Cancer treatment with a heart condition

Hello

I am 74 years old and have found a hard lump in my breast. I went to my GP who has referred me to the breast clinic. I am waiting for heart surgery on a leaky valve and have had all my pre meds so I am hoping the operation will be soon. Iam told the leaky heart valve is fully repairable/replacable.

Whilst I am waiting for my appointment with the breast clinic I am concerned about what cancer treatments can be given with a heart condition. I am expecting a cancer diagnosis as the lump is hard like a stone and doesn't seem to move. In situations like this do the two specialities who will be in two different NHS trusts liase with each other.

  • Hello and thanks for posting,

    When you are being assessed by the breast cancer team, (should this be the outcome from the breast clinic), they would take a full medical history, and would be making contact with the cardiac team, to confirm clinical details. 

    Every patient is different, and requires an individual assessment prior to starting any therapy. Radiotherapy may be able to be given to certain areas of breast tissue for example. In the case of surgery, an anaesthetist would request any additional tests and investigations necessary, before advising a surgeon of the suitability of a spinal or general anaesthetic. Other further treatments such as hormone therapy can also be given if appropriate. 

    We have information about the various breast cancer treatments here,

    https://www.cancerresearchuk.org/about-cancer/breast-cancer/treatment

    I hope that you find out more soon.

    Please get back to us if you need any more information or support.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Yours sincerely,

    Vanda

  • Hi ElizabethK, I am not a nurse but do have many heart issues as well as cancer, I had a leaky/faulty valve repaired over 50 years ago and it's still working. My consultants have started a cardio-oncology partnership for me and the only treatment they won't recommend are anthacycline's in chemotherapy as my heart wouldn't cope with the toxicity. take care.

    Eddie

  • Hello Vanda,

    Thank you for answering me. I am hoping to have heart valve surgery soon, I have had all my pre ops so shouldn't be too long now. My understanding is that the operation will restore my life to what it was before the heart condition ie swimming and ball room dancing. My anxiety is through the roof as this lump has just come at the worst ever time. One of my worries is that the heart op would cause a dangerous delay in any potential cancer treatment. There are two different NHS trusts involved so I hope that wouldn't be too much of a problem. 

    Elizabeth

  • Thank you for answering me 

    It's such an anxious time and I am hoping for a heart valve operation hopefully any day. Its given me great encouragement that your valve is still working after so many years. Finding this lump has just come at the worst time. 

    ELIZABETH 

  • No thanks needed but appreciated, I have had 5 minor heart Ops since starting treatment for cancer and treatment schedule never changed, I don't know if the fault with your valve is prolapse or regurgitation, or if open or keyhole surgery is planned, but from experience 4 to 6 weeks recovery is needed and your heart will be stronger than before. so more treatment options may be possible