Chemotherapy for Breast Cancer: Options, Duration, and Side Effects
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- čas přidán 19. 06. 2024
- Do you need chemotherapy for breast cancer? In this video, Dr. Jennifer Griggs explains everything you need to know about using chemotherapy to treat breast cancer, including why it's used, who needs it, and what to expect in terms of duration and side effects.
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You sound so gentle thanks 🌸
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Thankyou for your careful analysis and explanation
Thank you for watching! We're glad you found this video helpful!
Great information, im in Australia and the information you provide seems similar. I am more worried about weight gain than hair loss. I'm not keen for chemotherapy but having a lumpectomy and lymph node removal last week, my tumor is grade 3 and is likely to spread, so I want chemotherapy to zap the hell out of it!!
Thanks for writing, and I'm happy to hear that the information you're getting is consistent with what we share. Weight gain is preventable--I think one of the major reasons people gain weight is because they are not aware that they might gain weight. And people who care for you are so generous with food. Even though you will have fatigue with chemotherapy, it can really help on multiple fronts to get outside and get some activity every day. In fact, exercise is the best treatment for fatigue (paradoxical that we ask people who are tired to exercise). All the best with your treatment.
Thank you!😊
You're welcome 😊
I'm a breast cancer patient, underwent left breast mastectomy. and listening fr you Dr gives me vast knowledge about my status... I refused chemotherapy treatment because I'm scared since I happened to see friends who underwent chemotherapy but later on died... I was really traumatised.. So when the Med Onco told me that I shld undergo chemo, I refused.. I'm just taking Tamoxifen now as per my Surgical Oncologist adv..
Each person makes treatment decisions based on their own values and preferences. It is hard not to take into account the experiences of people we know.
Hello im diagnosed with stage 3 cancer
The size of the tumor is 1.5 cm and hormonal positive . The Dr advised me to take a cycle of chemo bcz the cancer has spread to 2 lymph nodes. Im refusing also to take chemotherapy treatment !
Hello Leni, I have been feeling the same way about chemo. How are you feeling today overall? And how are you feeling now about your decision to decline chemo?
@@theoptometrist265pls reply how are you now without chemo
@@theoptometrist265me too can we talk?
thanks
Thank you for watching.
How about high grade 3 ER+ HER2- DCIS with micro invasive breast cancer (ER+PR+ HER2 -), negative sentinel lymph nodes? Will lumpectomy + RT+ TAM treatment sufficient? Due to the micro invasive part, no longer qualify for DCIS oncotype, and the invasive part is too small for oncotype test. Thank you.
Great info
Glad it was helpful
What treatment direction would you suggest, Stage 2, 1cm from nipple, invasive ductal carcinoma with partial Mucinous features 7mm?
The mucinous features will not change the treatment. The treatment should be the same as for "regular" infiltrating ductal carcinoma. Without knowing other features of the tumor (size, number of nodes, tumor grade, and other characteristics), it is difficult to devise a treatment plan. In addition, because we're not in a doctor-patient relationship, we can give only general advice. I hope you find a doctor whom you trust to guide you through the decision making process! Wishing you al the best.
My husband has T2N1M0 beast cancer the tumer is papillary solid carcinoma it's big 7cm , ER and PR+ her2- he had a mastectomy 10 lymph nodes removed ( 2 were positive) please can he skip chemotherapy ? Thanks a lot
After surgery, will doctors be able to tell us how much chemotherapy affects the possibility of death? I'm 67. Unless there is a significant difference in the 5-year survival rate, I will only try chemo if I can do it orally, and if the side effects are bad, I'll quick. I don't want to live forever. I just don't want to be ill.
In breast cancer, we look at 10 year survival rates. Chemotherapy can decrease the risk of recurrence and death by 20 to 40% depending on the stage and other characteristics. Only 50% of people in your age group are recommended to have chemotherapy, so maybe cross that bridge when you come to it.
Hi Dr my aunt is age 63 and recently had lyumphtactomy ,pr+ve,pr+be,and her negative ,features are of an infiltrating ductile carcinoma,NST,grade 2 of right breast with free margins of metatatasis to 6/8 lyumph nodes wht should b my next traetmnt step? Shd I go chemo or not plz sugest
In general, people with 6 positive lymph nodes will be offered chemotherapy unless there are other medical problems that would suggest that chemotherapy is not in the patient's best interest.
I am IDC 20mm tumor, and a second smaller tumor IDC with central necropsies both grade 2, stage 1B, HR+, HER2 low, plus extensive DCIS, extensive family history. Still ovulating, 44 years old. I just had DMX & haven’t seen oncology yet but I want chemo. Is that possible?
Thank you for sharing your situation. Given your diagnosis of IDC with two tumors, both grade 2, stage 1B, HR+ and HER2 low, alongside extensive DCIS and a family history of cancer, it's understandable why you're considering chemotherapy as part of your treatment plan. There are a lot of options for you, and talking this through with the oncologist will be important. Chemotherapy should not be given in people with a low genomic assay (OncotypeDX) score, and a family history does not indicate a poorer prognosis. Since you are still ovulating at 44 and have just undergone a double mastectomy (DMX), discussing your entire medical history and treatment preferences with your oncologist is crucial.
Your upcoming appointment with oncology will be the perfect opportunity to express your interest in chemotherapy. The decision to include chemotherapy in your treatment plan typically depends on various factors. Your oncologist can provide a tailored recommendation based on a comprehensive risk assessment, which will help determine if chemotherapy is advisable for you.
If you are based in the U.S., consider visiting yerbba.com to access your personalized Yerbba Report. Your Yerbba Report provides you with personalized treatment options and detailed insights into your specific diagnosis, helping you navigate your treatment decisions with confidence. This resource can be especially useful for understanding all available treatment options and discussing them effectively with your medical team.
Please tell shd i go to chemotherapy.stage 2 cancer.no lymphnode spreading. Er and Pr positive .Tha doctor advised me to take Hormonal therapy.iam very much worried.which drug have less side.effects? Please inform.
Thanks for writing. It's hard to make specific recommendations without being part of your medical team. There are a lot of people with Stage II (2) breast cancer who do not need to receive chemotherapy.
How does a Ki67 score figure into your treatments?
Ki67 is a marker of cell division. The reason that it is not part of what we cover is because Ki67 is measured in so many different ways by different labs that it is not as reliable. If the Ki67 is high, we tend to see other things that indicate a more "active" cell. For example, the tumor grade is usually higher in a tumor with high Ki67.
My wife diagnoses invasive ductal carnisoma in situ they recommend us to go for chemotherapy what you suggest me
Your wife is fortunate to have you looking out for her. Chemotherapy decisions are based on many factors, including the stage of the cancer and the biomarkers such as the estrogen and progesterone receptor status and the HER2 status. The recommendation for chemotherapy can be daunting. It's crucial to discuss all treatment options with her oncologist to understand the benefits and potential side effects.
My mom has ki67 - 45% and er pr positive with HR 2+ will she need chemo?plz reply
Your mother is fortunate to have you helping her find good information. Many things factor into decisions about chemotherapy, so it's not possible for me to say for sure. In general, chemotherapy is part of the treatment plan for people whose tumors are HER2-positive, but there are some exceptions.
Plz mention durg name for er, pr positive cancer patient and 6 nodes under arm involved
There are many medications that are used in the treatment of breast cancer. Chemotherapy would generally be part of the treatment plan for someone with 6 positive lymph nodes. Some of the chemotherapy drugs include the following: doxorubicin, cyclphosphamide, docetaxel, paclitaxel. Endocrine therapy will also be part of the treatment plan. Most likely, if the person is postmenopausal, an aromatase inhibitor will be part of the plan and can also be given after or before a course of tamoxifen.
@@yerbba8
I had mastectomy already and doctor called today and said I need a chemotherapy, gosh I dont wanted to do it
Thanks for writing. It's completely normal to not want chemotherapy. In all my years of practicing, I don't think I've met more than a handful of people who were eager to get chemotherapy.
ER PR and HER2 POSITIVE. 47 and the tumor size is 2cm. Have not spread to lymphnodes. Should i have chemo? I am scared. First time I had phyllodes tumor which was removed and radiation therapy done four years back. Urgent reply please
For a tumor this size and with the HER2 being positive, chemotherapy would be recommended along with HER2-directed therapy.
@@yerbba do I need mastectomy too?
Will guide me she is fearing about chemotherapy she said nail come black and skin also come black
Chemotherapy can have various side effects, including changes to nails and skin. The changes in skin and nail color will go away after treatment. It's important to discuss her concerns with her oncologist, who can provide information on what to expect and how to manage these side effects.
My 65 YO fiance just started chemotherapy and after 2 weekly treatments, her attitude has grown bizarre. I have 4 daughters and I've never seen this. Cathy is like a row boat in the ocean. Up for 2 minutes and down for 2 minutes!?? I don't get it.... She is stage 3 and I'm not sure I can handle this especially just losing my 41 YO daughter to COVID. Your thoughts? (I am a Prostate cancer survivor)
In someone who has just started on chemotherapy, it's likely that corticosteroids are being given to prevent side effects of chemotherapy. Corticosteroids can cause personality changes (temporary) in some people. If she is suffering too, she can ask to see if her side effects can be managed on a lower dose.
Receptors daignoses the hospital doctor said first we reduce the size of tumor through chemotherapy will you tell me which medicine Using which have no side effects to my wife
Reducing the tumor size with chemotherapy is a common approach. Unfortunately, all chemotherapy medicines can have side effects, but the healthcare team will choose the best option with the least risk for your wife. There are medications and strategies to manage and reduce these side effects, so it's important to discuss all concerns with her oncologist.
How i can send you reports
Thank you for reaching out. While our videos provide general health information, we are unable to offer direct consultations. For specific treatment options and detailed feedback regarding your wife's breast cancer diagnosis, it's essential that she consults with her oncologist or a breast cancer specialist. If you are based in the U.S., consider having her visit www.yerbba.com to access her personalized Yerbba Report. This comprehensive resource is designed to provide a detailed view of her diagnosis, empowering her with information to make informed treatment decisions with confidence. This resource can be especially useful for understanding all available treatment options and discussing them effectively with her medical team.
Hi. Does a Grade 3 breast cancer with 2 tumours of size 2.5 cm and 1.5 cm in the same left breast had undergone mastectomy.
It's ER PR positive and her 2 negative, with no lymph nodes involved.
So will she require chemotherapy or can she skip chemotherapy and start with hormone therapy ?
Rest all the parameters are unremarkable except that it was a grade 3 and there were 2 tumours but now they have been removed..
The age of the patient is 68 years
Great question. The tumors are generally considered separate in terms of treatment and prognosis. That is, we do not add the sizes together. The grade 3 means that the 21-gene assay result is likely to come back "high," meaning that chemotherapy will work, but this is not always the case. If there is a lot of ambivalence about chemotherapy vs. chemotherapy followed by hormonal therapy, the 21-gene assay could be helpful. Not having all of the information and not being involved in this person's care means that this assay may not be appropriate. Remember also that individual preferences for treatment come into play as well. People need to feel comfortable with their decisions. As long as we have helped someone make a highly informed decision, we have done our jobs as oncologists.
She have four baby girls i am so depressed and my wife also
It's completely natural to feel depressed and overwhelmed given your situation, especially with four young children. Your wife has a lot to live for. Seeking support from a counselor or support group can be very helpful for both you and your wife. Taking care of your mental health is crucial during this time. Sending you love support!
Her age is only 37 years
Your wife is very young, and this must be such a challenge. Her age can impact treatment decisions, so it’s important to have open discussions with her healthcare team about what’s best for her.