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
  • Hello Kab4680 and thank you for your post.

    I am sorry to learn of your situation this must be a difficult time.

    Doctors take several things into account when planning treatment, such as how fast-growing the cancer is its size and how far it has spread (grade and stage), whether there are certain proteins (receptors) on the cancer cells, and a person's general health. Knowing this information tells the doctors what the risk of the cancer coming back might be and what treatment is needed to reduce this risk.

    Chemotherapy is recommended after surgery for cancers that are HER 2 positive, this is an add-on (adjuvant) treatment to get rid of any microscopically tiny cancer cells that possibly may have been left behind during surgery, to reduce the risk of the cancer coming back.

    As Profbraw has commented, whether or not you decide to have chemotherapy will depend on what the percentages you have been given mean to you and whether or not you may have regrets if you did not have treatment and the cancer did come back. For some people, increasing survival even if it is a small percentage is the most important thing when weighed against possible side effects. For other people, the possible side effects may outweigh the percentage of increased survival. 

    It is difficult because no one can predict how the chemotherapy will affect you and what side effects you will have and there is no clear right or wrong answer, it is what you feel is right for you at the time.  It is worth chatting about this with your breast nurse specialist (CNS), they can go through your treatment options with you again and talk through any concerns you may have

    I wish you all the best with making this decision, please feel free to contact us again if you have any further questions or if you would like to talk things through with one of the nurses on the helpline. The freephone number to call is 0808 800 4040 9am to 5pm Monday to Friday

    Take care, all the best

    Jemma

Reply
  • Hello Kab4680 and thank you for your post.

    I am sorry to learn of your situation this must be a difficult time.

    Doctors take several things into account when planning treatment, such as how fast-growing the cancer is its size and how far it has spread (grade and stage), whether there are certain proteins (receptors) on the cancer cells, and a person's general health. Knowing this information tells the doctors what the risk of the cancer coming back might be and what treatment is needed to reduce this risk.

    Chemotherapy is recommended after surgery for cancers that are HER 2 positive, this is an add-on (adjuvant) treatment to get rid of any microscopically tiny cancer cells that possibly may have been left behind during surgery, to reduce the risk of the cancer coming back.

    As Profbraw has commented, whether or not you decide to have chemotherapy will depend on what the percentages you have been given mean to you and whether or not you may have regrets if you did not have treatment and the cancer did come back. For some people, increasing survival even if it is a small percentage is the most important thing when weighed against possible side effects. For other people, the possible side effects may outweigh the percentage of increased survival. 

    It is difficult because no one can predict how the chemotherapy will affect you and what side effects you will have and there is no clear right or wrong answer, it is what you feel is right for you at the time.  It is worth chatting about this with your breast nurse specialist (CNS), they can go through your treatment options with you again and talk through any concerns you may have

    I wish you all the best with making this decision, please feel free to contact us again if you have any further questions or if you would like to talk things through with one of the nurses on the helpline. The freephone number to call is 0808 800 4040 9am to 5pm Monday to Friday

    Take care, all the best

    Jemma

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