I'm 62years lady. Just diagnosed with 2A stage cancer in one breast n going to remove that breast. Please suggest is chemo compulsory in cancer for permanent cure.
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For stage II, the further treatment will depend on histopathology reports and hormonal receptor status. If ER PR strongly positive you can simply receive hormonal therapy. Nowadays genetic tests are available to know if chemotherapy is required or not like oncotype DX, mammaprint etc but they are very costly tests.
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Treatment for breast cancer is multimodality. Surgery is mainstay with neoadjuvant or adjuvant chemotherapy, targetted therapy, radiation therapy and/or hormone therapy depending on individual case risk factors. Mastectomy: most commonly modified radical mastectomy which removes breast tissue along with lymph nodes in the axilla. After mastectomy whole breast reconstruction is and immediate or delayed option. Breast conservation surgery: involves removal of tumor along with surrounding tissue to completely remove the tumor. Axillary lymph nodes are addressed through separate incision. Sentinel lymph node biopsy/ axillary sampling: to decrease morbidities of lymph node dissection first draining lymph nodes only are removed in patients with clinically negative axilla. If negative on frozen section further axillary dissection is avoided.
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