Wednesday, July 13, 2011

if you had stage 1 breast cancer and clear margins with no ...

if you had stage 1 breast cancer and obvious margins with no proof of lymph nodes concerned would that imply?

Hey Darlin Dave! That?s a quite early cancer and just radiation would suffice?for now. I surely would not go with out any treatment method, that?s for confident. examine up on Cheryl Crow?s breast cancer same scenario and she did not have chemo. Just take care and I am going to be searching for you!

First of all how is it confirmed that its cancer? Consider to go for PET CT Scan the finest way to locate out. If its stage one then by Chemo & then medical procedures or radiation it can be controlled. Don?t forget now oral chemo has come out with less side effects.

certainly its sounds like an exceptional prognosis
Nevertheless my spouse died of breast cancer so , market the home , go into debt , go bankrupt and get the chemo.
If you does metastasize then the average time from diagnosis to loss of life is 6 months and the five 12 months survival charge is 15%

You hear about how the american technique fails people this is yet another circumstance, sooner Obama treatment commences , sooner people in america will end dieing

There is no way to know. Breast cancer can recur ten-15 several years later on. Normally if the woman does not want radiation a modified radical mastectomy is done. If a lumpectomy is done radiation is encouraged. Having a triple unfavorable cancer will increase her risk for recurrence. At one particular time we did not routinely give chemo with node damaging breast cancers and the ten year survival charge was about 65%. In this circumstance the woman?s age plays a factor. It?s one of those scenarios where the doctor?s suggestions are far more of a mix of art and science, as there are no steadfast rules. Like they instructed her it could go both way. Also, the chemo she would receive would not be the very same as Becky?s

Hi Dave
Denisedds is revealing her age a bit if she remembers when chemotherapy was not encouraged for node unfavorable breast cancers. That was the 1980?s
With a 1.25 cm primary lesion + apparent margins and a great axillary lymph node sampling showing no constructive nodes, the likelihood ~ ninety% that the breast cancer cells have not spread by way of the bloodstream.
That still leaves a ~10% threat that the cancer cells have spread and will cause recurrent disorder in the subsequent five, ten, fifteen, or twenty several years. So, if this individual receives adjuvant chemotherapy, she might decrease that ~ten% threat of recurrence to perhaps 5%. A 90% possibility that she is cured with out chemo vs a 94 to 95% opportunity that she will be cured with chemotherapy.

And here is the rub, Dave. Roughly 9 out of 10 women with this stage disorder do not will need the chemotherapy with all the expense and the toxicity which you are nicely informed of. But we do not know which ones are previously totally free of microscopic condition. So we now treat ten women to possibly aid one. I significantly disliked this portion of oncology ? the guessing that is a portion of the procedure. It would just take an hour to clarify this to a individual and her loved ones. Then they would have to decide what risk they ended up willing to consider. They would normally ask me, ?What would you do?? I could not remedy that. Only a individual faced with this risk can actually reply this. How a lot is one particular inclined to go by means of to optimize the odds of remaining free of long run breast cancer recurrence?

Even much more difficult is the simple fact that even people who go through aggressive adjuvant chemotherapy for breast carcinoma cannot be positive they are actually cured until finally about 20 several years go by. I think you know this all too well.

In adjuvant breast cancer remedy, we are treating disease we can not see ? condition which may well or may possibly not be there. Only when recurrent breast cancer develops many years later do we know which females had microscopic spread prior to the principal lesion was eliminated. The moment breast cancer recurs with visible metastatic lesions, it is no extended curable with chemotherapy. The time to deal with it with systemic chemotherapy is when it is too modest to be observed with any scans known to gentleman.

The option is up to the individual and the family
? but the present recommendation is to handle ten to perhaps support one.
In the 1980?s we felt that a ~ninety% treatment charge without chemotherapy was adequate.
Now the recommendation is to treat all to assist a few.
What do you feel?
Also, what age is this individual? That can make a big difference also.

Please be aware that recurrence rates for stage one, node detrimental disease differ from research to examine. As Denise says, triple negative is not excellent.
The information I have used is for functions of instance to make my points ? but these are near figures. If we go into all the variable data from numerous research we wind up confusing people even much more.

The option of regimens is one more guess. Denise says that the program would not be as aggressive as you wife?s therapy. That might or may possibly not be genuine. It depends on the oncologist. I favored a milder chemotherapy approach for folks who by now had a 90% opportunity of becoming cured with nearby treatment by yourself. I did not want 9 of ten females who were currently cured to have Taxol toxicity ? normally neurologic harm ? for the rest of their lives ? nor heart damage from the Adriamycin. I could have missed some probabilities for cures by using milder regimens. The guesswork is a significant tension for oncologists who treatment.

Additional notice ? ?Inverse Mushroom Cloud? has an exceptional individual response. Only people who have ?been there? can tell you what it is like. You and your spouse have been there. I suspect you will be a wonderful help to this friend.

This is a single of the far more tough situations to deal with.

Denise will give you the numeric evaluation ? Spree will give you the healthcare a single.

I am going to tell you as a survivor: if that had been my prognosis ? as a fifty 12 months aged female with the desire and desire to live one more twenty-thirty several years, I would most likely go with the chemo. If I had been 70 ? not so much. I would want to listen to the real pathology of the tumor: is it Grade 1 or Grade 3 ? extremely differentiated or poorly differentiated? I would want to know specifically what individuals cells appear like. If they are dividing rapidly and never search much like breast cells any more, I?d surely go for chemo.

I would usually decide on the possibility of knocking out cancer the Initial time it comes into my lifestyle. My staff selected to deal with my cancer fully, and I liked that approach. I?d rather knock it out completely now, than to reserve treatment options for a achievable recurrence.

I believe you have a broad array of solutions right here ? print out the web page and give it to your friend. I am positive one of the exceptional answers you have acquired will resonate with your good friend.

Additional: A woman in my bc assistance group was early Stage 2 but with no (recognized) node involvement. She was just diagnosed with bone mets to the pelvis and thigh. She did have chemo, and radiation, as effectively as surgical treatment. There is never any ensure.

If that was my prognosis I would nevertheless want to be confident the beast was dead. Certainly by all implies go for the chemo and radiation.

that it is probable that the cancer DID NOT enter the bloodstream?

A friend was just diagnosed with this and the oncologist mentioned it was up to them if they wished chemotherapy. (Which just does not look proper) but apparently the staff stated it could go possibly way. Figuring out the fees of what chemotherapy could do, I would say they are steep.

So do you think chemotherapy would be essential if margins were clear. Dealing with Triple Damaging Breast Cancer, stage 1. 1.25 cm.
Thank you all, I did print the responses so she could see what you all contributed. Our pal is in her early fifties and she is 75% sure she will undergo chemotherapy.

Holiday getaway wishes to all of you!

from your own site.

Source: http://www.gochemotherapy.info/archives/if-you-had-stage-1-breast-cancer-and-clear-margins-with-no-evidence-of-lymph-nodes-involved-would-that-mean.html

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