Breast cancer.

Hi.

I have/had breast cancer.

I've had a lumpectomy back in September 23rd.

I had a number of lymphnodes removed.

I was advised the tumour was removed it measurements were 35mm. So not very big I was advised.

My lymphnodes came back negative. 

I was told I'm ER+, and grade 3.

I have now Bern told I need chemotherapy.

I'm not sure why, as was originally told i would have radiotherapy. 

I had am ultrasound of my heart and now have ontology appointment for next week.

Can you explain difference between stage 3 & Grade 3?

Why is chemotherapy now needed with negative lymphnodes and full removal of mass? 

I've also been told I will still need radiotherapy plus bone thickening treatment, plus I'll be put through the menopause again??

I'm not sure why I need all this.

Thanks

Parents
  • Hello Daviess10 and thank you for posting,

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

    The stage of cancer refers to the size of the tumour and how far it has spread, the grade refers to how abnormal the cancer cells are under the microscope.  Grade 3 cells look very different to normal breast cells. They tend to grow and spread more quickly. So although your cancer has not spread to the lymph nodes there may be other factors you may have that increase the risk of it coming back.

    As well as the stage and grade, the doctors will also look at whether the cells have certain proteins called receptors as well as how well a person is and whether or not they have other health conditions. Knowing this information helps the doctors plan treatment.

    The doctors will also assess the risk of cancer coming back after it has been removed and this helps them to work out if adjuvant treatment (treatment after surgery) such as chemotherapy is needed to reduce this risk. Depending on the situation, the doctors, as RedRuth84 has mentioned, may do an Oncotype Dx .The breast cancer team at your hospital will be able to clarify if this has been done. 

    Radiotherapy is always given to the breast after a lumpectomy, to lower the risk the breast cancer coming back in that breast. 

    With your breast cancer being ER+ve (oestrogen positive) you are likely to be recommended to have hormone therapy. Hormones can stimulate breast cancers to grow. Hormone therapy works by either lowering the amount of hormones in the body or by blocking them from getting to breast cancer cells.

    Bone strengthening treatment known as bisphosphonates may be used to reduce the risk of the cancer spreading to the bones. These are prescribed for women who have gone through menopause whether naturally or because of cancer treatment.

    Your breast care team will be able to clarify things for you as they know your situation. You may find it helpful to talk things through with your breast nurse specialist.

    I hope this is helpful. Please feel free to get back to us if you would like to speak with one of the nurses on our helpline. The freephone number to call is 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Take care,

    Jemma

Reply
  • Hello Daviess10 and thank you for posting,

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

    The stage of cancer refers to the size of the tumour and how far it has spread, the grade refers to how abnormal the cancer cells are under the microscope.  Grade 3 cells look very different to normal breast cells. They tend to grow and spread more quickly. So although your cancer has not spread to the lymph nodes there may be other factors you may have that increase the risk of it coming back.

    As well as the stage and grade, the doctors will also look at whether the cells have certain proteins called receptors as well as how well a person is and whether or not they have other health conditions. Knowing this information helps the doctors plan treatment.

    The doctors will also assess the risk of cancer coming back after it has been removed and this helps them to work out if adjuvant treatment (treatment after surgery) such as chemotherapy is needed to reduce this risk. Depending on the situation, the doctors, as RedRuth84 has mentioned, may do an Oncotype Dx .The breast cancer team at your hospital will be able to clarify if this has been done. 

    Radiotherapy is always given to the breast after a lumpectomy, to lower the risk the breast cancer coming back in that breast. 

    With your breast cancer being ER+ve (oestrogen positive) you are likely to be recommended to have hormone therapy. Hormones can stimulate breast cancers to grow. Hormone therapy works by either lowering the amount of hormones in the body or by blocking them from getting to breast cancer cells.

    Bone strengthening treatment known as bisphosphonates may be used to reduce the risk of the cancer spreading to the bones. These are prescribed for women who have gone through menopause whether naturally or because of cancer treatment.

    Your breast care team will be able to clarify things for you as they know your situation. You may find it helpful to talk things through with your breast nurse specialist.

    I hope this is helpful. Please feel free to get back to us if you would like to speak with one of the nurses on our helpline. The freephone number to call is 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Take care,

    Jemma

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