Locally Advanced Breast Cancer
Hi Team, my mother has diagnosed with breast cancer. Report says it's C/W Ductal carcinoma grade 2 to 3. Need your sugge ...
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FNAC consistent with ductal carcinoma means cancer. She needs a proper evaluation by a breast surgeon, which entails a history and clinical examination with a mammography and an ultrasound if not done already. Mammography gives an idea about the whole breast and Opposite Breast. I prefer a core Biopsy, which gives an idea about the grade, type and immunohistochemistry of cancer, which is important for getting an idea about the prognosis and deciding the line of treatment. (I am not comfortable operating based on FNAC as it has false negatives as well as false positives) If Cancer is locally advanced or some times in large operable wanting breast conservation surgery or some early Breast cancers which are Triple negative or Her 2 +ve, then upfront chemotherapy is preferred before surgery. If locally advanced or > 5 cms then we prefer doing a pet scan or a CECT abdomen and pelvis with a bone scan to rule out spread of cancer. Surgery for the breast may be lumpectomy or a mastectomy. Axillary surgery may be sentinel node biopsy or an Axillary nodal clearance. If conservation then the reconstruction could be with oncoplasty which approximates the Breast tissue to prevent deformity (but leads to smaller breast if large lump excised and needs mammoplasty of that breast as well as reduction of Opposite Breast), or using the latest chest wall perforator flaps (new technique to avoid deformity or reduction of breast size especially after a large lumpectomy in a small Breast, which I have learnt in UK and is becoming quite popular there as the size of both breasts remains same) After the surgery, chemotherapy is given (if not given before or courses not completed) the type of chemotherapy or targeted therapy varies according to the report. All lumpectomy and mastectomy for large and node positive cancers need radiation therapy too, which is given after the chemotherapy. Also depending upon the immunohistochemistry, targeted therapy (transtuzumab) May be advised for 1 year and hormonal therapy for 5-10 years. The follow up would be with annual mammogram, clinical examination with some blood tests. If found to be metastatic then treatment would be mainly chemotherapy and hormonal therapy, with surgery for good responders or in cases of bleeding, where radiation is the other option. Feel free to contact me directly if you want to share the reports or discuss this further.
How brest cancer can be cured I am suffering from 2 years. How much it costs for surgery. ...
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You needs a proper evaluation by a breast surgeon, which entails a history and clinical examination with a mammography and an ultrasound if not done already. Mammography gives an idea about the whole breast and Opposite Breast. I prefer a core Biopsy, which gives an idea about the grade, type and immunohistochemistry of cancer, which is important for getting an idea about the prognosis and deciding the line of treatment. (I am not comfortable operating based on FNAC as it has false negatives as well as false positives) If Cancer is locally advanced or some times in large operable wanting breast conservation surgery or some early Breast cancers which are Triple negative or Her 2 +ve, then upfront chemotherapy is preferred before surgery. If locally advanced or > 5 cms then we prefer doing a pet scan or a CECT abdomen and pelvis with a bone scan to rule out spread of cancer. Surgery for the breast may be lumpectomy or a mastectomy. Axillary surgery may be sentinel node biopsy or an Axillary nodal clearance. If conservation then the reconstruction could be with oncoplasty which approximates the Breast tissue to prevent deformity (but leads to smaller breast if large lump excised and needs mammoplasty of that breast as well as reduction of Opposite Breast), or using the latest chest wall perforator flaps (new technique to avoid deformity or reduction of breast size especially after a large lumpectomy in a small Breast, which I have learnt in UK and is becoming quite popular there as the size of both breasts remains same) After the surgery, chemotherapy is given (if not given before or courses not completed) the type of chemotherapy or targeted therapy varies according to the report. All lumpectomy and mastectomy for large and node positive cancers need radiation therapy too, which is given after the chemotherapy. Also depending upon the immunohistochemistry, targeted therapy (transtuzumab) May be advised for 1 year and hormonal therapy for 5-10 years. The follow up would be with annual mammogram, clinical examination with some blood tests. If found to be metastatic then treatment would be mainly chemotherapy and hormonal therapy, with surgery for good responders or in cases of bleeding, where radiation is the other option. Feel free to contact me directly if you want to share the reports or discuss this further. The surgery cost at my hospital is around 1.25 lacs. If the patient is poor and non affording, we have a charity cell which would assess the financial status of the patients and waive off around 50% of the charges and also refer to various NGO's and CM/ PM fund for the rest of the treatment.
My. Grandma has. A.breast. Cancer. Which is 2.8 n they had. Done one chemo. But after chemo she. Feels week. N all she c ...
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Chemo is to control breast cancer final treatment is surgery But what is reason to start chemo is it locally advanced or spread inside body.
My sister age 39 have duct carcinoma in left breast. Which treatment for her. Operation is compulsory. Or any other trea ...
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She needs a proper evaluation by a breast surgeon or a surgical oncologist, which entails a history and clinical examination with a mammography and an ultrasound if not done already. Mammography gives an idea about the whole breast and Opposite Breast. I prefer a core Biopsy, which gives an idea about the grade, type and immunohistochemistry of cancer, which is important for getting an idea about the prognosis and deciding the line of treatment. (I am not comfortable operating based on FNAC as it has false negativeâs aswell as false positives) If Cancer is locally advanced or some times in large operable wanting breast conservation surgery or some early Breast cancers which are Triple negative or Her 2 +ve, then upfront chemotherapy is preferred before surgery. If locally advanced or > 5 cms then we prefer doing a pet scan or a CECT abdomen and pelvis with a bone scan to rule out spread of cancer. Surgery for the breast may be lumpectomy or a mastectomy. Axillary surgery may be sentinel node biopsy or an Axillary nodal clearance. If conservation then the reconstruction could be with oncoplasty which approximates the Breast tissue to prevent deformity (but leads to smaller breast if large lump excised and needs mammoplasty of that breast as well as reduction of Opposite Breast), or using the latest chest wall perforator flaps (new technique to avoid deformity or reduction of breast size especially after a large lumpectomy in a small Breast, which I have learnt in UK and is becoming quite popular there as the size of both breasts remains same) After the surgery, chemotherapy is given (if not given before or courses not completed) the type of chemotherapy or targeted therapy varies according to the report. All lumpectomy and mastectomy for large and node positive cancers need radiation therapy too, which is given after the chemotherapy. Also depending upon the immunohistochemistry, targeted therapy (transtuzumab) May be advised for 1 year and hormonal therapy for 5-10 years. The follow up would be with annual mammogram, clinical examination with some blood tests. If found to be metastatic then treatment would be mainly chemotherapy and hormonal therapy, with surgery for good responders or in cases of bleeding, where radiation is the other option. Feel free to contact me directly if you want to share the reports or discuss this further.
Hi my mother is 61. She detects brest cancer. I am from Malda, Westbengal.wht should I do now? Any homeopathy doctor for ...
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The cure rates for breast cancer of early stage is in range of 90-95 % depending upon the type of cancer and the immunohistochemistry with proper treatment. If locally advanced, still the cure rates are 75-85%. In metastatic setting the cure rates are lower. She needs a proper evaluation by a breast surgeon, which entails a history and clinical examination with a mammography and an ultrasound if not done already. Mammography gives an idea about the whole breast and Opposite Breast. I prefer a core Biopsy, which gives an idea about the grade, type and immunohistochemistry of cancer, which is important for getting an idea about the prognosis and deciding the line of treatment. (I am not comfortable operating based on FNAC as it has false negativeâs aswell as false positives) If Cancer is locally advanced or some times in large operable wanting breast conservation surgery or some early Breast cancers which are Triple negative or Her 2 +ve, then upfront chemotherapy is preferred before surgery. If locally advanced or > 5 cms then we prefer doing a pet scan or a CECT abdomen and pelvis with a bone scan to rule out spread of cancer. Surgery for the breast may be lumpectomy or a mastectomy. Axillary surgery may be sentinel node biopsy or an Axillary nodal clearance. If conservation then the reconstruction could be with oncoplasty which approximates the Breast tissue to prevent deformity (but leads to smaller breast if large lump excised and needs mammoplasty of that breast as well as reduction of Opposite Breast), or using the latest chest wall perforator flaps (new technique to avoid deformity or reduction of breast size especially after a large lumpectomy in a small Breast, which I have learnt in UK and is becoming quite popular there as the size of both breasts remains same) After the surgery, chemotherapy is given (if not given before or courses not completed) the type of chemotherapy or targeted therapy varies according to the report. All lumpectomy and mastectomy for large and node positive cancers need radiation therapy too, which is given after the chemotherapy. Also depending upon the immunohistochemistry, targeted therapy (transtuzumab) May be advised for 1 year and hormonal therapy for 5-10 years. The follow up would be with annual mammogram, clinical examination with some blood tests. If found to be metastatic then treatment would be mainly chemotherapy and hormonal therapy, with surgery for good responders or in cases of bleeding, where radiation is the other option. The cost of surgery in my hospital is around 1.25 lacs. But if non affording then we have charity cell, who will assess your financial status based on your salary slip and income certificate and if weaker section, they may provide concession of 10-50% on the whole bill. Radiation can also cost around 2 lacs (if weaker section around 60k). Chemotherapy cost depends on the type of chemo according to the report. Will range from 1.2 lacs to 8 lacs depending upon the report of the patient. (if early cancer, we may be able to avoid chemotherapy) Feel free to contact me directly if you want to share the reports or discuss this further.
In my mother's breast there is a lump. In the FNAC report written as "breast cytology category c5 (malignant) with cytom ...
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I am afraid, but c5 malignacy means she is an unfortunate victim of the deadliest disease. It will be better to consult a breast onco surgeon at the earliest. Please remember, cancer cells grow and infiltrate in every seconds. So every second matters for treatment result. Good thing is breast cancer is treatable now a days.
My mother have a breast cancer I am very worry about it tell me abnouy the cancer and its treatment. ...
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Breast cancer is a very broad topic. The treatment depends on the stage of the cancer. And the receptor status of the tumor. The clinical examination will be followed by imaging with mammogram, ultrasound and rarely MRI and a core biopsy. If locally advanced then a pet scan or a ct scan with bone scan may be advised to rule out spread of cancer. If early stage breast cancer, the patient undergoes surgery for the breast (mastectomy or lumpectomy with or without reconstruction by implant, oncoplasty or autologous tissue transfer) and armpit (sentinel lymph node Biopsy, or sampling or Axillary lymph node clearance). Depending on the pathology report, the further treatment may consist of chemotherapy, radiation therapy and hormonal therapy (if ER/PR +ve). Radiation therapy is essential after a lumpectomy. After mastectomy, it depends upon the pathology report. If locally advanced then chemotherapy may be given first followed by surgery. If you want to share reports and discuss in detail the treatment for your mother, feel free to contact me directly.
My breast cancer position was stage 2 before 1 month ago is there any solution for protect cancer? ...
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Have you been operated for the breast cancer or on neoadjuvant chemotherapy for the same. If not, please show to a Breast Surgeon or a Surgical oncologist. They will examine you and ask for a mammogram and ultrasound with core biopsy. The core Biopsy gives the type of cancer, the grade of cancer and the IHC i.e. ER/ PR/Her 2 status. If large tumor or locally advanced cancer, they may ask for metastatic work up like PET CT scan or CECT Scan. Depending upon the tumour to Breast ratio, upfront surgery or neoadjuvant chemotherapy may be advised if considering breast conservation (neoadjuvant is usually advised for locally advanced breast cancer ). The surgery may be a mastectomy or breast conservation depending on focality, location, tumor to Breast ratio and response to chemotherapy and your choice. Oncoplasty is a norm after conservation now a days to improve cosmesis. Whole breast reconstruction with autologous tissue or implants is also offered to all patients after mastectomy. For the axilla, they may advise for sentinel node Biopsy if Clinically and sonographically negative or Axillary clearance if positive. Post op depending upon the report you may need chemotherapy with or without Herceptin, followed by radiation (radiation is mandatory after breast conservation. After mastectomy it depends on the pathology report) Hormonal therapy would also be advised for 5-10 years if tumor is ER/PR positive (which drug to start depends upon your menopausal status) Adjuvant Bisphosphonate May be advised depending on the report and menopausal status. The hormonal therapy has been shown to protect from hormone sensitive breast cancer. The two main risk factors for breast cancer are increasing Age and Female sex, which are non modifiable. Also about 10% of the Breast cancers are familial due to BRCA 1/2 gene mutation, who are also at risk of ovarian cancer and a few other cancers especially at a younger age and may be offered surveillance, prophylactic mastectomy with reconstruction or bilateral salpingo-oophorectomy. The other risk factors are: Early menarche, late menopause, no children or late children, no breast feeding, OC PILLS, HRT, alcohol, smoking and obesity, history of mantle cell radiation for lymphoma in past to chest wall. So lead a healthy lifestyle, breast feed your babies, but the main risk factors are non modifiable. Screening is a modality recommended for early detection of breast cancer. The earlier the cancer is detected, it has a better chance of cure and more over requires lesser treatment for the same (e.g may avoid mastectomy and chemotherapy) the minor disadvantage being that it may detect cancers that may not progress in lifetime of the patient but currently there are no means to identify which ones are those. Recommendations are Breast self examination (not proven to improve survival, but countries where women follow it have had increased awareness and improved survival in breast cancer) very 2-3 months. Examination by clinician every year beginning at age 20 years. Mammography every 2-3 years from age 45-75 years. I hope I was able to solve your query. Do not hesitate to contact me if you want to share your detailed reports and want advice on further treatment.
Is CEF is right chemo treatment nat ER +/PR + and Her 2- I am 41, unmarried, premenausal female. Diagnosed with Invasive ...
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Hello Lybrate user! LABC means locally advanced breast cancer- decided not only with tumor size but also changes of breast skin, involvement of lymph nodes, and inflammatory changes. 3 cycles of FEC/ CEF or 4AC as neoadjuvant (chemotherapy before surgery) chemotherapy is good to give to reduce size of tumor and control local decease and also in cases of breast conservation surgeries. After surgery they might start TC as adjuvant chemotherapy (chemotherapy after surgery. So it is one of the treatment. Once neoadjuvant and adjuvant chemo will finish you have to take hormonal therapy.
My mother is a diagnosed case of carcinoma right breast. Her surgery has been done on 28.05.2017 at Delhi where her infe ...
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According to above report treatment is surgery, chemo and Radiation. As radiation will also reduce chances of local recurrence. If patient is week or very old nonaffording that time you can avoid radiation. But it is always better to take radiation also in her-2 positive patients as chances of recurrence are high. As it was right side cancer radiation won't harm her much. One more thing if she is her 2 positive she should receive targeted therapy or trastuzumab also.
