Treatments for Breast Cancer Stage
Breast cancer is a complicated disease. Every woman’s case is distinct. Your experience may be very different from those of friends or relatives who also had breast cancer. So there is no single “best” treatment. Only you and your team of health care providers can work out the best approach for you. No matter what treatment you have, you will need regular checkups to make sure that you’re staying healthy.
Doctors evaluate a woman’s breast cancer in part by determining how large the tumor is and how far it’s spread. This is called staging. It’s just a way of summarizing your current condition. There are five basic stages, 0 through IV, and a number of sub-stages.
Staging doesn’t tell the whole story. Other factors can affect your prognosis, such as the type of cancer, the speed with which the cancer is growing, your general health, your age, whether you had breast cancer before, and whether female hormones affect the cancer’s growth.
If you know the stage of the disease that you have, you can use this quick guide to see what kinds of treatments might help.
Treatment Options for Stage 0 Breast Cancer
When needed, treatment for stage 0 breast cancer is very successful. The five-year survival rate is about 100%. This very early stage of the disease is not always actually breast cancer. Instead, it’s often a precancerous condition. Treatment isn’t always needed, and close observation may be enough. Treatments differ depending on what kind of stage 0 cancer you have. Ductal carcinoma in situ (DCIS) or intraductal carcinoma is one type. In this condition, abnormal cells appear in the ducts of the breast. Sometimes, these cells become cancerous. That’s why it’s key to get treatment now. Here’s a list of the typical treatments:
* Surgery is a standard. For smaller tumors, you might get a lumpectomy, in which only the abnormal cells and some of the tissue are removed. Some women choose a mastectomy, in which the entire breast is removed. After a mastectomy, you might choose to have breast reconstruction surgery.
* Radiation therapy is standard treatment after a lumpectomy. Radiation therapy attacks any abnormal cells that might have been missed and decreases the risk of another cancer.
* Hormone therapy with tamoxifen after surgery may also help prevent cancer from developing in the same or opposite breast.
Lobular carcinoma in situ (LCIS) is the other type of stage 0 breast cancer. LCIS develops when abnormal cells appear in the lobes of the breast. Most women don’t need treatment right away. However, LCIS raises the risk of getting cancer. So it’s key to have frequent checkups with your doctor. Here are some treatment options:
* Hormone therapy with tamoxifen to lower the risk of developing cancer.
* Bilateral mastectomy — the removal of both breasts — is another option. Some women choose this approach because they are worried about getting cancer. They might have certain risk factors, like a strong family history of breast cancer. After surgery, you might choose to get breast reconstruction surgery. However, experts think that a bilateral mastectomy is a more extreme approach than women usually need.
Treatment Options for Stage I Breast Cancer
This is a very early stage of breast cancer. The cancer hasn’t spread beyond the breast at all. So you have a number of good treatments to choose from. The eight-year survival rate for women with stage I breast cancer is about 90%. This doesn’t mean that these women will only live eight years. Doctors just measure success rates for cancer treatment by seeing how women are doing five to 10 years after treatment. Women usually do well with a combination of treatments. Here are your basic options:
* Surgery is a standard. Since the tumor is still small, you may get a lumpectomy. In this procedure, just the tumor and some of the surrounding tissue are removed. Some women get a mastectomy, in which the whole breast is removed. In either case, the surgeon will likely take out one or more of the lymph nodes. After a mastectomy, you might choose to get breast reconstruction surgery. Surgery treats the disease doctors are aware of. The other treatments of radiation, chemotherapy, and/or hormone therapy are considered “adjuvant” (added) treatments for or hidden disease. They are used to reduce risk of breast cancer recurrence.
* Radiation therapy is standard after a lumpectomy. It can kill off any cancer cells that were missed. Women with stage I cancer who get a mastectomy don’t usually need radiation.
* Chemotherapy is treatment with drugs that attack cancer cells. It’s often used after surgery to lower the risk of the cancer coming back. Women who had larger tumors are more likely to need it.
* Hormone therapy is sometimes used after surgery in women who have hormone receptor-positive cancer (tumors whose growth seems dependant on estrogen). In these women, hormone therapy drugs can prevent the tumor from getting the hormone it needs to grow. These drugs include tamoxifen for premenopausal women and aromatase inhibitors like Arimidex, Femara, and Aromasin for postmenopausal women. Women who haven’t reached menopause may consider having their ovaries removed or taking drugs to stop them from making hormones that help cancer grow. Again, women with larger tumors are more likely to need hormone therapy.
* Biological therapy is another approach. In about 25% of women with breast cancer, an excess of a protein known as HER2 makes the cancer spread quickly. Herceptin is a new drug that’s been approved to treat women with metastatic breast cancer that is HER2 positive. It stops this protein from making the cancer grow and makes chemotherapy more effective. It is most often used in combination with chemotherapy. Studies have led to its use in early breast cancer.
* Clinical trials are open to many women with stage I cancer. A clinical trial may allow you access to cutting-edge treatments. Many new therapies — new drugs, new treatments, and new combinations — are in clinical trials now. Keep in mind that any successful treatment we have now started out in a clinical trial.
Source: webmd.com
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