For most women with early-stage invasive breast cancer, mastectomy or lumpectomy with radiation are equally good options. Having one or the other makes no difference in how long you will live. Since both choices provide the same medical outcome, your choice depends on how you feel about: .
How your body looks after your surgery—your appearance.
How much time and energy your treatment involves and how much it disrupts your life.
The chance that your cancer might come back in the breast or breast area (local recurrence).. .
Health Dialog honors Breast Cancer Awareness Month by making our decision aid for Early Stage Breast Cancer available during October 2010: .
http://www.healthdialog.com/go/BCAM. .
This video was produced jointly by Health Dialog and the Foundation for Informed Medical Decision Making.
In this ‘How To’ educational video, Fatima Cardoso explains how to use endocrine therapy in premenopausal women with ER-positive, HER2-negative early breast cancer. Risk characteristics and patient compliance are important factors when proposing and selecting treatment together with the patient.. Produced by the European Society for Medical Oncology. http://oncologypro.esmo.org
Paul Fowler, MD, Chief, Department of Radiation Oncology, MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital discusses IORT, Intraoperative Radiation Therapy and radiation cancer treatment. To learn more about Intraoperative Radiation Therapy: http://ow.ly/TUQ0T
A new study has found that women who received lumpectomies and mastectomies for very early stage breast cancer had similar survival rates to those who had less radical treatments. Dr. Steven Narod of the Women’s College Research Institute and Dr. Monica Morrow of Memorial Sloan Kettering Cancer Center discuss the findings with Judy Woodruff.. View the full story/transcript: http://www.pbs.org/newshour/bb/study-raises-questions-treatment-early-breast-cancer/#transcript
We teach you how invasive breast cancer can threaten your life and guide you to the key information you need to know to get the best possible treatment.. VISIT THE BREAST CANCER SCHOOL FOR PATIENTS:. http://www.breastcancercourse.org. LIST OF QUESTIONS FOR YOUR DOCTORS: http://www.breastcancercourse.org/breast-health-updates-latest-videos/. FOLLOW US: Facebook: https://www.facebook.com/Breast-Cancer-School-for-Patients-958519147618444/. _ Questions for your Breast Cancer Specialists: 1. What is invasive breast cancer? 2. What type of breast cancer do I have? 3. What is the chance I will die of my breast cancer? 4. What are my receptor results? 5. May I have a copy of my pathology report? 6. Do I qualify for genetic testing? 7. What is invasive breast cancer? Invasive breast cancer is defined by breast cells that grow abnormally fast and have developed the ability to spread beyond the breast to other parts of the body. It can take years for breast cells to slowly develop the genetic changes (mutations) to change from a normal cell to an invasive cancer cell. But once they do, some spread more rapidly and others grow very slowly and may not spread at all beyond the breast. Invasive breast cancer can threaten your life.. . “Non-invasive” breast cancer are cells that also grow abnormally fast, but cannot yet spread beyond the breast to threaten someone’s life. Ductal Carcinoma In-Situ (DCIS) is an example of non-invasive breast cancer and is generally categorized under “breast cancer” by most organizations. It is covered in our “Non-invasive DCIS” lesson and is more of a “pre-cancerous” condition.. . Important facts if you have an Invasive Breast Cancer: Treatments can cure 90% of all women with breast cancer. The majority of all patients are diagnosed at an early stage. Surgery, hormonal therapy, chemotherapy, and radiation are treatment options. You have time before choosing a treatment pathway. You may qualify for genetic testing. . Types of invasive breast cancer: Infiltrating Ductal Carcinoma is the most common (70%) type of invasive breast cancer. It is called “ductal” because the cancer cells originate from the cells lining the milk ducts. There are many other factors beyond “type” of cancer that are important.. . Infiltrating Lobular Carcinoma occurs in less than 20% of patients. It is called “lobular” because the cells originate from the “lobules” of the milk ducts. Lobular cancers are no worse or better than invasive ductal cancers from a survival perspective. There are some unique features of lobular cancers that can affect diagnosis and treatment. Ask you physician how an invasive lobular carcinoma is different from an invasive ductal carcinoma.. . Other types: Inflammatory Breast Cancer (5%) is a very aggressive cancer. Colloid and Mucinous (3%) are considered less aggressive breast cancers and carry a lower risk to one’s health. There are other less common types of invasive breast cancer that we have not covered.. . What is the chance I will die of my cancer? Most women just diagnosed with breast cancer have no idea how much of a risk to their life their unique situation poses. Any invasive breast cancer does impart some level of risk to your life. However, this risk is usually less than you would assume.. . Why are “receptors” important? Receptors are tiny proteins on the surface of the cells that act like “light switches” that can turn on and off cancer cell growth. The Estrogen receptor (ER), Progesterone receptor (PR) and HER2 receptor results are incredibly important for you to know and understand. Take our lesson on “My Tumor Receptors” to learn the essentials.. . How do you treat invasive breast cancer? The most common first treatment for early stage invasive breast cancer is surgery, possibly followed by chemotherapy, radiation therapy, and then hormonal therapy. Breast cancer treatment is incredibly complex and there can be many different approaches to the same type of breast cancer. There are some situations that are better treated by “neoadjuvant chemotherapy” as a first treatment rather than surgery. The Breast Cancer School for Patients was created to help you to make the best treatment decisions with your breast specialists in your community.. . You may qualify for genetic testing. Invasive breast cancer is known to be associated with the BRCA gene mutation. The BRCA (Breast Cancer) gene is commonly referred to as “The Breast Cancer Gene.” If someone inherits a broken version (mutation) of this gene at conception, they carry a very high lifetime risk of breast cancer and ovarian cancer. Most breast cancers are not the result of the BRCA mutation. In fact, it is estimated that the BRCA and similar genetic mutations cause only 10 to 15% of all breast cancers. It is important to ask your physicians if you meet the guidelines for genetic counseling and testing. Take our “BRCA Genetic Testing” lesson to learn more.
Download from iTunes: https://itunes.apple.com/us/itunes-u/young-breast-cancer-patients/id431848216?i=214122437. More than one third of younger, early stage breast cancer patients undergo unnecessary imaging procedures including position emission tomography (PET), computed tomography (CT), nuclear medicine bone scans (NMBS) and tumor markers (TM) at the time of staging and diagnosis. Carlos Barcenas, M.D., assistant professor, Breast Medical Oncology and Sharon Giordano, M.D., professor, Breast Medical Oncology and professor and chair of Health Services Research, at MD Anderson Cancer Center, discuss this study.
Dr Siddharth Sahn presents a talk on ‘The treatment of early stage breast cancer’ at the Choosing wisely: Value Added Cancer Care for India event in New Delhi.. Sign up to ecancer for free to receive tailored email alerts for more videos like this.. ecancer.org/account/register.php
:FRIDAY, Oct. 9, 2015 (HealthDay News)—American women with an early, noninvasive stage of breast cancer are increasingly opting for less extensive surgery, a new study says. Women Choosing Less Aggressive Treatment for Early Breast Cancer | HealthyWomen. In general, less aggressive treatment became more common during the study period.
Rates of single breast removal (mastectomy) fell from about 45 percent to 19 percent, while rates of lumpectomyand. In the past, most women who’d been diagnosed with breast cancer had been advised to have aggressive chemotherapy in addition to surgery, radiation and hormonal therapies, but. Adjuvant chemotherapy clearly improves survival for women with early-stage breast cancer. 1 Women age 50 to 69 years with breast cancer will achieve a 20% proportional reduction in the risk of recurrence and an 11% proportional reduction in the risk of death if they receive adjuvant polychemotherapy.
1 However, there are limited data on the benefit of chemotherapy in women age 70 years or older. Survival for these women isn’t higher than it is for women choosing less aggressive options like lumpectomy. Also called breast-conserving surgery, only a portion of the affected breast.
Women with advanced breast cancer may be a step closer to an NHS blood test that tells them which personalised treatment they need.. There are around 35,000 women in the UK with advanced breast. That means women usually require less aggressive treatment and, as a group, have a better prognosis and lower risk of recurrence. “Most postmenopausal women are likely to derive the effects they need from antiestrogen therapy,” says Weiss. These drugs, usually taken once a day, prevent cancer cells from being stimulated by estrogen. As the point of first contact for breast cancer patients, surgeons have a tremendous influence on how patients choose treatment options.
Which is why Shumway thinks they could play a crucial role in counseling older women about options for less aggressive therapy. Unfortunately, women over 65 who are diagnosed with early onset breast cancer are more likely to pass away due to the disease. Women in that same age group are more likely to have the cancer recur, as well. More than 40,000 women die from breast cancer every year.
Most breast cancers in older women are low-grade, less aggressive “early” cancers; and in most cases, breast conservation surgery (lumpectomy) is.
List of related literature:
Hormone replacement therapy and risk of breast cancer with a favorable histology: results of the Iowa Women’s Health Study.
Much research is being done in an effort to identify those 30% of women destined to relapse and ultimately die of met— astatic breast cancer, so that aggressive chemothera— peutic “adjuvant” therapies can be directed toward that high risk subset, and thus sparing the cured 70% the toxic side effects of chemotherapy.
This information helps personalize breast cancer treatment and determine which women need aggressive systemic treatment for high-risk cancers and close surveillance for dormant tumors.
In the Iowa Women’s Health Study, only one type of breast cancer—invasive breast cancer with a favorable histology cell type—was found to have a slightly increased risk in women using hormone therapy.
This approach assumes that breast cancers identified through screening will be smaller, have a better prognosis, and require less aggressive treatment than cancers identified by palpation.
Most women older than 50 years of age with newly recognized metastatic breast cancer are treated initially with hormonal therapy, because it is usually effective and has fewer side effects than chemotherapy.
from Medicine by Mark C. Fishman Lippincott Williams & Wilkins, 2004
Women with a substantially elevated risk of developing another breast cancer in the future may opt for a more aggressive risk-reducing surgical approach, such as bilateral mastectomy.
Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.
I was having a similar problems but today is a joyful day of my life, Because I was having a heart CANCER since 2 years now. I spent so much on drugs from different specialist and general hospital and all was in vain. No result.
When i come across an article on health forum i saw a post about Dr Tugala how he cure CANCER with Herbal Natural Remedies, I decided to seek his attention, i sent him a message on EMAIL and he responded to me. i explain my heart problem and he told me not to worry that everything will be fine.
He sent me his Herbal Natural Remedies via DHL delivery company. and he gave me an instruction how to use them. in 2 weeks of his medication i feel so relief and i am back to my feet again, my doctor is surprised and everyone is surprised asking questions how it happen. To be honest with you God is never too late to send our helper to us. Dr Tugala is a God sent to help me back to my feet again. I think this articles can also help someone. you can contact Dr Tugala on his direct whatsapp or email below.
My breast cancer Dr. Got upset I sought out a 2nd opinion from Mayo Clinic, they recommend radiation, my primary breast cancer Dr. Has failed to refer me.
Daughter age 45 is in full remission from Her2pos. Her tumor was stage 4 having jumped to liver. Finished many cycles of Taxol and has continued Herceptin and Perjecta. Became borderline heart failure and blockers have stopped till ejection ratio gets to 55. Will then resume blockers and continue heart med. What is typical length of time on Herceptin and Perjecta in your experience? This site is a God-send. Wish I had found it sooner. Thank you!
My 86 y/o mother was just biopsied and was told she will need surgery and radiation. Her oncology consult is on 9/4/19. Is her age a factor for a good prognosis?
I was stage 2 with no lymph nodes jnvolment but got a dr who left me go to stage 4 in 6years because she said I was to healthy looking and never gave me a scan in 6 years,only seeing me once a year. my pcp dr. found the bone cancer. Then she said she would give me a scan to see where else I had it. my lungs were full and I blame her
I just found out 30 min ago a coworker that sits next to me every day has stage 3 breast cancer and is getting Radiation treatments at 4am in the morning. My mom died of it so this hit me like a rock dropped on my head. I wanna scream cry yell at God for allowing cancer to kill us at a young age like her. Damit this sucks so much. Damit I feel soooo sad for her now.she has young kids. Damit!
I have stage 4 mastetic cancer spread to my organs and bones even my skull I didn’t want chemotherapy but I’m fighting for life and I’ll do anything started chemotherapy pills recently will do a PET scan in March to see what’s going on sadly enough I started of with only breast cancer I did chemotherapy my surgeon was pregnant and going on maternity leave I wanted a double mastectomy but she was adament on a limpectom all said and done what was two spots on my breast and one only one lymph node after surgery she informed me I had 12 positive lymph nodes went on hormone therapy and she even went on to say in her words your cancer free!! I went to the oncologist every month because I have a condition where my bloods clots so I needed to go on treatment for menopausal women I had to take an injection every month for this and took pills everyday I had blood work done and CT scan MRI for various reasons the last scan was a MRI of the breast cause I felt a lump but the Dr said it’s scar tissue moving forward a few months later I started getting tired more than usual and breathing was labored I thought I had Pneumonia went to the emergency room in a different hospital only to my horror to find out I had after doing a CT scan cancer in my lung which I was explained by my new oncologist after testing further I have stage 4 cancer that has metastasized to my lung,liver,tumor in my kidney and it’s also in my bones including spine,ribs and skull I was told I had to have it for at least a year or more I very upset that my old oncologist did not pick up on it if she had I would of not been this far gone ��
What I don’t understand is, if the long-term survival for all three procedures is the “same”, how is it that a “local recurrence” for lumpectomy and radiation “slightly higher” than for the other two treatments? Isn’t a local recurrence affect one’s long-term survival in a negative way?
It would be helpful if you could explain more about survival rates. Learning as you state here that a high percentage of women survive for five years doesn’t actually make me confident. Five years is a pretty rubbish scenario from my perspective as someone newly diagnosed with HER2 neg, PR/ER+ stage 2 Cancer. Does research not provide info beyond 5 year rates of survival? I reckon I’m going to spend like there’s no tomorrow if nobody can say I’ll be around after just 5 years. And I was told I had a favourable tumour. After watching this, I don’t think so. 5 years ain’t favourable.
My mother was just diagnosed with invasive ductal carcinoma. We are still in the midst of the Covid crisis, and are very nervous about having access to the right care plan while dealing with the Pandemic. You have put some of my fears at ease. Thank you for your calm manner and for helping get this information out in the world.
Truly informative and easy to understand I’m a 5 years survivor of stage 4 breast cancer and by learning and listening to your class was able to realize that I made the best decisions for me by removing both because of my history in my family for breast cancer. Thank you for your honorable service.
I was diagnosed with invasive ductal carcinoma stage 3 Aug. 13th no insurance. bad marriage home life sux.I just now got help with treatment but haven’t started treatment or had masecotmy. I’m scared. Should be starting in a week or two.
You helped me a lot to calm down. I’m at work and I can’t control my tears. The oncologist ordered the BR bloodwork, Echocardiogram and pet scan. I’m waiting for the scan to be appealed by the insurance. Thank you because I start chemo next week
My male friend is 31 years old now, he has lump in his left breast since when he was 23, he does not feel any pain on else he over press the hard lump (he will feel pain for like a month). He has discussed it with three doctors but they told him he has nothing to worry about on else he just want to remove it. My question is how long does it takes to know if lump is cancerous and what are the negative effects of this in future?
Thanks for sharing this video. You have brightened my day. I will listen to your videos, to educate myself from my experience. Your video explains pretty much everything. ��
Since I have been diagnosed, you have put my mind at rest, your voice is amazing, you speak so well Doctor and you have given me so much hope. Thank you.
Dr, it’s so Kind of you to do your best, dadicating your time, making sure that we, the patient, understand what’s happening to our body. I learn so much from your schools than I’ve ever learned since 1980, my sisters and I, we’ve been dealing with b.ca. Your teaching is a precious gift and I am so grateful to find you on youtube. May God bless you! By the way
Very informative upload MammaPrint is a breast cancer recurrence test that helps patients and their doctors determine the best type of breast cancer treatment is right for them, which could be between some of the ones discussed.
I was having a similar problems but today is a joyful day of my life, Because I was having a heart CANCER since 2 years now. I spent so much on drugs from different specialist and general hospital and all was in vain. No result.
When i come across an article on health forum i saw a post about Dr Tugala how he cure CANCER with Herbal Natural Remedies, I decided to seek his attention, i sent him a message on EMAIL and he responded to me. i explain my heart problem and he told me not to worry that everything will be fine.
He sent me his Herbal Natural Remedies via DHL delivery company. and he gave me an instruction how to use them. in 2 weeks of his medication i feel so relief and i am back to my feet again, my doctor is surprised and everyone is surprised asking questions how it happen. To be honest with you God is never too late to send our helper to us. Dr Tugala is a God sent to help me back to my feet again. I think this articles can also help someone. you can contact Dr Tugala on his direct whatsapp or email below.
CONTACT …… EMAIL: [email protected]live.com
WHATSAPP WHATSAPP +2348111959371 0R +917838753914
My breast cancer Dr. Got upset I sought out a 2nd opinion from Mayo Clinic, they recommend radiation, my primary breast cancer Dr. Has failed to refer me.
Daughter age 45 is in full remission from Her2pos. Her tumor was stage 4 having jumped to liver.
Finished many cycles of Taxol and has continued Herceptin and Perjecta.
Became borderline heart failure and blockers have stopped till ejection ratio gets to 55. Will then resume blockers and continue heart med.
What is typical length of time on Herceptin and Perjecta in your experience? This site is a God-send. Wish I had found it sooner. Thank you!
My 86 y/o mother was just biopsied and was told she will need surgery and radiation. Her oncology consult is on 9/4/19. Is her age a factor for a good prognosis?
I was stage 2 with no lymph nodes jnvolment but got a dr who left me go to stage 4 in 6years because she said I was to healthy looking and never gave me a scan in 6 years,only seeing me once a year. my pcp dr. found the bone cancer. Then she said she would give me a scan to see where else I had it. my lungs were full and I blame her
I just found out 30 min ago a coworker that sits next to me every day has stage 3 breast cancer and is getting
Radiation treatments at 4am in the morning. My mom died of it so this hit me like a rock dropped on my head. I wanna scream cry yell at God for allowing cancer to kill us at a young age like her. Damit this sucks so much. Damit I feel soooo sad for her now.she has young kids.
Damit!
I just got a call from my dr saying in have a invasive breast cancer. Thank you for this video it calmed me down. I’ll see me dr at 7am in the morning
I have stage 4 mastetic cancer spread to my organs and bones even my skull I didn’t want chemotherapy but I’m fighting for life and I’ll do anything started chemotherapy pills recently will do a PET scan in March to see what’s going on sadly enough I started of with only breast cancer I did chemotherapy my surgeon was pregnant and going on maternity leave I wanted a double mastectomy but she was adament on a limpectom all said and done what was two spots on my breast and one only one lymph node after surgery she informed me I had 12 positive lymph nodes went on hormone therapy and she even went on to say in her words your cancer free!! I went to the oncologist every month because I have a condition where my bloods clots so I needed to go on treatment for menopausal women I had to take an injection every month for this and took pills everyday I had blood work done and CT scan MRI for various reasons the last scan was a MRI of the breast cause I felt a lump but the Dr said it’s scar tissue moving forward a few months later I started getting tired more than usual and breathing was labored I thought I had Pneumonia went to the emergency room in a different hospital only to my horror to find out I had after doing a CT scan cancer in my lung which I was explained by my new oncologist after testing further I have stage 4 cancer that has metastasized to my lung,liver,tumor in my kidney and it’s also in my bones including spine,ribs and skull I was told I had to have it for at least a year or more I very upset that my old oncologist did not pick up on it if she had I would of not been this far gone ��
What I don’t understand is, if the long-term survival for all three procedures is the “same”, how is it that a “local recurrence” for lumpectomy and radiation “slightly higher” than for the other two treatments? Isn’t a local recurrence affect one’s long-term survival in a negative way?
It would be helpful if you could explain more about survival rates. Learning as you state here that a high percentage of women survive for five years doesn’t actually make me confident. Five years is a pretty rubbish scenario from my perspective as someone newly diagnosed with HER2 neg, PR/ER+ stage 2 Cancer. Does research not provide info beyond 5 year rates of survival? I reckon I’m going to spend like there’s no tomorrow if nobody can say I’ll be around after just 5 years. And I was told I had a favourable tumour. After watching this, I don’t think so. 5 years ain’t favourable.
My mother was just diagnosed with invasive ductal carcinoma. We are still in the midst of the Covid crisis, and are very nervous about having access to the right care plan while dealing with the Pandemic. You have put some of my fears at ease. Thank you for your calm manner and for helping get this information out in the world.
My breast cancer Dr. Got jumpy excited that my bone tumor had tested positive for GATA 3 says this is breast cancer…my the research disagrees…
Truly informative and easy to understand I’m a 5 years survivor of stage 4 breast cancer and by learning and listening to your class was able to realize that I made the best decisions for me by removing both because of my history in my family for breast cancer. Thank you for your honorable service.
Dr W, Thank you from the bottom of my heart for doing these videos. You’re a very calming person in a difficult time for a lot of women. ������
My Mother diagnoised invasive ductal carcinoma grade 2 under her arm at right side of breast. i get her report 8 jun 2020. plz guide me.
I was diagnosed with invasive ductal carcinoma stage 3 Aug. 13th no insurance. bad marriage home life sux.I just now got help with treatment but haven’t started treatment or had masecotmy. I’m scared. Should be starting in a week or two.
You helped me a lot to calm down. I’m at work and I can’t control my tears. The oncologist ordered the BR bloodwork, Echocardiogram and pet scan. I’m waiting for the scan to be appealed by the insurance. Thank you because I start chemo next week
My male friend is 31 years old now, he has lump in his left breast since when he was 23, he does not feel any pain on else he over press the hard lump (he will feel pain for like a month).
He has discussed it with three doctors but they told him he has nothing to worry about on else he just want to remove it.
My question is how long does it takes to know if lump is cancerous and what are the negative effects of this in future?
Thanks
Thanks for sharing this video. You have brightened my day. I will listen to your videos, to educate myself from my experience. Your video explains pretty much everything. ��
Since I have been diagnosed, you have put my mind at rest, your voice is amazing, you speak so well Doctor and you have given me so much hope. Thank you.
Dr, it’s so Kind of you to do your best, dadicating your time, making sure that we, the patient, understand what’s happening to our body. I learn so much from your schools than I’ve ever learned since 1980, my sisters and I, we’ve been dealing with b.ca. Your teaching is a precious gift and I am so grateful to find you on youtube. May God bless you! By the way
Very informative upload MammaPrint is a breast cancer recurrence test that helps patients and their doctors determine the best type of breast cancer treatment is right for them, which could be between some of the ones discussed.
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