Chemo treatment necessary

Hi

i was originally diagnosed with dcis of the left breast on 26th February this year. I had a mastectomy, synovial lymph node removal and immediate diep reconstruction on 8th April. 

I received my results last week no spread through my lymph nodes and the cells had invaded and I had a 7mm and 3 mm area that tested positive for her2.

Following the results I had an oncology appointment today and the dr wants me to have 4 cycles of chemo and then 12 months injections.

The cancer has been removed, the increase in my survival rate is 86% up from 78% after just surgery if I have the treatment. To me it seems excessive to have the chemo as well as the surgery. Is this the normal process for this type of cancer?

Parents
  • If i'm recalling things correctly, HER2 means the cancer cells are more aggressive, and more likely to spread, but respond to treatment. Due to its aggressive nature, chemo is preferred as a systematic sweep up in case any rogue cell has escaped the local area. Just takes one to be missed, and this is where chemo comes in. About the injections, the drug you are given blocks signals telling the cells to grow. It's been 2 years since my wife has been out of treatment, and probably a further 6 months since i heard this from a doctor. So the details might be a little bit off.

    About your percentages, only you can decide if those odds are worth the treatment. Doctors can advise, but it's your body. If the cancer were to reoccurrence, just make sure you wouldn't be left with any regrets. Some people do go without and have no issues, some do. But there again, it can happen with or without further treatment. 'tis all luck, and about stacking the odds further in your favour.

Reply
  • If i'm recalling things correctly, HER2 means the cancer cells are more aggressive, and more likely to spread, but respond to treatment. Due to its aggressive nature, chemo is preferred as a systematic sweep up in case any rogue cell has escaped the local area. Just takes one to be missed, and this is where chemo comes in. About the injections, the drug you are given blocks signals telling the cells to grow. It's been 2 years since my wife has been out of treatment, and probably a further 6 months since i heard this from a doctor. So the details might be a little bit off.

    About your percentages, only you can decide if those odds are worth the treatment. Doctors can advise, but it's your body. If the cancer were to reoccurrence, just make sure you wouldn't be left with any regrets. Some people do go without and have no issues, some do. But there again, it can happen with or without further treatment. 'tis all luck, and about stacking the odds further in your favour.

Children
  • Very wise words ProfBaw.  I was diagnosed with breast cancer 5 years ago and I had an operation to remove the tumour and also, the surgeon removed a couple of lymph nodes. I  was strongly advised to have radiation therapy afterwards to kill off any stray cancer cells, but I felt so exhausted after the operation and trying to recover from it that I didn't feel able to go through radiotherapy.  This was a mistake, because 16 months later the cancer came back.  I am now terminal.  Of course I am very much aware that even if I had gone down the radiation route, the cancer might still have come back, but I guess I will never know.  Of course if I could go back, I would have made a different decision, but I try not to dwell on the 'what ifs' and 'maybes' .........after all, it doesn't change anything does it?  I am now focused on living in the here and now.