Treatment FAQ

what happens after first chemo treatment in stage 2 breast cancer

by Piper Beier Published 2 years ago Updated 2 years ago

What Happens After Chemotherapy For Breast Cancer Immediately after chemotherapy, you may feel sleepy or nauseated. Typically, the side effects of chemotherapy go away after you complete all prescribed cycles.

Full Answer

What happens when you finish chemotherapy for breast cancer?

This information explains what to expect after you finish your chemotherapy treatment for breast cancer. Most people are relieved when they finish chemotherapy, but some people may feel worried. For months, you’ve seen your healthcare providers very often.

What is the outcome for Stage 2 breast cancer?

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 23 .

What happens after 2 cycles of chemo?

After finishing 2 cycles, a re-evaluation is typically done to make sure the treatment is working. Most people have numerous cycles of chemotherapy. Or the treatment cycles may continue for as long as the chemotherapy works well. Giving permission for chemotherapy.

How is chemotherapy used to treat Stage II HER2-negative breast cancer?

To help decide which women with stage II hormone receptor-positive, Her2-negative breast cancer will benefit from chemotherapy, a gene panel test such as Oncotype DX may be done on the tumor sample. The drugs used will depend on the woman’s age, as well as tumor test results, including hormone-receptor status and HER2 status.

How long does chemo last for Stage 2 breast cancer?

This may be as an injection that lasts several minutes, or as an infusion that lasts for hours or longer. Chemotherapy for breast cancer is typically given in cycles of about 1 or 2 to 3 weeks.

What happens after first chemo treatment for breast cancer?

Following Your First Treatment “You may not feel side effects right away, but your body is hard at work, battling alongside your new medication.” Patients often ask how much time they will need away from work or how much help they will need at home.

What should I expect after my first chemo session?

The most commonly reported side effect after receiving chemotherapy is fatigue. 7 Give yourself time for extra rest and sleep in the days after a session. Tell your healthcare provider if your fatigue begins to affect your ability to function or complete basic tasks, like bathing.

Is chemotherapy used for stage 2 breast cancer?

Systemic therapy (chemo and other drugs) Systemic therapy (drugs that travel to almost every part of the body) is recommended for some women with stage II breast cancer. Some systemic therapies are given before surgery (neoadjuvant therapy), and others are given after surgery (adjuvant therapy).

Is the first week of chemo the worst?

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 does it take to recover from first chemo treatment?

The rule of thumb I usually tell my patients is that it takes about two months of recovery time for every one month of treatment before energy will return to a baseline.

Do you get sick after your first chemo treatment?

Acute nausea and vomiting usually happens within minutes to hours after treatment is given, and usually within the first 24 hours. This is more common when treatment is given by IV infusion or when taken by mouth.

Do you feel worse after each chemo treatment?

The effects of chemo are cumulative. They get worse with each cycle. My doctors warned me: Each infusion will get harder. Each cycle, expect to feel weaker.

When do you feel worse after chemo?

Nausea and vomiting can start within the first few hours after chemotherapy drugs are given and usually last about 24 hours. However, nausea and vomiting may start more than 24 hours after treatment and last several days (called delayed nausea and vomiting).

Does Stage 2 breast cancer always return?

Stage 2 breast cancer generally has a good prognosis and can be cured with treatments. On average, 7 to 11 percent of women with early breast cancer may experience a local recurrence in the first five years following treatment.

Can breast cancer spread while on chemo?

While chemotherapy is one of the oldest and most successful ways of treating cancer, it doesn't always work. So, yes, cancer can spread during chemotherapy. Spreading could mean the tumor keeps growing, or that the original tumor shrinks, but cancer metastasizes, forming tumors in other areas of the body.

Is Stage 2 breast cancer completely curable?

Stage II breast cancers are curable with current multi-modality treatment consisting of surgery, chemotherapy, radiation therapy and hormonal therapy. Effective treatment of stage II breast cancer requires both local and systemic therapy.

When Is Chemotherapy used?

Not all women with breast cancer will need chemo, but there are several situations in which chemo may be recommended: 1. After surgery (adjuvant ch...

Which Chemotherapy Drugs Are Used For Breast Cancer?

In most cases (especially as adjuvant or neoadjuvant treatment), chemo is most effective when combinations of drugs are used. Today, doctors use ma...

How Is Chemotherapy given?

Chemo drugs for breast cancer are typically given into a vein (IV), either as an injection over a few minutes or as an infusion over a longer perio...

Possible Side Effects of Chemo For Breast Cancer

Chemo drugs can cause side effects. These depend on the type and dose of drugs given, and the length of treatment. Some of the most common possible...

How does chemo work for breast cancer?

Chemotherapy for Breast Cancer. Chemotherapy (chemo) uses anti-cancer drugs that may be given intravenously (injected into your vein) or by mouth. The drugs travel through the bloodstream to reach cancer cells in most parts of the body. Occasionally, chemo may be given directly into the spinal fluid which surrounds the brain and spinal cord.

How long does chemo last?

Adjuvant and neoadjuvant chemo is often given for a total of 3 to 6 months, depending on the drugs used. The length of treatment for advanced breast cancer depends on how well it is working and what side effects you have.

Why is neoadjuvant chemo used?

Because of this, neoadjuvant chemo is often used to treat cancers that are too big to be removed by surgery when first diagnosed (called locally advanced cancers ). Also, by giving chemo before the tumor is removed, doctors can see how the cancer responds to it.

Where do you give chemo for breast cancer?

This can be done in a doctor’s office, infusion center, or in a hospital setting.

Does chemo reduce the risk of breast cancer?

Adjuvant chemo can lower the risk of breast cancer coming back. Before surgery (neoadjuvant chemotherapy): Neoadjuvant chemo might be given to try to shrink the tumor so it can be removed with less extensive surgery.

Can you use paclitaxel with chemo?

Still, some combinations, such as paclitaxel plus gemcitabine, are commonly used to treat advanced breast cancer. For cancers that are HER2-positive, one or more drugs that target HER2 may be used with chemo.

Where is the central line placed for breast cancer?

For breast cancer patients, the central line is typically placed on the side opposite of the underarm that had lymph nodes removed for the breast cancer surgery. Chemo is given in cycles, followed by a rest period to give you time to recover from the effects of the drugs. Cycles are most often 2 or 3 weeks long.

What is stage 2 breast cancer?

Stage 2 breast cancer is considered "invasive," meaning that cancer cells have broken out of the ducts or lobules of the breast. This is not the same as metastatic (stage 4) breast cancer. 4  It simply means that abnormal cells have passed through a thin layer of tissue called the basement membrane and have the potential to spread. 3:01.

How long does it take to recover from stage 2 breast cancer?

You may then consider breast reconstruction. 13 . You may spend three to 18 months or longer in the active treatment of stage 2 breast cancer.

How long does it take for breast cancer to recur?

In women who have breast-conserving treatment, the chance of recurrence is about 3-15% in 10 years, depending on tumor characteristics and margins. Distant recurrence in those who had mastectomy is most influenced by axillary lymph node involvement.

How big is a stage 2 tumor?

Stage 2 tumors are usually between 2 and 5 centimeters (cm) in diameter (1 to 2.5 inches) and may or may not have spread to lymph nodes. 1  Treatment usually includes surgery (either a lumpectomy or mastectomy), and adjuvant chemotherapy is often recommended. Radiation therapy is given following a lumpectomy, but may or may not be needed ...

What does N1 mean in cancer?

N1 is used to describe tumors that have spread to at least one lymph node near the tumor. M stands for metastasis: All stage 2 cancer is M0, meaning no metastases are present. 8 . No tumor has been found in breast tissue, but cancer cells have lodged in lymph nodes near your breast.

How often do you have to have a follow up on a cancer patient?

Irrespective of the course of treatment you undergo, you will have a five-year minimum follow-up period with your oncologist; check-ups will take place every three then every six months. 15 

What does T1 mean in stage 2?

In this system: T stands for tumor size: In stage 2, the T score can range from zero to three. 6  T0 means that a tumor cannot be detected in the breast. T1 includes tumors that have a diameter of 2 centimeters or less (an inch or less). T2 includes tumors that are between 2 centimeters and 5 centimeters in diameter.

How Often Does Stage 1 Breast Cancer Come Back After Treatment

If stage 1 cancer is treated comprehensively, it rarely comes back. A new, unrelated breast cancer is more likely to emerge after stage 1 breast cancer is treated than a recurrence. Your healthcare provider will recommend a surveillance schedule for you so that new breast cancer or a recurrence can be identified and treated as quickly as possible.

What Happens After Chemotherapy For Breast Cancer

Immediately after chemotherapy, you may feel sleepy or nauseated. Typically, the side effects of chemotherapy go away after you complete all prescribed cycles.

After Each Chemo Treatment

If necessary, your blood will be drawn after chemo. If your red blood cells or neutrophils are low, you may be offered shots to boost those counts. Chemotherapy can greatly affect your blood counts because blood cells divide and multiply quickly and are therefore targeted by the drugs.

What Are The Side Effects Of Chemotherapy For Breast Cancer

Chemotherapy side effects vary based on what kind of drugs you take and for how long. Common chemotherapy side effects include:

Is Chemotherapy The Only Treatment For Breast Cancer

No. Occasionally, chemotherapy is the only breast cancer treatment, but most often, healthcare providers use chemotherapy with other treatments, such as:

Adriamycin And Cytoxan: Rounds 2

The first round of AC chemo was the worst for me. Once the nurse changed my nausea medicine, I didnt get sick to my stomach any more. I did get sleepier DURING the chemo sessions though and just kind of laid there with the TV on.

What Happens After Iv Chemotherapy Ends

After your treatment session ends, the nurse or another health care team member will take out your IV. If you have a port, it will stay in until you finish all of your treatments. The nurse will check your blood pressure, pulse, breathing, and temperature again.

How long do side effects last after chemo?

After you finish chemotherapy, you may have some remaining side effects. While most will go away soon after your last dose, others can last for weeks or months. Some of these side effects are listed below. For more information on each side effect, talk with your healthcare provider.

How long does it take to feel like you're back after chemo?

Try to avoid having goals for yourself that are too high. This can add to your stress level and frustration. Most people say it takes 6 to 12 months after they finish chemotherapy before they truly feel like themselves again.

How often do you see your chemo provider after chemo?

For months, you’ve seen your healthcare providers very often. They could answer your questions and support you at each visit. Now that you’ve finished chemotherapy, you won’t see them as often, but you’ll likely continue to have questions and concerns.

How long does it take for a chemo numbness to go away?

It may get worse after you have your last chemotherapy treatment. Most people notice that their neuropathy gets better 2 to 4 months after chemotherapy, but it can take up to 1 year to fully go away.

How long does it take for nausea to go away after chemo?

You may experience nausea (feeling like you might throw up) and vomiting (throwing up) after your last chemotherapy treatment. It should go away in 2 to 3 weeks. Your appetite may continue to be affected due to taste changes you may have experienced during your treatment.

What happens to the brain after chemo?

This is sometimes called “chemo brain.”. You may have problems such as poor memory, trouble finding words, difficulty focusing. This can affect parts of your life, including caring for your family and managing your job.

How long does it take for a chemo patient's white blood cell count to go down?

After your last dose of chemotherapy, your white blood cell count will go down. It should start to go back to normal about a month after your last treatment . Your red blood cell count may also go down, but it should go back to normal around the same time.

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 big is a stage 3 breast tumor?

In stage III breast cancer, the tumor is large (more than 5 cm or about 2 inches across) or growing into nearby tissues (the skin over the breast or the muscle underneath), or the cancer has spread to many nearby lymph nodes.

Can you get radiation therapy before mastectomy?

If you were initially diagnosed with stage II breast cancer and were given treatment such as chemotherapy or hormone therapy before surgery, radiation therapy might be recommended if cancer is found in the lymph nodes at the time of the mastectomy.

Can you get a mastectomy with a large breast?

For women with fairly large breasts, BCS may be an option if the cancer hasn’t grown into nearby tissues. SLNB may be an option for some patients, but most will need an ALND.

Can breast reconstruction be done at the same time as breast surgery?

In some cases, breast reconstruction can be done at the same time as the surgery to remove the cancer.

Is stage 1 breast cancer small?

Treating stage I breast cancer. These breast cancers are still relatively small and either have not spread to the lymph nodes or have spread to only a tiny area in the sentinel lymph node (the first lymph node to which cancer is likely to spread).

Adjuvant Medical Therapies For Breast Cancer

Following surgical resection of the primary breast cancer, patients often receive adjuvant systemic therapy with the goal of eradicating clinically and radiographically occult micrometastatic disease that may develop into frank metastatic disease if left untreated.

Is Chemotherapy Necessary Before Or After Breast Cancer Surgery Or At All

A recent study found that breast cancer has been highly over treated with chemotherapy and doctors can now confidently provide an alternative treatment known as Endocrine Therapy.

Probability Of Cancer Progression

How long the remission period can last is one of the most frequently asked questions by patients with stage 4 breast cancer. The answer to this question depends on a number of factors that come in.

What Is Stage 3 Breast Cancer

Also known as locally advanced breast cancer, the tumor in this stage of breast cancer is more than 2 inches in diameter across and the cancer is extensive in the underarm lymph nodes or has spread to other lymph nodes or tissues near the breast. Stage 3 breast cancer is a more advanced form of invasive breast cancer.

Four Stages Of The Disease

There are 4 breast cancer stages. Stage 1 breast cancer is a single tumor up to 2 cm in size, which has no regional metastases. They are located in lymph nodes, in close proximity to the affected organ in the armpit fossa.

Breast Cancer Support And Resources

There are many resources and support groups for breast cancer survivors. Theres no obligation to stick with a group. You can try it out and move on whenever youre ready. You might be surprised to learn that you have a lot to offer others as well.

A Lot To Learn About Alnd In Other Patients

Its important for doctors and patients to understand that these results can only be applied to women whose breast cancer and treatment regimen match those of the participants in the trial, the papers authors cautioned.

What to do after chemo?

After the chemotherapy is finished, the nurse will "flush" your IV line with saline and then de-access your port or take out your IV.

How long after chemo can you go home?

They may have you wait 30 minutes after the chemotherapy is done to make sure you don't have any reactions to the medications. At that point, you can go home. Again, depending on your pre-medications and chemotherapy, you may have lots of energy or may feel very sleepy later in the day.

How early can you get blood work done for chemo?

First, you may be told to show up a couple of hours early to get blood work drawn. This is to make sure you're able to get your chemotherapy treatment.#N#It can be a pain, but, believe me, it's in your best interest.#N#Use the extra time to relax before you go to your chemotherapy appointment.#N#When you arrive at the infusion floor and they have your lab results and a room available, you'll be called back to have your vital signs taken.#N#Once you are cleared at the vitals station, you will be taken to your chemotherapy room for your infusion.#N#At MD Anderson, you will have a TV, Internet access, a bed or a recliner and best of all warm blankets.#N#They also have food service at lunch and dinner if you're hungry.#N#At MD Anderson, you're allowed to have one caregiver with you in the infusion room.

How long does it take for chemo to arrive?

It usually takes at least 30 minutes for the drugs to arrive. Some of the pre-medications may be steroids, anti- nausea medications and/or anxiety medications.

How do nurses start chemotherapy?

Your nurse will begin with a saline solution through your IV. As soon as the medications are delivered, your nurse will hang the bags of medication on the IV stand and then start the different IVs. You'll be given pre-medications first, then the chemotherapy.

Is chemotherapy a word?

Chemotherapy. It's not a word people want to hear and certainly not something they want to go through. But, for those of us with cancer, we often don't have a choice. I remember how terrified I was of getting my first chemotherapy treatment. Would I be sick?

What happens after chemo?

What Happen with You after the First Round of Chemotherapy Treatment. Patients experiece different body reactions after first-time (round) of chemotherapy. You can expect: Gaining weight during and after chemo. Losing hairs (that makes you having cancer very visible) You may start looking aged after the treatment.

What are the side effects of chemotherapy?

Depending on the most typical side effects of your chemotherapy, your doctor may advise preparing for nausea and vomiting, hair loss, reproductive problems, and opposite effects .

What is the role of an oncologist in cancer treatment?

Your oncologist deals with other staff member to develop your treatment plan. She or he is also in charge of your chemotherapy treatments. Oncology nurse. An oncology nurse looks after patients with cancer, including giving chemotherapy He or she answers concerns and assists support you and your household.

How long is a chemotherapy cycle?

The length of a cycle depends on the treatment being given. The majority of cycles range from 2 to 6 weeks. The number of treatment dosages set up within each cycle also differs depending upon the drugs being given.

How long does it take to get chemo IV?

Your IV chemotherapy can take minutes, hours, or a number of days if you have continuous infusion chemotherapy. You do not have to stay at the health center or clinic for constant infusion. The nurse will provide you medication to prevent side effects such as nausea or possible allergic reactions.

How long after chemo do you flush the toilet?

Chemotherapy damages your body’s immune system, which assists battle infections. Consuming lots of fluids for 48 hours after chemotherapy. This helps move the drugs through your body. Making certain to get rid of all your body fluids and waste after chemotherapy. For example, flush the toilet twice after using it.

What happens after IV is finished?

After your treatment is finished, the nurse or another employee will secure your IV. If you have a port, it will remain until you end up all your treatments. The nurse will examine your blood pressure, pulse, breathing, and temperature once again.

What is a summary table for breast cancer?

Chemotherapy for early breast cancer. This summary table contains detailed information about research studies. Summary tables are a useful way to look at the science behind many breast cancer guidelines and recommendations. However, to get the most out of the tables, it’s important to understand some key concepts.

Does chemotherapy help with breast cancer?

Introduction: Chemotherapy after breast surgery (adju vant chemotherapy) improves survival in women with early breast cancer. A pooled analysis of data from 60 randomized clinical trials showed women of all ages, with or without breast cancer in their lymph nodes, can benefit from adjuvant chemotherapy. Women younger than 50 showed the most ...

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Treatment

Survival Rates

Follow-Up Care

Coping

Frequently Asked Questions

  • When is radiation usually used to treat stage 2 breast cancer?
    According to the American Cancer Society, radiation therapy may be used after lumpectomy (breast-conserving surgery) to mitigate the risk of cancer cells recurring in the same breast or nearby lymph nodes. After a mastectomy, an oncologist may determine that radiation is necess…
  • How quickly do breast cancer tumors grow from stage to stage?
    Cancer cells divide and multiply quickly in such a way that as a tumor gets bigger, it divides and grows even faster. The average doubling time for breast cancer tumors is between 50 and 200 days. Breast cancer tumor growth rateis impacted by hormonal factors, such as hormone recept…
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