I was Stage II. 3 out of 11 nodes had cancer. I chose mastectomy with chemo. My hormone testing was contaminated. I regret nothing. Cancer was 33 years ago.
I'm also staged to be. I had two out of three lymph nodes with microscopic cancer and it. I chose to have chemotherapy when they said I didn't have to have it but I could have it so I took it. and then I had a lumpectomy and it had a recurrence six months later so they gave me a mastectomy and advised me to have more chemotherapy. I declined more chemotherapy I was done with that. so I sort of had what you had chemotherapy in mastectomy but it just seems like the chemotherapy didn't work. it did slowed down Mike Kay I-57 marker the number went down so the cells were proliferating more slowly.
You have a calming voice, thank you for your'e advice, my daughter has just been diagnosed with stage 2 breast cancer, our family are all in shock, no cancers in our family just heart disease. I feel a little better after listening to the treatment options you have explained. Thank you so much.
Thank you for your explanation! I was diagnosed with triple negative stage 2 breast cancer- invasive ductal carcinoma. I did 4 sessions of chemo and right before starting the 12 weekly sessions, I had a stroke. I was then diagnosed with pneumonia, sepsis, AFIB, and atrial septal defect (hole in my heart). A few months after my discharge from rehab, I had my lumpectomy and heart closure surgery. I restarted chemo where I left off in January. My white blood keeps lowering then after a 2 week break it goes up. I had another break. I'm getting the booster, starting it out tomorrow. Also did genetic testing and I had no known cancer genes. The doctor said I just had bad luck. Of course, I do. But I'm still here!
@@yerbba I don't know why I'm still here but I am. I had chemo session #10 yesterday and only 6 more to go and I'll be done. Taking the Nivestym shot has helped.
Wow!! You’re a trooper! I was diagnosed with the same stage as you. I removed both breasts two months ago!! Its been a journey!! When the doctor told you that you just have bad luck I believe there’s more too it spiritually. There’s a war going on in the spiritual realm and we have enemies !! We can fight them and win them tho! All through the power resurrection and blood of Jesus Christ!! Are you aware?❤
@🔥Victoria⚔️ I had prepared myself for a double mastectomy if it was recommended based on my genetic testing. A higher power made sure I came back after my strokes. Thank you for your kind words.
@@fabbyk31 ❤️oh yeah!! A higher power indeed!! This world is not done with you woman!! Your story needs to be heard. What’s your religious beliefs? Grew up with any specific beliefs? When preparing for a mastectomy there’s so much preparation… well at least for me… especially emotionally!! I cried a lot.
My mom just got diagnosed with TNBC stage 2 and this video helped inform me with what to expect and how to help her through her treatment. Thank you for making this video!
It's good to have these videos since in the US getting a doctor to spend more than two minutes with us is very difficult. "Healthcare" here is corporatized, and profits lie in quantity, not quality.
me too. i try not to be disturbed being diagnosed with stage 2 cancer after my surgery...i know that stress is not good...but sometimes cant help with this sad feeling. thats why i am always listening to happy music whenever i feel sad. and praying really helps. God bless everyone.
I have stage 2 b cancer. I do chemotherapy first 4x and biologically 4 x before surgery. 5cm size my tumor and my breast small. I Allred done 2x chemo. I feel the tumor.become smooth
Thank you for watching. You're absolutely right...cancer can be a challenging and sensitive topic, and there is unfortunately still a lot of stigma surrounding it. We are hoping to eliminate this stigma.
It's great that your friend is managing her breast cancer with medication and regular checkups. Support from friends like you is so incredibly valuable during this time.
I have stage 2 grade 3 invasive dual carcinoma. My lymph node are not infected, and the cancer hasn’t spread to any other parts of my body and my oncologist still wants to give me chemotherapy.
There is benefit of chemotherapy to someone with Stage II (2) breast cancer with a high tumor grade. The purpose of chemotherapy is to decrease the risk hat the cancer comes back in other parts of the body. For some people, the reduction in risk is substantial. The estrogen receptor status and HER2 status would be worth asking about as these can also predict benefit from chemotherapy.
@Funny-bonny I also was stage 2, grade 3 but I did have 2 out of 9 positive lymph nodes. I did chemo because I was 43 and premenopausal and my oncologist felt like this was the best course for me. My radiation oncologist told me that if you have 4 or more positive lymph nodes they always suggest radiation, however even though I only had 2 positive nodes he said radiation would benefit me and actually lower my risk of recurrence even more. I did a double mastectomy, chemo and radiation and because my Lupron shots is continuing to raise my blood sugar, I will be doing a risk reducing hysterectomy so I will no longer have to take the Lupron. You have to weigh the pros and cons of treatment, but most importantly have a good medical team that supports you and your decisions! Good luck to you!
It was the drain tube that causes the pain after surgery. A pilow under your arms and a small lift of your upper body would help you relax during the sleep 😊
Thank you for sharing! Using a pillow under your arms and elevating the upper body can definitely make a big difference in comfort post-surgery. These tips are so helpful for anyone recovering from drain tubes!
I'm an eye doctor age 63 years in this month iwas diagnosed Ductal mammary carcinoma stage || ,4 lymphic nods had canser , imade surgery, but idont want chemotherapy
Oh, we do wish you weren't going through this. It is quite uncommon for people to actually want chemotherapy to be honest. Make sure that you understand why chemotherapy is being given, the benefits in your particular case, and the risks and benefits. It may be helpful to talk with someone other than your medical team, such as a support group. Wishing you all the best.
Stage II includes tumors that are as small as 2.1 cm (less than an inch) or as large as 5 cm (about 2 inches). In addition, the lymph nodes may be positive or negative. We break Stage II down into A and B to refine the grouping a little more. Once there are 4 or more positive nodes, the cancer is Stage III.
Thank you. It would have been helpful to have had this info before surgery. I have felt on left foot playing catchup with information regarding possible complications and treatment of scaring. Good clear explanations.
My eye lashes fell completely out after chemo therapy. 2 months after they grew very intensely. Suddenly now they‘ve fallen out again. Don‘t understand why? Only my eye lashes. I‘m still on Herceptin.
We've seen this happen in about 1 in 100 people. Your lashes should grow in again, and it's not uncommon for them to fall out a third time before staying for good. We don't know why this happens, but it is a real thing. Thank you for watching and sharing your experience.
@@yerbba Thank you so very much for explaining it to me and calming me down with your answer. My oncologists (they are pretty young) couldn’t give me an answer. Yes, you‘re right. The first lashes fell out completely but second ones have grown back. But unfortunately their growth has stopped!! Now my new lashes are only half of the length of my original ones. Also my hair on my head stopped growing. At the beginning all my hairs came out so strong and fast but not the growth has stopped. But when it comes to my hairs on my head, I‘m lucky that they haven’t fallen out like my lashes.
Yup, that's the stages of treatment my oncologist told me. I did a mastectomy and breast reconstruction. My first chemo cycle went well. I only had loss of hair. Second cycle June 7th, hoping that goes well like the first cycle.
Node removal sucks big time. It’s not just some range of motion restriction. Downplaying the effect only causes more distress after surgery. Truth is better. From what I’ve seen, very few people don’t get mouth sores, in my extensive cancer circle anyways. Please don’t downplay side effects. Your gentle speech is nice. Cheers.
Your stating truth. Radiation has lots of side affects that don't go away as to were CHEMO SIDE EFFECTS GO AWAY AFTER ABOUT 6 MOS. BUT RADIATION STAYS SOMETIMES A LIFE TIME, AS I DO MORE RESEARCH.
What if the report says PT2N0 cancer hasn’t spread to the lymph nodes our Doctor has recommended us to go for 8 cycles of Chemotherapy we have completed 4 cycles so far is it mandatory to complete 8 cycles of chemo and complete rest of the treatments like Radiation and Hormone therapy?
It sounds as if you have a higher-risk tumor based not on stage but rather on the features of the tumor such as the hormone receptors. In people whose tumors do not have the hormone receptors, 8 cycles of chemotherapy are generally superior to 4 cycles. If the tumor has hormone receptors, a shorter course is generally recommended all else being equal.
I’m 28, was diagnosed with IDC stage 2 Er positive Her2 positive 2 weeks ago. I’m waiting on my mri, ct scan, genetics test to come back & I have to get a bone scan still. It’s so much information I’m getting confused & scared, I meet with my team Wednesday & have the port scheduled for the week after. What are some questions I need to be asking I’m so lost 😢
It’s completely normal to feel overwhelmed when so much is happening all at once. When you meet with your team, focus on asking questions to better understand your diagnosis, treatment plan, and long-term care. For example, ask what your test results mean, why specific treatments are recommended, and how side effects will be managed. Don’t hesitate to ask for clarification-it’s your health, and you deserve to feel fully informed and supported. If you’re in the U.S., the Yerbba Report can provide a personalized overview of your diagnosis, showing how treatments align with your tumor characteristics and overall health. It also recommends important questions tailored to your treatment plan and concerns, helping you prepare for appointments and ensuring you have the tools to advocate for yourself throughout your care journey. Visit yerbba.com to learn more.
Thank you Doc. Please my 62 year old mom had her surgery in 2014...but couldn't do the chemotherapy as an out patient and now she is now diagnosed with more lumps and difficulty in breathing because of the cancer spreading to her lungs area. She have loops under her armpit,loss appetite and weight. I have been in shock myself but I need answers and recommendation please. She have been admitted at the Komfo Anokye Teaching Hospital in Ghana Ashanti region. With hope 🙋🏽♂️ Paul Junior from Ghana.
Your mother is fortunate to have you. There are a lot of treatment options even when cancer has spread. The doctors who are caring for your mother will be able to review all of those with you. In the meantime, please take care of yourself as well as your mother.
Hi Pm Tv am praying your mom will be able to get treatment in time ; l am doing reaseach on Natrual healing & discovered 1 teaspoon of Wheatgrass powder in drinking water first thing on mornings & 1 hr before bedtime can help cancer patients ; if you wants more info you can check on utube & ask Google to find out where in your country its sold in agro shops to pharmacies / herbal stores
Hi Doctor i have a question I just diagnosed by lobular cancer tumer less than 4 cm biopsy done and no lymph node involved , they scheduled me for surgery mastectomy . No radiation recommend now . What you think my survival
A mastectomy is often a very effective option in cases like yours, especially if radiation isn’t recommended. While we can’t provide specific survival rates, having no lymph node involvement is a good sign. You are more likely not to have a recurrence than to have one. Your doctor will tailor your post-surgery plan to ensure the best outcome possible.
Has anyone went on Abemacyclib? Brand name is Verzenio. I’m stage 2 ERPR positive, grade 3 HER 2 negative and had 2 positive lymph nodes. I’ve had a double mastectomy by choice, chemo, radiation and am currently on Femara and monthly Lupron injections. My radiation oncologist said my risk of recurrence is low but the oncologist has suggested adding Abemacyclib as a booster. Not sure that I need to take it and the side effects are horrific!!
Great question. Depending on the stage of your disease, this medication and others in its class (the CDK 4/6 inhibitors) can improve survival. With all that you've had, you're right that this may be more than you need. Without knowing the specifics of your cancer, however, it's not possible to say. I would consider asking your oncologist exactly how much benefit there is to you and, if the benefit is enough you want to go on it, consider just "dating" the drug. You don't have to commit to a long term relationship if the side effects outweigh the benefits. Hope this is helpful.
@@yerbba Thanks for your response. Your information is very helpful. I did talk to the oncologist and he said it wasn’t a drug he was going to chase me down the hallway to take, but it could lower the risk of recurrence by 5-10%. He also understood my concerns of the diarrhea and the liver toxicity that comes with it. My last 2 chemo treatments had to be reduced by 10% due to the increase in my liver enzymes and the Femara that I’m taking is also filtered through the liver which can affect my liver enzymes. So, he agrees that I have valid concerns in this area but he has also said if I try the Abemacyclib and I can’t tolerate the side effects, I can go off of it. I love your analogy of “dating” the drug as I’m still pondering on taking it and whether it’s worth the 5-10% risk of recurrence.😊 Thanks again for your response and insight!
@@amya9597 I have the same tumor type and grading and will also get the abemaciclib after my chemo, my oncologist said that every other week they need to check my blood levels because of the side effects
@@gena.9564 Hello! Thanks for your response. I did try the Abemaciclib for a few days and I had nausea, headache, itching, and an irregular heartbeat, which all stopped after taking the medicine. They thought the irregular heartbeat was a weird side effect and super uncommon. My original dose was 150mg twice a day but the oncologist told me I could think about lowering the dose and trying again. I was told this medication is not the smoking gun per say as far as if you can’t handle the side effects, it’s not the medication that will make or break your recurrence. My oncologist told me this could help recurrence by 5-10%. I would be curious to know what your oncologist shared with you about this drug, how much it would help, and the % of reduction in recurrence. Did they act like it was really necessary? I’m on the fence in trying it again.
@@amya9597 Hi amy well that's the problem she never speaks in percentages although I really want the know my odds in general.. So I m searching on the internet for more information and get confused and terrified all the time . The abemaciclib has recently been approved by our government for early stage high risk breast cancer , hope you can deal with the side effects I believe we really need to take all chances to reduce the risk 🤞
The principles of surgery, chemotherapy, and radiation therapy apply to the treatment of triple negative breast cancer. Hormone therapy is not necessary. If someone has a mutation in BRCA 1 or 2 and the tumor was 2 cm or nodes were positive, a year of olaparib is recommended. if the person had a tumor over 2 cm or positive nodes. Other people who should consider olaparib are people who receive chemotherapy before surgery and still have cancer after chemotherapy.
Chemotherapy before surgery can be highly effective in decreasing the size of the tumor and in treating any other cells that may be in the body. The decision about whether or not to have chemotherapy before surgery is based on the stage and on other factors. For example, chemotherapy before surgery can give someone time to find out if they have an inherited cause of their breast cancer. Having this extra time before surgery can help you and your medical team make the best surgical decisions. Also reassuring is that putting off surgery during chemotherapy does not worsen survival. I have many patients who find it gratifying to watch the tumor shrink (it can take a few cycles of chemotherapy before we see a measurable response).
Do you get chemo for 2.8cm Invasive Papillary Carcinoma (T2N0) grade2 but no invasion in lymphnode or lymphovascular invasion. no perineural invasion. with DCIS
Great question. Chemotherapy decisions are based on the biology of the tumor as much as the stage. When we refer to the "biology," we mean the estrogen and progesterone receptor status, the HER2 status, the grade, and, if the tumor is ER-positive, the results of tumor genomic tests. About 50% of people with a T2 tumor will get chemotherapy.
Treatment decisions in this case will be based upon the tumor characteristics and the age and menopausal status of the patient. If you are based in the U.S., consider visiting yerbba.com to access your personalized Yerbba Report. This comprehensive resource is designed to provide personalized treatment options and detailed insights into your specific diagnosis, helping you navigate your treatment decisions with confidence.
At stage 2, 1 axillary node that was larger than the tumor (the tumor was 0.9 cm). I wait on oncotype for ER/PR +/HER2 -, but appreciate this video. It sounds like radiation a go due to the node but chemo is still up in the air (besides the hormone blockers). Still trying to heal from my lumpectomy right now, 2 weeks out with hematoma of both sites.
Waiting for results and dealing with a hematoma while healing from a lumpectomy can be tough. Radiation is often recommended due to the involvement of the lymph node or nodes. Radiation therapy is almost always recommended after a lumpectomy. Thanks for sharing your experience.
Hello ma'am, my mother was diagnosed with a grade 2 invasive breast tumor, positive for estrogen 80%, progesterone 60%, her 2 is 2+, Kai67 is 10%, the size is 2mm, with 3 satellite lesions with a diameter of 5mm, an abdominal ultrasound was performed and lungs that are fine. Please for predictions in terms of healing how dangerous is it? and what type of surgery and treatment afterwards will most likely be needed. Thanks a lot.
Thank you for your question. It’s important to consult with her oncologist for a detailed treatment plan. Determining treatment options can be challenging without insight into the unique characteristics of your tumor, any pre-existing conditions, and your overall health. This sounds like a very small tumor. We do not add the satellites together. If you're based in the U.S., consider having her visit www.yerbba.com to get her personalized Yerbba Report. This comprehensive resource is designed to provide a detailed view of her diagnosis, empowering her with the information necessary to make informed treatment decisions with confidence. This resource can be especially useful for understanding all available treatment options and discussing them effectively with her medical team.
My mom is stage 2 inv ductal carsinoma grade 3 triple negative !! She just did her first chemo!! She’s not feeling to well the doctors won’t give her anything to help !!! She has to do 4 rounds every 3 weeks do u think she’s going to lose her hair ?? She’s so upset about that !! ??
Your mom is lucky to have you. Hair loss is very common with breast cancer chemotherapy. Using a cold cap can help prevent hair loss; it is recommended that this be started with the first chemotherapy treatment. It sounds like she is having other side effects--it's important that she keep reaching out to her medical team for better symptom management. If one is available, it would also be helpful to see a palliative care specialist. They specialize in managing symptoms.
What does it mean when er weak focal positive (allred score 4) pr (score 3) and her 2+ equivocal which turned out negative in fish test. Doctor said it might be luminal b or triple-negative. This is for a post menopause women with t3nomo stage.worried is it a triple negative. Is hormone treatment needed
We tend to treat people with any estrogen receptors with endocrine therapy. You're right that there are different types of estrogen-receptor breast cancer. Your medical team will help guide you and your wife on the best treatment options.
Dear Dr Griggs thank you for your helpful information, I have question if you can help me with my mom got diagnosed with Grade 2 invasive ductal carcinoma. B5b. MICROSCOPIC: Cores of breast tissue are infiltrated by a grade 2invasive ductal carcinoma with focal lobular growth pattern. E-cadherin is positive, confirming ductsl phenotype. No DCIS or LCIS is present. No lymphovascular invasion is identified. ER - Positive with a score of 8/8. PgR - Positive with a score of 8/8. Her2 - Negative with a score of 0. Mib-1 - 12 % CK5 - Negative. Ecad - Positive. Please I want your opinion about right treatment plan for her and if she needs more tests to be done . BTW I tried to go on your App but it’s only for US clinic user . Regards
Unfortunately, our Yerbba report is only available to those in the U.S. at this time. Based on this information, hormonal therapy (like Tamoxifen or an aromatase inhibitor) would likely be recommended given the strong ER/PR positivity. Chemotherapy may be considered, but this depends on other factors like her overall health and preferences. It’s essential to discuss this with her oncologist.
@@yerbba Dear Dr Griggs thank you for your feedback really appreciated and I hope you will have online consultation in the future for non us patients. Thank you
hi my mom just got diagnosed with stage 2 a cancer it is around 2.1 cm and has not spread to lymph nodes she has er pr pos and her2 neg they have done a surgery and a harmonal thearpy when can we say she is cancer free and will she survive for a long time
It is very likely that your mother is cancer-free, yes. The hormonal therapy is given to decrease the likelihood that the cancer will recur. The odds are that she is disease-free.
What about t3n0m0 tumour doc recommended neoadjuvant therapy and masectomy. I don't see much sense in neoadjuvant therapy if it going to be masectomy. This is for luminal b her 2 negative lobular cancer.
The benefits of having chemotherapy first is that it can improve the margin width at the time of surgery. It can also help "clear" the skin of any adjacent cancers. The reason I've always liked neoadjuvant chemotherapy is because you and your doctors get to watch the tumor decrease in size. This can be very encouraging. It does take a few weeks, so be patient.
For some people, the tumor is fixed to the chest wall or to the skin. Giving systemic treatment first helps many people go from having a fixed tumor to a mobile tumor. Wishing you the best.
Thanks for writing. Before surgery, we don't know the number of positive nodes, if any. It is possible that your oncologist has more information after surgery than your surgeon had when you last talked about what stage cancer you have. In other words, the surgeon will provide information on the "clinical stage" and then the oncologist provides information on the "pathologic stage" based on the pathology report. This question is a great one to bring to your team.
Thank you for reaching out. While our videos provide general health information, we are unable to offer direct email consultations. For specific treatment options and detailed feedback regarding your mother-in-law's Stage 2 breast cancer diagnosis, it's essential that she consults with her oncologist or a breast cancer specialist. If you are based in the U.S., consider having her visit yerbba.com to access her personalized Yerbba Report. This comprehensive resource is designed to provide a detailed view of her diagnosis, empowering her with information to make informed treatment decisions with confidence. This resource can be especially useful for understanding all available treatment options and discussing them effectively with her medical team.
I am a stage 2 and i did chemo but have to save money to get my radiation its hard on but cause i have not get my radiation done as yet and i finish my chemo november 2023...
It sounds like you're facing significant challenges in accessing all the necessary treatments, which can be incredibly stressful. Completing chemotherapy is a major step, and it's understandable that the delay in starting radiation due to financial constraints adds an extra layer of difficulty to your journey. However, there are resources and support programs available that might assist in covering the costs of your radiation therapy. We encourage you to explore organizations like the Patient Advocate Foundation (PAF), CancerCare, The Pink Fund, Susan G. Komen Foundation, and the Cancer Financial Assistance Coalition (CFAC), which are dedicated to providing financial assistance and support to individuals in situations similar to yours.
My mom have t3n0 breast cancer and her estrogen and progesterone is positive and her2 negative she had mastectomy and doctor advised 8 cycle of chemotherapy she did 3 chemo of (doxorubicin 100mg and cyclophosphamide 1000mg ) now she wants to discontinue chemo can we stop chemo or what you advise please help
Chemotherapy is hard. It's not uncommon for people to want to stop. The benefits of chemotherapy are only achieved, however, if the full course can be given. Of course, there are times we need to stop, such as an allergy or another medical condition (stroke, heart attack...not from chemotherapy but just because these things happen). It is possible and highly likely that your mother's medical team can make adjustments to make the treatment more tolerable for her. Wishing you both the best.
I have been diagnosed with T2N1M0 breast cancer 2.5 cm grade 3 , er +pr+her2- , vascularization (43years old), dr did lumpectomy and sentinel node and three weeks later a second surgery because they found cancercells on two sides of the tumor and an axillary dissection was needed because of positive sentinel node. Mastectomy was not needed he suggested chemo radio and hormonal therapy. Do I need a second opinion? Is this the right way of treatment? Will my Staging change if they find more positive nodes? Thank you so much
It sounds like you're still waiting on the results of the axillary dissection. If there are 4 or more positive lymph nodes, this would be stage III. The treatment is not much different, however, because you will be getting multiple forms of treatment that will not be different based on stage. Thanks for watching, and feel free to write back once you know if there are additional lymph nodes. Sending good energy your way.
@@yerbba thank you for your reaction, they found 2 more nodes. So 3 nodes in total (out of 20). The marges were clean now. I have been given the EC/Taxol scheme. 4 every two weeks +12 every week. Hope to survive this severe illness, I am very afraid of metastases.
I wish that I could give helpful advice. Without knowing a lot more about the cancer, it's hard to say whether chemotherapy will be of benefit. I believe that you will get more information soon.
Hello! My mom got invasive lobular carcinoma stage 2B and took a mastectomy. The size of tumour is 2.5×1.5cm .We have done a biopsy 2times. Do we need to test it again? Do chemotherapy and radiation therapy works? How about taking a pill for 5 years?😢
Thanks for writing. It's hard to know exactly what kind of treatment will be recommended without knowing more about the tumor. Most lobular cancers are positive for hormone receptors and negative for HER2. Endocrine therapy with a pill is very likely to be recommended. Depending on the lymph node status, chemotherapy is not necessarily part of the treatment recommendation you're likely to hear. Radiation therapy after mastectomy is recommended when there are 4 or more positive nodes, in some people with 1 to 3 positive nodes (depending on age and tumor grade), and if the tumor is 5 cm or larger. There are several other situations in which radiation therapy would be recommended, including (but not limited to), positive margins, skin involvement, and chest wall involvement. I hope this is helpful!
Hello ma'am my mom just diagnosed invasive ductal carcinoma.. Dr gave her many test with bone scan but in our city bone scan is not available right now.. Ma'am is there other alternative test can do to know that the cancer has spread to bone or not?
We don't have any tests that tell us that cancer hasn't spread. Scans are useful in showing us when disease has spread. In other words, a negative scan would not mean that there isn't a need for chemotherapy. In someone who does not have symptoms of bone involvement (bone pain), scans are not necessarily. About 50% of people with Stage III cancer will have bone scans in the US, so it's not necessary to have a scan to come up with an excellent treatment plan.
Hi dear doc i have some questions about therphy because i have stage 2 breast cancer after therphy i. Lost my balance i alredy have osteoarthritis in my knees now i have lots no pain but i have stiffness more i cant walk properly i finshed my radiation therphy and camo therpy. Also. Now i am. Talkimg hormonal therphy i gIn some. Kilos my waightis i felt better after my all therphies plz tell me thanks
Sorry to hear you're having such a rough time. Yes, you should start to feel better when the treatment is complete although it can take a while. Wishing you the best.
My mom diagnosed with ca l breast stage 2.. Er low +ve, pr -ve and her2 -ve tomorrow she s getting surgery... Does she need chemo after surgery or harmone theropy?
Thanks for the question. There are quite a few things that factor into recommendations for anticancer therapy, some of which are not known until after surgery. If the lymph nodes are negative, we will often do the 21-gene assay on the tumor itself to find out if chemotherapy is likely to work. It is also possible that the hormone receptor status will be different on the primary tumor from the biopsy, so wait and see what those results are. We have other videos about genomic assays on primary tumors.
What about triple negative on the breast and her2 positive on the lymphnode what treatments should be offered or are available for this. I was told I’m in unusual case.. and i declined chemo and will get radiation tomorrow but i would love to know pls doctor
This is unusual but not so uncommon that we don't know what to do. In general chemotherapy with HER2-directed therapy is appropriate so that every available treatment option is made available. That is, one would not want to withhold anti-HER2 therapy. It is possible that additional tests can be done on the lymph node to confirm that it is indeed HER2-positive.
In people with advanced disease, including Stage IV (4) disease, we do test tumors for numerous gene abnormalities. In people in whom we are giving therapy with curative intent, there are only a few things that we test for that impact treatment.
@@yerbba Thank you for the information 😇 my mom diagnos at papillary breast tumor! They need to remove her one breast! The biopsy results said she's been in stage 2 breast cancer! And she need the test immunotyping of mass using breast panels!
We would not recommend doing so. There is no evidence base for Dr. Burzynski's treatments, and the costs of these unproven treatments are high. Dr. Burzynski's medical license was revoked due to concerns about his practices.
What does lymphovascular invasion is noted means? May sister was diagnose of stage 2 cancer she already done mastectomy and her biopsy state that her all 5 auxillary nodes are negative for tumor matastesis and her surgical margin is clear. Is she still need to take chemo?
Thanks for the question. Lymphovascular invasion (LVI), also called "angiolymphic invasion, ALI, refers to the presence of cancer cells in lymphatics and blood vessels of the normal breast tissue around the tumor. The presence of LVI is usually but not always associated with higher grade. LVI does not refer to lymph node involvement--this is really confusing to many people. In terms of treatment decision making, we do not use the presence or absence of LVI as a factor in making decisions about treatment. The one exception is that omitting radiation therapy may not be advisable because the presence of LVI has, in some studies, been associated with a higher risk of recurrence in the breast, which radiation therapy is intended to decrease. In terms of your sister's treatment options and recommended treatment plan, chemotherapy decisions will be based on the "personality" of the tumor. That is, the hormone receptors, the HER2 status, and, if the tumor is positive for the estrogen receptor and negative for the HER2 protein/gene, the results of a tumor assay, such as the 21-gene assay (brand name OncotypeDX). So many factors go into deciding whether chemotherapy is appropriate. I'm happy your sister has you helping through this time.
Diagnostic with T2 lymp nodes negative 2.4 mm tumor right breast ,lumpectomy ready done. But he did close margen , and he live 2 focus of dcis little . So I need another surgery what you recommend mastectomy which therapy is high grade dcis.
Many people can have another surgery and get negative margins. It depends on how much of the margin is positive or close as well as some other features.
This information from the pathology report only describes whether or not cancer cells are in the blood vessels and lymphatics in the normal breast tissue around the cancer. Chemotherapy decisions are made based on the size and biology of the tumor (ER, PR, HER2, grade) and the lymph node status. We usually don't use the presence or absence of angiolymphatic invasion (also called lymphovascular invasion) to make chemotherapy recommendations.
@@yerbba Thank you Doc for the response. One more thing is is it curable and atleast good news that has no seen lymphatic and vascular invasions? We are waiting now for the result of the slide labs as per doctor its depends on it so we can proceed for chemotherapy before surgery,the cancer is on stage 2 and the patient is man around 57 age
Thanks for the question. The goal with Stage II cancer is to cure the disease. Most people are indeed cured. It is hard to say that any cancer is not serious because someone's life can be deeply affected no matter the stage.
Most cancer sevivors die of heart failure because of chemo radiation and the hormone tabs..all of these treatments side effects is heart failure.return of cancer and list goes on .please educate yourself before any medical treatment done on you. I'm a cancer sevivor almost 2years.now...I'm doing well wished that I was more informed. Would have made my own choices and not like a lamb let to slaughter..
Thanks for watching. Without knowing more details about the tumor you're being treated for, it's hard to know if chemotherapy will be part of your treatment plan. For example, if the lymph nodes are negative or only minimally involved and your tumor was sent for an assay such as the 21-gene assay and came back "low risk," chemotherapy is not generally recommended.
In your case, the disease in the breast will determine the treatment. In particular, the estrogen receptor status, progesterone receptor status, and the HER2 status will help in making decisions. Wishing you all the best.
This sounds really difficult. It might help to look into financial assistance programs, charities, or hospital support services that can assist with medical expenses. Your healthcare team might also be able to guide you toward resources that could help. If you're in the US, the Patient Advocate Foundation (www.patientadvocate.org/) can help.
My sister has ER+ PR + Her2 - ... Grade 2 (right) breast cancer ...her axillary nodes wer positive (3/17) she did mastectomy and got the nodes removed and not keen on taking chemo. Is that an option for her ..plz suggest ... Also in 2016 she had done lumpectomy on left breast. Tuk 4 chemo n radiation ...was put on tamoxifen 20mg ( it was early stage ...cancer cells wer on tumor n lymph nodes were free of cancer ... ER+ PR+ HER2-)
WOW, so early stage IDC, and early stage went aggressive and it spread to the right breast or are they saying recurrence ? My name is Trudy Contos my ES BC IDC TUBULAR TYPE MIXED NOT PURE IDC MICRO INVASIVE TINI TINI BUT YET IT SPREAD TO AXILLARY NODE AND IT WAS LARGER IN SIZE THAT THE PRIMARY, PLUS I HAD DCIS PAPPILARY CRIBFORM.... I WAS DIAGNOSED IN DEC 2019 AND WENT THRU LIES AFTER BEING ASSIGNED TO A SURGEON AT THE CCC HERE. SO IN MAY 2020 I HAD A LUMPECTOMY AND THEY HAD ME WAIT ALMOST 2 MOS FOR AN ONCO TEST I DID NOT EVEN ASK FOR??? SO IN OCT 2020 I FINISHED 37 RAD TREATMENTS. I AM NOW HAVING MY RIGHT BREAST CHECKED CZ THEY WOULD NOT EVER CHECK MY RT BREAST.. I HAD MAMMO ALL NEG THE ONLY WAY THEY SAW MY CANCER WAS USING AN ULTRASOUND . I HAVE DENSE BREASTS.. I AM SO SCARED ITS IN MY RIGHT CZ MIXED TUBULAR TYPE USUALLY WILL BE IN. BOTH BREAST!! NOW IM HAVING US DONE AND WILL CHOOSE ANOTHER INSTITUTE TO FOLLOW UP WITH MY CANCER
Endocrine therapy is an important part of treatment for people whose tumors who were hormone receptor-positive. In fact, endocrine therapy is even more powerful in improving length of life.
Breasts themselves are not tumors. Breasts are normal glands that, for many people, are important for several things, including sexual pleasure and nursing.
I was Stage II. 3 out of 11 nodes had cancer. I chose mastectomy with chemo. My hormone testing was contaminated. I regret nothing. Cancer was 33 years ago.
Thanks for sharing your experience, and we love your user name!
I'm also staged to be. I had two out of three lymph nodes with microscopic cancer and it. I chose to have chemotherapy when they said I didn't have to have it but I could have it so I took it. and then I had a lumpectomy and it had a recurrence six months later so they gave me a mastectomy and advised me to have more chemotherapy. I declined more chemotherapy I was done with that. so I sort of had what you had chemotherapy in mastectomy but it just seems like the chemotherapy didn't work. it did slowed down Mike Kay I-57 marker the number went down so the cells were proliferating more slowly.
If you don't mind me asking was your cancer hormone positive, and wow that was along time ago since you had it I got mine age 53 ,thank you ,
😊😊😊u give me hope 🎉
@@lorib5398 did you get hormone therapy?
You have a calming voice, thank you for your'e advice, my daughter has just been diagnosed with stage 2 breast cancer, our family are all in shock, no cancers in our family just heart disease. I feel a little better after listening to the treatment options you have explained. Thank you so much.
Your daughter is fortunate to have you, and of
course it's a shock. I hope things are going as
smoothly as possible for her and your whole
family.
@@yerbba Thank you x
@@yerbba 1q
How is your daughter 7 months later? I hope she's eventually getting well
How is she?
Thank you for your explanation! I was diagnosed with triple negative stage 2 breast cancer- invasive ductal carcinoma. I did 4 sessions of chemo and right before starting the 12 weekly sessions, I had a stroke. I was then diagnosed with pneumonia, sepsis, AFIB, and atrial septal defect (hole in my heart). A few months after my discharge from rehab, I had my lumpectomy and heart closure surgery. I restarted chemo where I left off in January. My white blood keeps lowering then after a 2 week break it goes up. I had another break. I'm getting the booster, starting it out tomorrow.
Also did genetic testing and I had no known cancer genes. The doctor said I just had bad luck. Of course, I do. But I'm still here!
You have been through quite a difficult time. Thank you for sharing your story. Love the last sentence of your comment. You ARE still here!
@@yerbba I don't know why I'm still here but I am. I had chemo session #10 yesterday and only 6 more to go and I'll be done. Taking the Nivestym shot has helped.
Wow!! You’re a trooper! I was diagnosed with the same stage as you. I removed both breasts two months ago!! Its been a journey!! When the doctor told you that you just have bad luck I believe there’s more too it spiritually. There’s a war going on in the spiritual realm and we have enemies !! We can fight them and win them tho! All through the power resurrection and blood of Jesus Christ!! Are you aware?❤
@🔥Victoria⚔️ I had prepared myself for a double mastectomy if it was recommended based on my genetic testing. A higher power made sure I came back after my strokes. Thank you for your kind words.
@@fabbyk31 ❤️oh yeah!! A higher power indeed!! This world is not done with you woman!! Your story needs to be heard. What’s your religious beliefs? Grew up with any specific beliefs? When preparing for a mastectomy there’s so much preparation… well at least for me… especially emotionally!! I cried a lot.
My mom just got diagnosed with TNBC stage 2 and this video helped inform me with what to expect and how to help her through her treatment. Thank you for making this video!
Thank you for your positive feedback. Yerbba is rooting for your mom!
Me too !!!
Same!!!
It's good to have these videos since in the US getting a doctor to spend more than two minutes with us is very difficult. "Healthcare" here is corporatized, and profits lie in quantity, not quality.
Getting good information support is so important. Happy that this information is helpful.
I agree
You seem very sweet and comforting have stage 2 breast cancer and it haunts me on a daily basis
I hope you are holding up okay. It is common to feel haunted after breast cancer. Finding support can help you feel less alone.
me too. i try not to be disturbed being diagnosed with stage 2 cancer after my surgery...i know that stress is not good...but sometimes cant help with this sad feeling. thats why i am always listening to happy music whenever i feel sad. and praying really helps. God bless everyone.
God bless you where ever you are.
I have stage 2 b cancer. I do chemotherapy first 4x and biologically 4 x before surgery. 5cm size my tumor and my breast small. I Allred done 2x chemo. I feel the tumor.become smooth
Thanks for watching and sharing your experience. I hope you're doing well with everything.
The dr is do calm and soothing voice Thankyou for your comfort and helpful video
Thank you for the positive feedback!
Love this video and your voice eases my anxious mind! UGH, cancer isn't easy to spell, say, or admit you have. So much stigma around this diagnosis
Thank you for watching. You're absolutely right...cancer can be a challenging and sensitive topic, and there is unfortunately still a lot of stigma surrounding it. We are hoping to eliminate this stigma.
One of my friend has breast cancer, stage 2, but no chemotherapy is going on, she is only on tablets, external blood and weekly or monthly checkup
It's great that your friend is managing her breast cancer with medication and regular checkups. Support from friends like you is so incredibly valuable during this time.
I have stage 2 grade 3 invasive dual carcinoma. My lymph node are not infected, and the cancer hasn’t spread to any other parts of my body and my oncologist still wants to give me chemotherapy.
There is benefit of chemotherapy to someone with Stage II (2) breast cancer with a high tumor grade. The purpose of chemotherapy is to decrease the risk hat the cancer comes back in other parts of the body. For some people, the reduction in risk is substantial. The estrogen receptor status and HER2 status would be worth asking about as these can also predict benefit from chemotherapy.
@Funny-bonny
I also was stage 2, grade 3 but I did have 2 out of 9 positive lymph nodes. I did chemo because I was 43 and premenopausal and my oncologist felt like this was the best course for me. My radiation oncologist told me that if you have 4 or more positive lymph nodes they always suggest radiation, however even though I only had 2 positive nodes he said radiation would benefit me and actually lower my risk of recurrence even more. I did a double mastectomy, chemo and radiation and because my Lupron shots is continuing to raise my blood sugar, I will be doing a risk reducing hysterectomy so I will no longer have to take the Lupron. You have to weigh the pros and cons of treatment, but most importantly have a good medical team that supports you and your decisions! Good luck to you!
How are you know...
Thank you, I appreciate this ,your voice has a calming effect. I found this easier to understand.
You are so welcome
It was the drain tube that causes the pain after surgery. A pilow under your arms and a small lift of your upper body would help you relax during the sleep 😊
Thank you for sharing! Using a pillow under your arms and elevating the upper body can definitely make a big difference in comfort post-surgery. These tips are so helpful for anyone recovering from drain tubes!
I'm an eye doctor age 63 years in this month iwas diagnosed Ductal mammary carcinoma stage || ,4 lymphic nods had canser , imade surgery, but idont want chemotherapy
Oh, we do wish you weren't going through this. It is quite uncommon for people to actually want chemotherapy to be honest. Make sure that you understand why chemotherapy is being given, the benefits in your particular case, and the risks and benefits. It may be helpful to talk with someone other than your medical team, such as a support group. Wishing you all the best.
What does the a or b mean after stage 2?
Stage II includes tumors that are as small as 2.1 cm (less than an inch) or as large as 5 cm (about 2 inches). In addition, the lymph nodes may be positive or negative. We break Stage II down into A and B to refine the grouping a little more. Once there are 4 or more positive nodes, the cancer is Stage III.
Thank you. It would have been helpful to have had this info before surgery. I have felt on left foot playing catchup with information regarding possible complications and treatment of scaring. Good clear explanations.
Thank you for your positive feedback. Yerbba is rooting for you!
My eye lashes fell completely out after chemo therapy. 2 months after they grew very intensely. Suddenly now they‘ve fallen out again. Don‘t understand why? Only my eye lashes.
I‘m still on Herceptin.
We've seen this happen in about 1 in 100 people. Your lashes should grow in again, and it's not uncommon for them to fall out a third time before staying for good. We don't know why this happens, but it is a real thing. Thank you for watching and sharing your experience.
@@yerbba Thank you so very much for explaining it to me and calming me down with your answer. My oncologists (they are pretty young) couldn’t give me an answer.
Yes, you‘re right. The first lashes fell out completely but second ones have grown back. But unfortunately their growth has stopped!! Now my new lashes are only half of the length of my original ones. Also my hair on my head stopped growing.
At the beginning all my hairs came out so strong and fast but not the growth has stopped. But when it comes to my hairs on my head, I‘m lucky that they haven’t fallen out like my lashes.
Yup, that's the stages of treatment my oncologist told me. I did a mastectomy and breast reconstruction. My first chemo cycle went well. I only had loss of hair. Second cycle June 7th, hoping that goes well like the first cycle.
It’s good to hear that your first treatment went well. Keep us updated on how things go.
I have stage2a Breast cancer..now I'm going on my 2nd chemotherapy..
We’re thinking of you as you go through chemotherapy for stage 2A breast cancer. Know that you have a community here to support you.
@@yerbba thank you
How are you now?@@RuthcelynDael
How r u now? @ruthcelyndael
Node removal sucks big time. It’s not just some range of motion restriction. Downplaying the effect only causes more distress after surgery. Truth is better. From what I’ve seen, very few people don’t get mouth sores, in my extensive cancer circle anyways. Please don’t downplay side effects. Your gentle speech is nice. Cheers.
Your stating truth. Radiation has lots of side affects that don't go away as to were CHEMO SIDE EFFECTS GO AWAY AFTER ABOUT 6 MOS.
BUT RADIATION STAYS SOMETIMES A LIFE TIME, AS I DO MORE RESEARCH.
I get mouth soars my teeth. Cotton mouth none stop ...... Skin bumps and edema under bother armpits???
Thank you for the feedback.
God love as she said everyone is different.
What if the report says PT2N0 cancer hasn’t spread to the lymph nodes our Doctor has recommended us to go for 8 cycles of Chemotherapy we have completed 4 cycles so far is it mandatory to complete 8 cycles of chemo and complete rest of the treatments like Radiation and Hormone therapy?
It sounds as if you have a higher-risk tumor based not on stage but rather on the features of the tumor such as the hormone receptors. In people whose tumors do not have the hormone receptors, 8 cycles of chemotherapy are generally superior to 4 cycles. If the tumor has hormone receptors, a shorter course is generally recommended all else being equal.
Super easy to understand! Thank you !
Thank you for watching and your comment!
Amazing! I wish you gave other than breast cancer medical information as well
Thanks for the kind words and for watching. Wishing you all the best.
I’m 28, was diagnosed with IDC stage 2 Er positive Her2 positive 2 weeks ago. I’m waiting on my mri, ct scan, genetics test to come back & I have to get a bone scan still. It’s so much information I’m getting confused & scared, I meet with my team Wednesday & have the port scheduled for the week after. What are some questions I need to be asking I’m so lost 😢
It’s completely normal to feel overwhelmed when so much is happening all at once. When you meet with your team, focus on asking questions to better understand your diagnosis, treatment plan, and long-term care. For example, ask what your test results mean, why specific treatments are recommended, and how side effects will be managed. Don’t hesitate to ask for clarification-it’s your health, and you deserve to feel fully informed and supported.
If you’re in the U.S., the Yerbba Report can provide a personalized overview of your diagnosis, showing how treatments align with your tumor characteristics and overall health. It also recommends important questions tailored to your treatment plan and concerns, helping you prepare for appointments and ensuring you have the tools to advocate for yourself throughout your care journey. Visit yerbba.com to learn more.
Thank you Doc.
Please my 62 year old mom had her surgery in 2014...but couldn't do the chemotherapy as an out patient and now she is now diagnosed with more lumps and difficulty in breathing because of the cancer spreading to her lungs area. She have loops under her armpit,loss appetite and weight.
I have been in shock myself but I need answers and recommendation please. She have been admitted at the Komfo Anokye Teaching Hospital in Ghana Ashanti region.
With hope 🙋🏽♂️
Paul Junior from Ghana.
Your mother is fortunate to have you. There are a lot of treatment options even when cancer has spread. The doctors who are caring for your mother will be able to review all of those with you. In the meantime, please take care of yourself as well as your mother.
Hi Pm Tv am praying your mom will be able to get treatment in time ; l am doing reaseach on Natrual healing & discovered 1 teaspoon of Wheatgrass powder in drinking water first thing on mornings & 1 hr before bedtime can help cancer patients ; if you wants more info you can check on utube & ask Google to find out where in your country its sold in agro shops to pharmacies / herbal stores
Hi Doctor i have a question
I just diagnosed by lobular cancer tumer less than 4 cm biopsy done and no lymph node involved , they scheduled me for surgery mastectomy . No radiation recommend now . What you think my survival
A mastectomy is often a very effective option in cases like yours, especially if radiation isn’t recommended. While we can’t provide specific survival rates, having no lymph node involvement is a good sign. You are more likely not to have a recurrence than to have one. Your doctor will tailor your post-surgery plan to ensure the best outcome possible.
Thankyou doctor
I am a stage 2 invasive ductal carcinoma... After the corebiopsy i was advised by my surgeon for a masectomy surgery..then chemotherapy after
Thanks for watching. We're wishing you all the best.
Hello mam are you ok now
Has anyone went on Abemacyclib? Brand name is Verzenio. I’m stage 2 ERPR positive, grade 3 HER 2 negative and had 2 positive lymph nodes. I’ve had a double mastectomy by choice, chemo, radiation and am currently on Femara and monthly Lupron injections. My radiation oncologist said my risk of recurrence is low but the oncologist has suggested adding Abemacyclib as a booster. Not sure that I need to take it and the side effects are horrific!!
Great question. Depending on the stage of your disease, this medication and others in its class (the CDK 4/6 inhibitors) can improve survival. With all that you've had, you're right that this may be more than you need. Without knowing the specifics of your cancer, however, it's not possible to say. I would consider asking your oncologist exactly how much benefit there is to you and, if the benefit is enough you want to go on it, consider just "dating" the drug. You don't have to commit to a long term relationship if the side effects outweigh the benefits. Hope this is helpful.
@@yerbba
Thanks for your response. Your information is very helpful. I did talk to the oncologist and he said it wasn’t a drug he was going to chase me down the hallway to take, but it could lower the risk of recurrence by 5-10%. He also understood my concerns of the diarrhea and the liver toxicity that comes with it. My last 2 chemo treatments had to be reduced by 10% due to the increase in my liver enzymes and the Femara that I’m taking is also filtered through the liver which can affect my liver enzymes. So, he agrees that I have valid concerns in this area but he has also said if I try the Abemacyclib and I can’t tolerate the side effects, I can go off of it. I love your analogy of “dating” the drug as I’m still pondering on taking it and whether it’s worth the 5-10% risk of recurrence.😊 Thanks again for your response and insight!
@@amya9597 I have the same tumor type and grading and will also get the abemaciclib after my chemo, my oncologist said that every other week they need to check my blood levels because of the side effects
@@gena.9564
Hello! Thanks for your response. I did try the Abemaciclib for a few days and I had nausea, headache, itching, and an irregular heartbeat, which all stopped after taking the medicine. They thought the irregular heartbeat was a weird side effect and super uncommon. My original dose was 150mg twice a day but the oncologist told me I could think about lowering the dose and trying again. I was told this medication is not the smoking gun per say as far as if you can’t handle the side effects, it’s not the medication that will make or break your recurrence. My oncologist told me this could help recurrence by 5-10%. I would be curious to know what your oncologist shared with you about this drug, how much it would help, and the % of reduction in recurrence. Did they act like it was really necessary? I’m on the fence in trying it again.
@@amya9597 Hi amy well that's the problem she never speaks in percentages although I really want the know my odds in general.. So I m searching on the internet for more information and get confused and terrified all the time . The abemaciclib has recently been approved by our government for early stage high risk breast cancer , hope you can deal with the side effects I believe we really need to take all chances to reduce the risk 🤞
thanks for sharing doc im stage 2b triple negative breast cancer can u share how to treat this better?
Wow I was just diagnosed with the same thing
Kl
The principles of surgery, chemotherapy, and radiation therapy apply to the treatment of triple negative breast cancer. Hormone therapy is not necessary. If someone has a mutation in BRCA 1 or 2 and the tumor was 2 cm or nodes were positive, a year of olaparib is recommended. if the person had a tumor over 2 cm or positive nodes. Other people who should consider olaparib are people who receive chemotherapy before surgery and still have cancer after chemotherapy.
For tripLe negatives, is it better to have chemotherapy before surgery?
Chemotherapy before surgery can be highly effective in decreasing the size of the tumor and in treating any other cells that may be in the body. The decision about whether or not to have chemotherapy before surgery is based on the stage and on other factors. For example, chemotherapy before surgery can give someone time to find out if they have an inherited cause of their breast cancer. Having this extra time before surgery can help you and your medical team make the best surgical decisions. Also reassuring is that putting off surgery during chemotherapy does not worsen survival. I have many patients who find it gratifying to watch the tumor shrink (it can take a few cycles of chemotherapy before we see a measurable response).
Do you get chemo for 2.8cm Invasive Papillary Carcinoma (T2N0) grade2 but no invasion in lymphnode or lymphovascular invasion. no perineural invasion. with DCIS
Great question. Chemotherapy decisions are based on the biology of the tumor as much as the stage. When we refer to the "biology," we mean the estrogen and progesterone receptor status, the HER2 status, the grade, and, if the tumor is ER-positive, the results of tumor genomic tests. About 50% of people with a T2 tumor will get chemotherapy.
mam what is possible treatment line for stage 2 breast cancer with no lymph nodes involved. upto 5cm tumor
Treatment decisions in this case will be based upon the tumor characteristics and the age and menopausal status of the patient. If you are based in the U.S., consider visiting yerbba.com to access your personalized Yerbba Report. This comprehensive resource is designed to provide personalized treatment options and detailed insights into your specific diagnosis, helping you navigate your treatment decisions with confidence.
At stage 2, 1 axillary node that was larger than the tumor (the tumor was 0.9 cm). I wait on oncotype for ER/PR +/HER2 -, but appreciate this video. It sounds like radiation a go due to the node but chemo is still up in the air (besides the hormone blockers). Still trying to heal from my lumpectomy right now, 2 weeks out with hematoma of both sites.
Waiting for results and dealing with a hematoma while healing from a lumpectomy can be tough. Radiation is often recommended due to the involvement of the lymph node or nodes. Radiation therapy is almost always recommended after a lumpectomy. Thanks for sharing your experience.
Hello ma'am, my mother was diagnosed with a grade 2 invasive breast tumor, positive for estrogen 80%, progesterone 60%, her 2 is 2+, Kai67 is 10%, the size is 2mm, with 3 satellite lesions with a diameter of 5mm, an abdominal ultrasound was performed and lungs that are fine. Please for predictions in terms of healing how dangerous is it? and what type of surgery and treatment afterwards will most likely be needed. Thanks a lot.
the size of a tumor is 20mm, sorry*
Thank you for your question. It’s important to consult with her oncologist for a detailed treatment plan. Determining treatment options can be challenging without insight into the unique characteristics of your tumor, any pre-existing conditions, and your overall health.
This sounds like a very small tumor. We do not add the satellites together.
If you're based in the U.S., consider having her visit www.yerbba.com to get her personalized Yerbba Report. This comprehensive resource is designed to provide a detailed view of her diagnosis, empowering her with the information necessary to make informed treatment decisions with confidence. This resource can be especially useful for understanding all available treatment options and discussing them effectively with her medical team.
My mom is stage 2 inv ductal carsinoma grade 3 triple negative !! She just did her first chemo!! She’s not feeling to well the doctors won’t give her anything to help !!! She has to do 4 rounds every 3 weeks do u think she’s going to lose her hair ?? She’s so upset about that !! ??
Your mom is lucky to have you. Hair loss is very common with breast cancer chemotherapy. Using a cold cap can help prevent hair loss; it is recommended that this be started with the first chemotherapy treatment. It sounds like she is having other side effects--it's important that she keep reaching out to her medical team for better symptom management. If one is available, it would also be helpful to see a palliative care specialist. They specialize in managing symptoms.
Yes, lost my hair with 1 chemo
Will you be okay if you choose not to go with chemotherapy?
Thank you for sharing your experience, we are rooting for you.
What does it mean when er weak focal positive (allred score 4) pr (score 3) and her 2+ equivocal which turned out negative in fish test. Doctor said it might be luminal b or triple-negative. This is for a post menopause women with t3nomo stage.worried is it a triple negative. Is hormone treatment needed
We tend to treat people with any estrogen receptors with endocrine therapy. You're right that there are different types of estrogen-receptor breast cancer. Your medical team will help guide you and your wife on the best treatment options.
Dear Dr Griggs thank you for your helpful information,
I have question if you can help me with my mom got diagnosed with Grade 2 invasive ductal carcinoma. B5b.
MICROSCOPIC:
Cores of breast tissue are infiltrated by a grade 2invasive ductal carcinoma with focal lobular growth pattern. E-cadherin is positive, confirming ductsl phenotype.
No DCIS or LCIS is present. No lymphovascular invasion is identified.
ER - Positive with a score of 8/8.
PgR - Positive with a score of 8/8.
Her2 - Negative with a score of 0. Mib-1 - 12 %
CK5 - Negative.
Ecad - Positive.
Please I want your opinion about right treatment plan for her and if she needs more tests to be done .
BTW I tried to go on your App but it’s only for US clinic user .
Regards
Unfortunately, our Yerbba report is only available to those in the U.S. at this time. Based on this information, hormonal therapy (like Tamoxifen or an aromatase inhibitor) would likely be recommended given the strong ER/PR positivity. Chemotherapy may be considered, but this depends on other factors like her overall health and preferences. It’s essential to discuss this with her oncologist.
@@yerbba Dear Dr Griggs thank you for your feedback really appreciated and I hope you will have online consultation in the future for non us patients.
Thank you
hi my mom just got diagnosed with stage 2 a cancer it is around 2.1 cm and has not spread to lymph nodes she has er pr pos and her2 neg they have done a surgery and a harmonal thearpy when can we say she is cancer free and will she survive for a long time
It is very likely that your mother is cancer-free, yes. The hormonal therapy is given to decrease the likelihood that the cancer will recur. The odds are that she is disease-free.
What about t3n0m0 tumour doc recommended neoadjuvant therapy and masectomy. I don't see much sense in neoadjuvant therapy if it going to be masectomy. This is for luminal b her 2 negative lobular cancer.
The benefits of having chemotherapy first is that it can improve the margin width at the time of surgery. It can also help "clear" the skin of any adjacent cancers. The reason I've always liked neoadjuvant chemotherapy is because you and your doctors get to watch the tumor decrease in size. This can be very encouraging. It does take a few weeks, so be patient.
They said its stuck so I can't operation .
For some people, the tumor is fixed to the chest wall or to the skin. Giving systemic treatment first helps many people go from having a fixed tumor to a mobile tumor. Wishing you the best.
What is the difference in surgeons staging and oncologist staging? I am getting different stage diagnosis.
Thanks for writing. Before surgery, we don't know the number of positive nodes, if any. It is possible that your oncologist has more information after surgery than your surgeon had when you last talked about what stage cancer you have. In other words, the surgeon will provide information on the "clinical stage" and then the oncologist provides information on the "pathologic stage" based on the pathology report. This question is a great one to bring to your team.
My mom in law got diagnosed with Stage 2 breast cancer. Is it possible to email you directly and get some feedback and discuss treatment options?
Thank you for reaching out. While our videos provide general health information, we are unable to offer direct email consultations. For specific treatment options and detailed feedback regarding your mother-in-law's Stage 2 breast cancer diagnosis, it's essential that she consults with her oncologist or a breast cancer specialist. If you are based in the U.S., consider having her visit yerbba.com to access her personalized Yerbba Report. This comprehensive resource is designed to provide a detailed view of her diagnosis, empowering her with information to make informed treatment decisions with confidence. This resource can be especially useful for understanding all available treatment options and discussing them effectively with her medical team.
I am a stage 2 and i did chemo but have to save money to get my radiation its hard on but cause i have not get my radiation done as yet and i finish my chemo november 2023...
It sounds like you're facing significant challenges in accessing all the necessary treatments, which can be incredibly stressful. Completing chemotherapy is a major step, and it's understandable that the delay in starting radiation due to financial constraints adds an extra layer of difficulty to your journey. However, there are resources and support programs available that might assist in covering the costs of your radiation therapy. We encourage you to explore organizations like the Patient Advocate Foundation (PAF), CancerCare, The Pink Fund, Susan G. Komen Foundation, and the Cancer Financial Assistance Coalition (CFAC), which are dedicated to providing financial assistance and support to individuals in situations similar to yours.
@@yerbba it dont work like that i am in the caribbean call nevis or st.kitts and nevis🇰🇳🇰🇳🇰🇳
My mom have t3n0 breast cancer and her estrogen and progesterone is positive and her2 negative she had mastectomy and doctor advised 8 cycle of chemotherapy she did 3 chemo of (doxorubicin 100mg and cyclophosphamide 1000mg ) now she wants to discontinue chemo can we stop chemo or what you advise please help
Chemotherapy is hard. It's not uncommon for people to want to stop. The benefits of chemotherapy are only achieved, however, if the full course can be given. Of course, there are times we need to stop, such as an allergy or another medical condition (stroke, heart attack...not from chemotherapy but just because these things happen). It is possible and highly likely that your mother's medical team can make adjustments to make the treatment more tolerable for her. Wishing you both the best.
I have been diagnosed with T2N1M0 breast cancer 2.5 cm grade 3 , er +pr+her2- , vascularization (43years old), dr did lumpectomy and sentinel node and three weeks later a second surgery because they found cancercells on two sides of the tumor and an axillary dissection was needed because of positive sentinel node. Mastectomy was not needed he suggested chemo radio and hormonal therapy. Do I need a second opinion? Is this the right way of treatment? Will my Staging change if they find more positive nodes? Thank you so much
It sounds like you're still waiting on the results of the axillary dissection. If there are 4 or more positive lymph nodes, this would be stage III. The treatment is not much different, however, because you will be getting multiple forms of treatment that will not be different based on stage. Thanks for watching, and feel free to write back once you know if there are additional lymph nodes. Sending good energy your way.
@@yerbba thank you for your reaction, they found 2 more nodes. So 3 nodes in total (out of 20). The marges were clean now. I have been given the EC/Taxol scheme. 4 every two weeks +12 every week. Hope to survive this severe illness, I am very afraid of metastases.
@@yerbba
Hello my mother diagnosed with T1cN1a breast cancer..mastectomy done ..we should go for chemotherapy or not..please advise me
I wish that I could give helpful advice. Without knowing a lot more about the cancer, it's hard to say whether chemotherapy will be of benefit. I believe that you will get more information soon.
Her postoperative histopathology report says tumor size is 2cm..intramammary node positive ..axillary lymph node show micro metastasis involve 2 but lymphovascular invasion present
Of course if she doesn't have other comorbidities skipping chemo is a risk
Hello! My mom got invasive lobular carcinoma stage 2B and took a mastectomy. The size of tumour is 2.5×1.5cm .We have done a biopsy 2times. Do we need to test it again? Do chemotherapy and radiation therapy works? How about taking a pill for 5 years?😢
Thanks for writing. It's hard to know exactly what kind of treatment will be recommended without knowing more about the tumor. Most lobular cancers are positive for hormone receptors and negative for HER2. Endocrine therapy with a pill is very likely to be recommended. Depending on the lymph node status, chemotherapy is not necessarily part of the treatment recommendation you're likely to hear. Radiation therapy after mastectomy is recommended when there are 4 or more positive nodes, in some people with 1 to 3 positive nodes (depending on age and tumor grade), and if the tumor is 5 cm or larger. There are several other situations in which radiation therapy would be recommended, including (but not limited to), positive margins, skin involvement, and chest wall involvement. I hope this is helpful!
Hello ma'am my mom just diagnosed invasive ductal carcinoma.. Dr gave her many test with bone scan but in our city bone scan is not available right now.. Ma'am is there other alternative test can do to know that the cancer has spread to bone or not?
We don't have any tests that tell us that cancer hasn't spread. Scans are useful in showing us when disease has spread. In other words, a negative scan would not mean that there isn't a need for chemotherapy. In someone who does not have symptoms of bone involvement (bone pain), scans are not necessarily. About 50% of people with Stage III cancer will have bone scans in the US, so it's not necessary to have a scan to come up with an excellent treatment plan.
Er negative pr positive (11 20%)her2 neu negative..2a ....0/16 nodes..mib...75%...surgery 8 rounds chemotherapy..no radiation ....45 age...two daughters..😭
Thanks for writing and sharing your story. Wishing you and your family all the best.
Hi dear doc i have some questions about therphy because i have stage 2 breast cancer after therphy i. Lost my balance i alredy have osteoarthritis in my knees now i have lots no pain but i have stiffness more i cant walk properly i finshed my radiation therphy and camo therpy. Also. Now i am. Talkimg hormonal therphy i gIn some. Kilos my waightis i felt better after my all therphies plz tell me thanks
Sorry to hear you're having such a rough time. Yes, you should start to feel better when the treatment is complete although it can take a while. Wishing you the best.
Chirmas
Hi dear doctor thanks for replying god bless you and happy new year to u
I hope i will be ok after treatment
My mom' had surgery,but don't want to do chemotherapy it's good or not,she had 2 cm tumor.. plezz give some advice.
We hope your mother is doing well. Whether or not to have chemotherapy does include someone's preferences.
I do chemo 45 mins all done
Thanks for watching and sharing your experience.
How can I contact you Ma'am??
Where is your hospital located ?
So kind of you to write. We're doing all of our teaching on TH-cam and Instagram rather than direct contact. Wishing you the best.
I was diagnosed stage 2 a month ago had a port surgically inserted & starting chemo next Monday then possible mastectomy Thanks for this🤍
Thanks for watching and for sharing your story. Wishing you all the best as you start chemotherapy and then proceed to the next steps.
@@yerbba Thank you!😊
Hai love how are you doing now
My mom diagnosed with ca l breast stage 2.. Er low +ve, pr -ve and her2 -ve tomorrow she s getting surgery... Does she need chemo after surgery or harmone theropy?
Thanks for the question. There are quite a few things that factor into recommendations for anticancer therapy, some of which are not known until after surgery. If the lymph nodes are negative, we will often do the 21-gene assay on the tumor itself to find out if chemotherapy is likely to work. It is also possible that the hormone receptor status will be different on the primary tumor from the biopsy, so wait and see what those results are. We have other videos about genomic assays on primary tumors.
Pls save my mother 😭🙏🥺..
What about triple negative on the breast and her2 positive on the lymphnode what treatments should be offered or are available for this. I was told I’m in unusual case.. and i declined chemo and will get radiation tomorrow but i would love to know pls doctor
This is unusual but not so uncommon that we don't know what to do. In general chemotherapy with HER2-directed therapy is appropriate so that every available treatment option is made available. That is, one would not want to withhold anti-HER2 therapy. It is possible that additional tests can be done on the lymph node to confirm that it is indeed HER2-positive.
Thank you so much...
My mom suggest to have immunotyping of mass using breast panels...
In people with advanced disease, including Stage IV (4) disease, we do test tumors for numerous gene abnormalities. In people in whom we are giving therapy with curative intent, there are only a few things that we test for that impact treatment.
@@yerbba Thank you for the information 😇 my mom diagnos at papillary breast tumor!
They need to remove her one breast!
The biopsy results said she's been in stage 2 breast cancer! And she need the test immunotyping of mass using breast panels!
Hello ma'am... my mother is having stage 2 breast cancer ... which is triple negative... can we cure it...?
Yes, the goal of treatment in Stage II (2) breast cancer is cure. Wishing you and your mother the best.
Can i try Dr.Burzynski instead ?
We would not recommend doing so. There is no evidence base for Dr. Burzynski's treatments, and the costs of these unproven treatments are high. Dr. Burzynski's medical license was revoked due to concerns about his practices.
What does lymphovascular invasion is noted means? May sister was diagnose of stage 2 cancer she already done mastectomy and her biopsy state that her all 5 auxillary nodes are negative for tumor matastesis and her surgical margin is clear. Is she still need to take chemo?
Thanks for the question. Lymphovascular invasion (LVI), also called "angiolymphic invasion, ALI, refers to the presence of cancer cells in lymphatics and blood vessels of the normal breast tissue around the tumor. The presence of LVI is usually but not always associated with higher grade. LVI does not refer to lymph node involvement--this is really confusing to many people. In terms of treatment decision making, we do not use the presence or absence of LVI as a factor in making decisions about treatment. The one exception is that omitting radiation therapy may not be advisable because the presence of LVI has, in some studies, been associated with a higher risk of recurrence in the breast, which radiation therapy is intended to decrease. In terms of your sister's treatment options and recommended treatment plan, chemotherapy decisions will be based on the "personality" of the tumor. That is, the hormone receptors, the HER2 status, and, if the tumor is positive for the estrogen receptor and negative for the HER2 protein/gene, the results of a tumor assay, such as the 21-gene assay (brand name OncotypeDX). So many factors go into deciding whether chemotherapy is appropriate. I'm happy your sister has you helping through this time.
Diagnostic with T2 lymp nodes negative 2.4 mm tumor right breast ,lumpectomy ready done. But he did close margen , and he live 2 focus of dcis little . So I need another surgery what you recommend mastectomy which therapy is high grade dcis.
Many people can have another surgery and get negative margins. It depends on how much of the margin is positive or close as well as some other features.
@@yerbba is 1mm close margen only in one part , but I done with radioterapia
How about the case say no lymphatic and vascular invasion seen?
And the Doctor required chemotherapy instead of surgery,
Please reply doc.
This information from the pathology report only describes whether or not cancer cells are in the blood vessels and lymphatics in the normal breast tissue around the cancer. Chemotherapy decisions are made based on the size and biology of the tumor (ER, PR, HER2, grade) and the lymph node status. We usually don't use the presence or absence of angiolymphatic invasion (also called lymphovascular invasion) to make chemotherapy recommendations.
@@yerbba Thank you Doc for the response. One more thing is is it curable and atleast good news that has no seen lymphatic and vascular invasions?
We are waiting now for the result of the slide labs as per doctor its depends on it so we can proceed for chemotherapy before surgery,the cancer is on stage 2 and the patient is man around 57 age
is cancer stage 2 serious or dangerous ???
Thanks for the question. The goal with Stage II cancer is to cure the disease. Most people are indeed cured. It is hard to say that any cancer is not serious because someone's life can be deeply affected no matter the stage.
Most cancer sevivors die of heart failure because of chemo radiation and the hormone tabs..all of these treatments side effects is heart failure.return of cancer and list goes on .please educate yourself before any medical treatment done on you. I'm a cancer sevivor almost 2years.now...I'm doing well wished that I was more informed. Would have made my own choices and not like a lamb let to slaughter..
Great video.So I was told I will have radiation after my surgery.I have stage 2 carcinoma.so will I have chemo after radiation?
Did they send your specimen to be onco tested???
They give you the chemo first and than wait a couple of weeks than radiation....
Did they tell you this
ductal carcinoma correct?
Thanks for watching. Without knowing more details about the tumor you're being treated for, it's hard to know if chemotherapy will be part of your treatment plan. For example, if the lymph nodes are negative or only minimally involved and your tumor was sent for an assay such as the 21-gene assay and came back "low risk," chemotherapy is not generally recommended.
i mustb e stressed as i cant listent to this with the background music in the back .. sorry :(
We appreciate your feedback. In response to viewer preferences, recent videos have been created without background music.
thankyou so much ... and for all the videos you post ... have safe and healthy 2024@@yerbba
You’re so sweet ❤️
Thank you for your comment
I have T2N1micMO with no lymph node negative in armpit,but the mastectomy site had many cancer cells.
In your case, the disease in the breast will determine the treatment. In particular, the estrogen receptor status, progesterone receptor status, and the HER2 status will help in making decisions. Wishing you all the best.
I just don't have the money to pay for treatment.
Please go to your state health department most have cancer Medicaid you can apply for !! Please try and take care of yourself
This sounds really difficult. It might help to look into financial assistance programs, charities, or hospital support services that can assist with medical expenses. Your healthcare team might also be able to guide you toward resources that could help. If you're in the US, the Patient Advocate Foundation (www.patientadvocate.org/) can help.
My sister has ER+ PR + Her2 - ... Grade 2 (right) breast cancer ...her axillary nodes wer positive (3/17) she did mastectomy and got the nodes removed and not keen on taking chemo. Is that an option for her ..plz suggest ... Also in 2016 she had done lumpectomy on left breast. Tuk 4 chemo n radiation ...was put on tamoxifen 20mg ( it was early stage ...cancer cells wer on tumor n lymph nodes were free of cancer ... ER+ PR+ HER2-)
Also did pet scan that showed cancer on tumor n axillary nodes nly .... Is it fine if she doesn't take chemo
@@RohitSingh-ln7he I wouldn’t skip chemo if I was her. I’d take the chemo. Sending you both best wishes.
WOW, so early stage IDC, and early stage went aggressive and it spread to the right breast or are they saying recurrence ?
My name is Trudy Contos my ES BC IDC TUBULAR TYPE MIXED NOT PURE IDC MICRO INVASIVE TINI TINI BUT YET IT SPREAD TO AXILLARY NODE AND IT WAS LARGER IN SIZE THAT THE PRIMARY, PLUS I HAD DCIS PAPPILARY CRIBFORM....
I WAS DIAGNOSED IN DEC 2019 AND WENT THRU LIES AFTER BEING ASSIGNED TO A SURGEON AT THE CCC HERE. SO IN MAY 2020 I HAD A LUMPECTOMY AND THEY HAD ME WAIT ALMOST 2 MOS FOR AN ONCO TEST I DID NOT EVEN ASK FOR??? SO IN OCT 2020 I FINISHED 37 RAD TREATMENTS.
I AM NOW HAVING MY RIGHT BREAST CHECKED CZ THEY WOULD NOT EVER CHECK MY RT BREAST..
I HAD MAMMO ALL NEG THE ONLY WAY THEY SAW MY CANCER WAS USING AN ULTRASOUND .
I HAVE DENSE BREASTS..
I AM SO SCARED ITS IN MY RIGHT CZ MIXED TUBULAR TYPE USUALLY WILL BE IN. BOTH BREAST!!
NOW IM HAVING US DONE AND WILL CHOOSE ANOTHER INSTITUTE TO FOLLOW UP WITH MY CANCER
6yloj
N.
Endocrine therapy is an important part of treatment for people whose tumors who were hormone receptor-positive. In fact, endocrine therapy is even more powerful in improving length of life.
Stage 2 IDC tubular type micro invasive arising in radial scar, Dcis cribform appilary with axillary node positive . 3m in size.
Thanks for watching, and we hope you're doing well.
okay
Thank you for watching.
Breasts are tumours
Breasts themselves are not tumors. Breasts are normal glands that, for many people, are important for several things, including sexual pleasure and nursing.
I did first my surgery first
Thank you for sharing your experience.
The dr is do calm and soothing voice Thankyou for your comfort and helpful video
Thanks for watching!