Treatment FAQ

what is treatment for stage 3b breast cancer

by Dr. Gerardo Walker MD Published 2 years ago Updated 2 years ago
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Treatment options for stage 3 breast cancer may include:

  • Surgery, known as a mastectomy, to remove cancerous tissue and also to remove lymph nodes
  • Radiation to target and/or kill or shrink cancerous cells or a tumor
  • Hormone therapy to slow or stop the growth of cancerous cells, if hormones are driving their growth
  • Chemotherapy, which involves taking medications to kill fast-growing cancer cells

More items...

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.Apr 22, 2022

Full Answer

How fatal is Stage 3 breast cancer?

in patients with high-risk (lymph node positive [N1-3] or with a primary tumor stage T3-4), locally advanced or inflammatory, HER2 positive early-stage breast cancer. "DESTINY-Breast11 is the first trial to evaluate ENHERTU in the neoadjuvant setting in ...

What is the prognosis for Stage 3 breast cancer?

The relative 5-year survival rate for stage 3 breast cancer is 86 percent, according to the American Cancer Society. This means that out of 100 people with stage 3 breast cancer, 86 will survive for 5 years. But this figure doesn’t consider breast cancer characteristics, like grade or subtype.

Is breast cancer curable in the 3 stage?

Yes: Stage 3 breast cancer is curable, but in addition to an operation most women will need chemotherapy and radiation therapy for the best chance of cure....

What is the treatment for Stage 3 breast cancer?

Treatment for stage 3 typically involves a combination of treatments including:

  • Systemic therapies. Systemic therapies include chemotherapy, targeted therapy for HER2-positive cancers, and hormone therapy for hormone receptor-positive cancers.
  • Surgery. If cancer improves with chemo, the next step is surgery. ...
  • Radiation therapy. ...

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Is stage 3B breast cancer curable?

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.

What is the treatment plan for stage 3 breast cancer?

Stage 3 treatment options vary widely and may consist of mastectomy and radiation for local treatment and hormone therapy or chemotherapy for systemic treatment. Nearly every person with a Stage 3 diagnosis will do best with a combination of two or more treatments.

What does 3B mean in breast cancer?

Stage 3B. Stage 3B means the tumour has spread to the skin of the breast or the chest wall. The chest wall means the structures surrounding and protecting the lungs, such as the ribs, muscles, skin or connective tissues. The cancer has made the skin break down (an ulcer) or caused swelling.

How long is chemotherapy for stage 3 breast cancer?

Each treatment session is followed by a period of recovery. Typically, if you have early-stage breast cancer, you'll undergo chemotherapy treatments for three to six months, but your doctor will adjust the timing to your circumstances. If you have advanced breast cancer, treatment may continue beyond six months.

Is chemo necessary for grade 3 breast cancer?

If you have grade 3 breast cancer, you're more likely to be offered chemotherapy. This is to help destroy any cancer cells that may have spread as a result of the cancer being faster growing. Chemotherapy is less likely for grade 1 and grade 2 cancers.

Is Stage 3 breast cancer a death sentence?

A cancer diagnosis is a life-changing event. This is especially true if you're diagnosed with later-stage cancer. But stage 3 cancer isn't a death sentence.

What is the life expectancy of Stage 3 cancer?

Survival rates by stageSEER stage5-year survival ratelocalized99%regional85.8%distant29%

What is the most aggressive form of breast cancer?

Metastatic Breast Cancer The most serious and dangerous breast cancers – wherever they arise or whatever their type – are metastatic cancers. Metastasis means that the cancer has spread from the place where it started into other tissues distant from the original tumor site.

Who survived triple-negative breast cancer?

Five years after her breast cancer diagnosis, Shalena Prude, now 44, is surviving and thriving. The passage of time has given Shalena a chance to reflect on the complexity of her cancer journey. She remembers there were days when she fought the disease with all her might.

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.

What kind of chemo is used for stage 3 breast cancer?

Neoadjuvant chemotherapy is the recommended systemic therapy for many women with stage III breast cancer.

Can Stage 3 breast cancer survive 20 years?

Keep in Mind. A five-year survival rate is the percentage of people who will live for at least five years after diagnosis. It does not mean you will only live for five years. Many women with stage 3 breast cancer will live for years and even decades more.

Where is stage 3B breast cancer found?

In stage 3B breast cancer, a tumor of any size is found. Cancer cells are found in the chest wall or skin of the breast. These areas may appear inflamed or have ulcers. In addition, one of the following applies: Up to nine nearby lymph nodes are involved. The cancer has spread to the lymph nodes near the breastbone.

How long do you live with stage 3 breast cancer?

The relative 5-year survival rate for stage 3 breast cancer is 86 percent, according to the American Cancer Society. This means that out of 100 people with stage 3 breast cancer, 86 will survive for 5 years.

Why is it important to know what subtype of breast cancer you have?

The subtype is important because treatment and outlook will vary depending on which subtype of breast cancer that you have. Subtypes include: HER2-positive.

How big is a stage 3A breast tumor?

Cancer is found in four to nine nearby lymph nodes. The tumor is larger than 5 centimeters. Small clusters of cancer cells are also found in nearby lymph nodes. The tumor is larger than 5 centimeters.

What does stage 3 mean in cancer?

The first thing to know is that stage 3 breast cancer means the cancer has spread beyond the tumor. It has possibly gone to lymph nodes and muscle but hasn’t spread to nearby organs. Doctors have previously divided stage 3 into more specific categories (3A, 3B, and 3C) and the cancer subtype, meaning which type of breast cancer you have.

What is the meaning of breast cancer?

The breast cancer type describes how a cancer grows and what treatments are likely to be most effective. In 2018, the American Joint Committee on Cancer (AJCC) released updated staging definitions for this type of breast cancer that include biological factors such as tumor grade to better clarify the situation.

Does stage 3 breast cancer have more information?

The AJCC also added clarifications in staging for ER, PR, and HER2 expression and also genetic information. Ultimately, this means someone diagnosed with stage 3 breast cancer can receive more information from their breast cancer staging than ever before.

Staging And Grading For Stage 3 Cancer

Staging is an important factor in determining cancer treatment options, since it establishes the tumors size and spread within the body. Staging is used for most cancers, but not all. Cancers in and near the brain, for example, dont use a defined staging system because their likelihood of spreading is low.

Determining The True Stage Of Breast Cancer

All the diagnostic tests and scans up to this point have been critical for helping your doctors understand your disease. But the exact stage of cancer cant be determined until surgery happens which is sometimes referred to surgical staging or pathological staging.

How Is Breast Cancer Recurrence Managed Or Treated

Your treatment depends on the type of cancer recurrence, as well as past treatments. If cancer develops in a reconstructed breast, your surgeon may want to remove the breast implant or skin flap.

How Does Staging Relate To Types Of Breast Cancer

In addition to cancer stage, doctors will determine the tumor grade and subtype.

What Is Stage Iii

In this stage, I tell my patients the real war against the cancer begins, Cruz said. Spreading is much more advanced.

Cancer May Spread From Where It Began To Other Parts Of The Body

When cancer spreads to another part of the body, it is called . Cancer break away from where they began and travel through the lymph system or blood.

Treatment Options For Stage Iv Breast Cancer

For women with stage IV breast cancer, systemic therapies are the main treatments. These may include:

What is the treatment for stage 3 breast cancer?

Treatment. If diagnosed with stage 3 breast cancer, your treatment plan would likely include surgery, chemotherapy, and, in most cases, radiation . 3 . The selection of drugs will depend on your cancer type. If your tumor is HER2-positive, for example, you will also be given Herceptin (trastuzumab).

What is stage 3 chemotherapy?

Chemotherapy. Chemotherapy is typically used in stage 3 to chase down any stray cancer cells following surgery, reducing the likelihood of recurrence. Chemo can also be given in advance of surgery to shrink a tumor. 3 . Chemotherapy is given after surgery is referred to as adjuvant chemotherapy.

How big is a T2 tumor?

T2, N2, M0. The tumor is over 2 centimeters but under 5 centimeters in size. Cancer has also been found in the lymph nodes in your underarm or breast. T3, N1, M0. The tumor is bigger than 5 centimeters but has not yet invaded breast skin or the chest wall. There will be cancer in the lymph nodes under your arm.

How long do women live with stage 3 breast cancer?

A five-year survival rate of 73 percent means that 73 percent of women will live for at least five years. It does not mean you will only live for five years. Many women with stage 3 breast cancer will live for years and even decades more.

How big is a stage 3 breast tumor?

A stage 3 breast tumor can range in size from less than 2 centimeters to over 5 centimeters, but there are cases in which no tumor is found in breast tissue. 1  This stage of cancer is not strictly defined by the presence of a tumor but rather the degree of its invasiveness .

Where does stage 3 cancer spread?

With stage 3, cancer has not spread from the breast to organs or other distant sites in the body. Instead, cancer cells are constrained to nearby axillary (underarm) lymph nodes or those beneath your sternum (breastbone) or clavicle (collarbone). 1 .

Where is a tumor found in the breast?

The lymph node status can vary. Cancer may be found in the nodes of your armpit, within your breast, over your collarbone, beneath your collarbone, or in several locations.

What is the treatment for stage IV breast cancer?

Treatment for stage IV breast cancer is usually a systemic (drug) therapy.

What is the difference between stage 2 and stage 3 breast cancer?

Stage II: These breast cancers are larger than stage I cancers and/or have spread to a few nearby lymph nodes. Stage III: These tumors are larger or are growing into nearby tissues (the skin over the breast or the muscle underneath), or they have spread to many nearby lymph nodes. Treatment of Breast Cancer Stages I-III.

What is stage 0 breast cancer?

Stage 0 means that the cancer is limited to the inside of the milk duct and is non-invasive. Treatment for this non-invasive breast tumor is often different from the treatment of invasive breast cancer. Ductal carcinoma in situ (DCIS) is a stage 0 breast tumor. Lobular carcinoma in situ (LCIS) used to be categorized as stage 0, ...

Is lobular carcinoma in situ a stage 0 tumor?

Ductal carcinoma in situ (DCIS) is a stage 0 breast tumor. Lobular carcinoma in situ (LCIS) used to be categorized as stage 0, but this has been changed because it is not cancer. Still, it does indicate a higher risk of breast cancer. See Lobular Carcinoma in Situ (LCIS) for more information.

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.

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.

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.

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.

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Characteristics

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Stage 3 breast tumors can vary in size, but there are also types in which no tumor is found in breast tissue, as with inflammatory breast cancer.1 Therefore, this stage of cancer is not strictly defined only by tumor size but also by the degree of the cancer's invasiveness. Stage 3 is further classified by three substages: 3A, 3B, an…
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TNM Staging

  • Since both your treatment and prognosiscan be impacted by substage classifications, careful staging is needed. Although the TNM system may seem confusing at first, the rationale is pretty straightforward. The TNM system stages cancer based on three characteristics represented by its acronym:2 1. T: Tumor size 2. N: Lymph nodes 3. M: Metastases The letters are followed by nu…
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Treatment

  • If you are diagnosed with stage 3 breast cancer, your treatment plan would likely include surgery, chemotherapy, and, in most cases, radiation.3 The selection of drugs will depend on your cancer type. For example, if your tumor is HER2-positive, you will also be given Herceptin(trastuzumab). If it is hormone-sensitive (meaning that estrogen and/or ...
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Survival Rate

  • Survival rate can vary based on the substage and other factors, including a woman's age and HER2 status. Survival rates are often grouped into categories depending if the cancer is localized, regional, or distant. Stage 3 breast cancer is considered regional disease, which means it has spread to regional lymph nodes.6 The relative five-year survival rate for regional breast cancer, …
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Follow-Up Care

  • Follow-up care will depend largely on your hormone and HER2 status. Once primary treatments are complete, you will have regular checkups with your oncologist for at least the next five years. During this time, you will continue to have regular mammograms and perform regular self-examsif breast tissue is still remaining. Your healthcare provider may also recommend periodic magneti…
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Coping

  • Living with cancer can be challenging, not just physically, but emotionally as well. Finding a support group or therapist can be helpful. Many hospitals or cancer centers have disease-specific support groups available; talk with your treatment team to see if your treatment center has one. If not, ask your provider for resources. Even finding support online can be helpful. Connecting wit…
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Summary

  • Stage 3 breast cancer is breast cancer that is advanced but not metastatic, and it is still treatable. Depending on the tumor's characteristics, It can be treated with a variety of options including surgery, radiation, chemotherapy, targeted therapy, hormone therapy, or a combination of these. The survival rate for breast cancers with regional spread is around 86%, but remember that survi…
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