with radiation therapy to the whole breast, followed by a more focused treatment to where the tumor was located in the breast for the remaining treatments.

What is a treatment plan for cancer?

A treatment plan is a summary of your cancer and the planned cancer treatment. It is meant to give basic information about your medical history to any doctors who will care for you during your lifetime. Before treatment begins, ask your doctor for a copy of your treatment plan. You can also provide your doctor with a copy of the ASCO Treatment Plan form to fill out.

How often is chemo given?

It may be given once a week, once every 2 weeks, once every 3 weeks, or even once every 4 weeks. There are many types of chemotherapy used to treat breast cancer. Common drugs include:

What is cancer treatment?

In cancer care, doctors specializing in different areas of cancer treatment—such as surgery, radiation oncology, and medical oncology—work together with radiologists and pathologists to create a patient’s overall treatment plan that combines different types of treatments.

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