Treatment FAQ

what is the best treatment for breast cancer

by Prof. Meggie Bergstrom Sr. Published 3 years ago Updated 2 years ago

People with breast cancer often get more than one kind of treatment.
  • Surgery. An operation where doctors cut out cancer tissue.
  • Chemotherapy. Using special medicines to shrink or kill the cancer cells. ...
  • Hormonal therapy. ...
  • Biological therapy. ...
  • Radiation therapy.

Medication

Depending on the type of breast cancer, different types of drug treatment might be used, including: Chemotherapy for Breast Cancer. Hormone Therapy for Breast Cancer. Targeted Drug Therapy for Breast Cancer. Immunotherapy for Breast Cancer.

Procedures

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. The drugs can be pills you take or medicines given in your veins, or ... Hormonal therapy. Blocks cancer cells from getting the hormones ...

Therapy

Systemic therapy (chemo and other drugs) If a woman has a hormone receptor-positive (ER-positive or PR-positive) breast cancer, most doctors will recommend hormone therapy (tamoxifen or an aromatase inhibitor, or one followed by the other) as an adjuvant (after surgery) treatment, no matter how small the tumor is.

Nutrition

Jun 09, 2021 · Thus far, we have been focused on reducing that risk at all costs and treating DCIS like an early-stage breast cancer: The first step is surgery—usually lumpectomy—followed by radiation treatment for three to four weeks and finally hormone therapy for five years.

What is the best natural cure for breast cancer?

About 20% of women with breast cancer have too much of a protein known as HER2 that sometimes makes the cancer spread quickly. Trastuzumab ( Herceptin ) is a drug that's been approved to treat ...

What are the best medications for breast cancer?

Hormonal Therapies. Chemotherapy. Targeted Therapies. Immunotherapy. Palliative Care. Clinical Trials. More. When you have HER2-negative advanced (metastatic) breast …

Which is the best therapy for breast cancer patients?

Jun 25, 2021 · While taking every effort to beat breast cancer seems obvious, some patients opt out of breast cancer treatment for a variety of reasons. Unless you are a minor or are deemed medically incompetent in a court of law (situations that rarely occur with breast cancer), no one but you can determine what is or what is not in your best interest—even if you decide that the …

What is the most common treatment for breast cancer?

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What is the most common treatment for breast cancer?

Most women undergo surgery for breast cancer and many also receive additional treatment after surgery, such as chemotherapy, hormone therapy or radiation. Chemotherapy might also be used before surgery in certain situations.

What is the easiest breast cancer to treat?

Testing for proteins and genes If it does, it's called a HER2-positive cancer. These cancers are sometimes easier to treat because many different kinds of drugs can be used. If the cancer doesn't test positive for any of these proteins, it's called a triple-negative breast cancer.Jan 5, 2022

Can you completely cure breast cancer?

There's currently no cure for metastatic breast cancer, but new treatments have improved survival rates in recent years. Researchers have gained a better understanding of the molecular and genetic characteristics of breast cancer.May 4, 2021

What is the latest treatment for breast cancer?

The drug, called abemaciclib – brand name Verzenio – is now approved for patients with the HR+, HER2-early breast cancer, which makes up 70% of all breast cancers. The drug was already approved for advanced, or metastatic, breast cancer.Oct 13, 2021

How fast can breast cancer Spread?

According to the Robert W. Franz Cancer Research Center at Providence Portland Medical Center, breast cancer cells need to divide at least 30 times before they are detectable by physical exam. Each division takes about 1 to 2 months, so a detectable tumor has likely been growing in the body for 2 to 5 years.Apr 2, 2021

What is the 5 year pill for breast cancer?

Tamoxifen. Tamoxifen is usually taken daily in pill form. It's often used to reduce the risk of cancer recurrence in women who have been treated for early-stage breast cancer. In this situation, it's typically taken for five to 10 years.Dec 29, 2020

What food kills breast cancer cells?

Top Cancer-Fighting FoodsFolate-Rich Foods.Vitamin D.Tea.Cruciferous Vegetables.Curcumin.Ginger.Apr 24, 2006

At what stage is breast cancer curable?

What does stage 3 mean? Because stage 3 breast cancer has spread outside the breast, it can be harder to treat than earlier stage breast cancer, though that depends on a few factors. With aggressive treatment, stage 3 breast cancer is curable; however, the risk that the cancer will grow back after treatment is high.

Which type of breast cancer has the best prognosis?

Non-invasive (stage 0) and early stage invasive breast cancers (stages I and II) have a better prognosis than later stage cancers (stages III and IV). Breast cancer that's only in the breast and has not spread to the lymph nodes has a better prognosis than breast cancer that's spread to the lymph nodes.

What type of breast cancer does not require chemo?

The new findings suggest that at least 70 percent of women with HR-positive, HER2-negative, axillary lymph node-negative breast cancer—those with low scores and most of those with mid-range scores—can safely avoid chemotherapy.Jun 12, 2018

Can breast cancer be cured without surgery?

In those cases, they remove tissue to make sure the area around the site is cancer-free. Some doctors say it may be possible to skip surgery altogether, sparing patients the risk of general anesthesia as well as the pain and scars that operations can bring.Mar 11, 2019

At what stage of cancer is chemotherapy used?

Systemic drug treatments, such as targeted therapy or chemotherapy, are common for stage 4 cancers. Often, a clinical trial may be an option, offering new treatments to help you fight stage 4 cancer.Feb 11, 2022

Which Treatments Are Used For Breast Cancer?

There are several ways to treat breast cancer, depending on its type and stage.Local treatments: Some treatments are local, meaning they treat the...

How Is Breast Cancer Typically Treated?

Most women with breast cancer will have some type of surgery to remove the tumor. Depending on the type of breast cancer and how advanced it is, yo...

Who Treats Breast Cancer?

Doctors on your cancer treatment team might include: 1. A breast surgeon or surgical oncologist: a doctor who uses surgery to treat breast cancer 2...

Making Treatment Decisions

It’s important to discuss all of your treatment options, including their goals and possible side effects, with your doctors to help make the decisi...

Help Getting Through Breast Cancer Treatment

Your cancer care team will be your first source of information and support, but there are many places you can get more help if you need it. Hospita...

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.

What is the best treatment for cancer?

Hormonal therapy. Blocks cancer cells from getting the hormones they need to grow. Biological therapy. Works with your body’s immune system to help it fight cancer cells or to control side effects from other cancer treatments. Radiation therapy. Using high-energy rays (similar to X-rays) to kill the cancer cells.

What is radiation therapy?

Radiation therapy. Using high-energy rays (similar to X-rays) to kill the cancer cells. 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.

What is complementary medicine?

Complementary and alternative medicine are medicines and health practices that are not standard cancer treatments. Complementary medicine is used in addition to standard treatments, and alternative medicine is used instead of standard treatments. Meditation, yoga, and supplements like vitamins and herbs are some examples.

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 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.

Is it safe to take supplements with complementary medicine?

Meditation, yoga, and supplements like vitamins and herbs are some examples. Many kinds of complementary and alternative medicine have not been tested scientifically and may not be safe. Talk to your doctor about the risks and benefits before you start any kind of complementary or alternative medicine.

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 long does radiation treatment last for breast cancer?

Breast cancer radiation can last from three days to six weeks, depending on the treatment. A doctor who uses radiation to treat cancer (radiation oncologist) determines which treatment is best for you based on your situation, your cancer type and the location of your tumor.

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.

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 a mammogram?

A mammogram is an X-ray of the breast. Mammograms are commonly used to screen for breast cancer. If an abnormality is detected on a screening mammogram, your doctor may recommend a diagnostic mammogram to further evaluate that abnormality. Breast ultrasound.

What is core needle biopsy?

A core needle biopsy uses a long, hollow tube to extract a sample of tissue. Here, a biopsy of a suspicious breast lump is being done. The sample is sent to a laboratory for testing.

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

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.

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 stage 3 breast cancer spread to lymph nodes?

If you have inflammatory breast cancer: Stage III cancers also include some inflammatory breast cancers that have not spread beyond near by lymph nodes. Treatment of these cancers can be slightly different from the treatment of other stage III breast cancers.

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.

What is stage zero breast cancer?

Apar Gupta. Often called “stage zero breast cancer,” DCIS growths are confined to the inside of the breast’s milk ducts, and many never develop into invasive cancers. Several treatment options are available, and opinions about the optimal treatment for DCIS vary widely among doctors.

What is DCIS in mammography?

Before the advent of routine mammography, DCIS (ductal carcinoma in situ) was rarely detected. But today, DCIS accounts for 20% of breast cancer diagnoses and would be the fifth most common cancer in women if classified independently. Apar Gupta. Often called “stage zero breast cancer,” DCIS growths are confined to the inside ...

How long does it take to survive DCIS?

It’s important to understand that radiation and hormone treatments do not change survival—the 10-year survival rate for women diagnosed with DCIS is 98% regardless of whether they receive either treatment. These treatments instead reduce the risk of breast cancer down the road.

Can hormone therapy be used for DCIS?

However, not all treatments for invasive breast cancer may be optimal for DCIS, Gupta says. His study suggests that in most cases of DCIS, the side effects of hormone therapy may outweigh its benefits. The CUIMC Newsroom spoke with Gupta to learn how the study’s findings can help providers and their patients navigate treatment for DCIS.

Is DCIS a pre-invasive cancer?

“DCIS is considered a pre-invasive cancer, but the current standard of care is to treat it like an early-stage invasive breast cancer,” says Apar Gupta, MD, ...

Can DCIS be overtreated?

Since treatment of DCIS after surgery doesn’t improve survival, there is a growing concern that DCIS may be overtreated if the benefit of these treatments is outweighed by their impact on quality of life.

What is the best treatment for cancer after surgery?

The treatment is usually given in cycles that allow your body breaks in between. Hormone therapy is a good option after surgery for women who have tumors that use hormones to grow, called hormone receptor -positive cancer. Medication can help prevent tumors from getting hormones.

What is the best medicine for a tumor?

These drugs include tamoxifen for all women, and anastrozole ( Arimidex ), exemestane ( Aromasin ), and letrozole ( Femara) for postmenopausal women .

Why do women have to have their ovaries removed?

Women who haven't reached menopause may consider having their ovaries removed to stop making hormones that help cancer grow. Targeted therapy is a newer treatment. About 20% of women with breast cancer have too much of a protein known as HER2 that sometimes makes the cancer spread quickly.

What is stage 4 breast cancer?

Breast Cancer Recurrence. In this early stage, the cancer either hasn't spread beyond the breast or has spread in a very small amount to a lymph node. You have a number of treatments to choose from. Women usually do well with a combination of treatments.

Can you get chemo after surgery?

Chemotherapy after surgery can lower the risk of the cancer coming back. The drugs attack cancer cells. Women who had larger tumors removed are more likely to get chemo. You can get chemo several ways. You may take pills or liquids, but often the drugs are put right into your veins.

Can you have breast reconstruction after a mastectomy?

After a mastectomy, you might choose to have breast reconstruction surgery. Radiation therapy can kill cancer cells that were missed. It’s usually given after a lumpectomy. Women with stage I cancer who get a mastectomy sometimes need radiation, too. Chemotherapy after surgery can lower the risk of the cancer coming back.

Can you have a lumpectomy on a breast?

Since the tumor is small, you may have a lumpectomy -- just the tumor and some of the tissue around it are removed. Some women get a mastectomy, in which the whole breast is removed. In either case, the surgeon will likely take out one or more lymph nodes.

What is chemo for breast cancer?

Chemotherapy or "chemo" is medicine that kills cancer cells. You can take it as pills or get them through an IV. Many different chemotherapy drugs are used, either alone or in combination, to treat HER2-negative breast cancer. Your doctor will prescribe a chemo drug based on: Your past treatments.

What are the treatments for cancer?

This type of cancer is most often treated with systemic therapy. These drugs go into your bloodstream to send treatment to cells and organs throughout your body. Systemic therapies include: 1 Hormonal treatments 2 Chemotherapy 3 Targeted therapy 4 Immunotherapy

What is the name of the protein that is used to bring chemo drugs into cancer cells?

It targets a protein called Trop-2 to bring chemo drugs directly into your cancer cells. Immunotherapy. Immunotherapy uses the power of your immune system to fight cancer. Drugs called immune checkpoint inhibitors can be used to treat certain types of advanced breast cancer. Immune "checkpoints" are proteins.

How long does it take for chemo to work?

But there’s no evidence that any single drug works better than another one. Often, you get chemo drugs in cycles of 2 to 3 weeks. Between cycles, you have a rest period so your body can recover from the drug's effects.

What is the goal of HER2 negative breast cancer?

The goal is to help you live longer and have a better quality of life.

What is PARP inhibitor?

PARP inhibitors like olaparib (Lynparza) and talazoparib (Talzenna). These drugs stop a protein known as poly-ADP ribose polymerase (PARP) from repairing cancer cells, so the cells die. They're given to women who have a mutation in the BRCA gene and HER2-negative breast cancer. Everolimus (Afinitor).

What is precision medicine?

Those molecules are the "targets" of the drugs. There's a lot of research into targeted therapies for cancer. These drugs are also called precision medicine. That's because your doctor prescribes a certain drug based on your genes or the proteins associated with your specific cancer.

Why do people refuse breast cancer treatment?

Among some of the more common reasons for the refusal of breast cancer treatment: A period of adjustment: No one really knows how they will respond to a cancer diagnosis until they get one. Some people will panic, others will become resolute, and others still will need time to come to terms with the diagnosis before moving forward.

What religions discourage cancer treatment?

Matters of faith: Some religions, like Christian Science, discourage certain medical interventions necessary for cancer treatment. Even if this is not the case, a woman may feel comforted by entrusting her fate to nature or a higher power.

What is patient centered care?

This dictates that people have the right to make decisions about the direction of their health care, even if that decision is to terminate treatment or seek alternative therapies. This applies as much to everyday ailments like the flu as much as it does serious ones like breast cancer .

Why do women choose hospice?

Likewise, some women with advanced cancer will choose hospice care for its emphasis on emotional support and pain control, rather than aggressive therapeutic interventions that cause pain. According to research from Canada, the majority of women who refused breast cancer therapy were over 50 (53%), married (44%), and had metastatic disease (61%).

What is informed consent?

It involves discussing the potentials risks and benefits of a recommended treatment, as well as the risks and benefits of receiving no treatment.

What is the role of a doctor?

Within this context, the role of your doctor is to provide you full disclosure of your condition and treatment options in a language you understand. The disclosure should be made without prejudice and coercion.

Why do doctors dismiss complementary therapies?

They might even dismiss complementary or integrative therapies because they either don't believe in them or assert (reasonably) that certain approaches are not evidence-based .

Diagnosis

Treatment

Clinical Trials

Alternative Medicine

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment is primarily based on the type and stage of cancer.
Medication

Chemotherapy: Drugs may be recommended before or after the surgery to reduce the mass size and prevent spread or recurrence.

Capecitabine . Carboplatin . Doxorubicin . Vinorelbine


Hormone therapy: Drugs used in hormone therapy help in regulating the proliferation of hormone sensitive cancer cells and prevent the production of hormones or reduce their action.

Raloxifene . Tamoxifen . Fulvestrant . Leuprolide

Procedures

Lumpectomy: The entire tumor mass and some of the surrounding healthy tissues are removed.

Mastectomy: Removal of the entire breast tissue, sometimes including the nipple and the pigmented area around it.

Breast reconstruction: May be considered using implants or one’s own tissues.

Therapy

Radiation therapy:- Uses high-powered energy rays to destroy cancer cells. - Can be done using a machine or by implanting a radioactive material inside the tumor mass.

Nutrition

Food to eat:

  • Foods rich in fiber such as whole grains, beans and legumes
  • Foods rich in vitamin D like beef liver, cheese and egg yolk
  • Low fat dairy products and milk
  • Foods with anti-inflammatory properties like spices

Foods to avoid:

  • Alcoholic drinks
  • Foods with high sugar content like sodas, candies and sweets
  • Foods with high fat content like fried food, crackers and processed food
  • Red meat

Specialist to consult

Oncologist
Specializes in the diagnosis and treatment of cancer.
Breast surgeon
Specializes in surgery of the breasts for benign and malignant breast diseases.

Coping and Support

  • 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

Preparing For Your Appointment

  • 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

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