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Treatment of malignant breast cancer

Common methods of treating malignant breast cancer

If women with breast cancer have several surgeries to remove the tumor from their body. Depending on the type of breast cancer and how advanced it is, the patient may use other treatments after or before surgery, or both.

Breast cancer treatment plans typically depend on the type and stage of breast cancer and the specific conditions:

Invasive breast cancer (stages one to four)
In situ breast cancer of ductal origin (DCIS)
In situ breast cancer of lobular origin (LCIS)
Inflammatory breast cancer
Breast cancer during pregnancy
Triple negative breast cancer

Who treats breast cancer?

The cancer treatment team includes the following groups:

Breast surgeon or oncologist: A doctor who uses surgery to treat cancer.
Radiologist Oncologist: A doctor who uses radiotherapy to treat cancer.
Oncologist: A doctor who uses chemotherapy and other drugs to treat cancer.
Plastic surgeon: A doctor who specializes in the reconstruction and healing of various parts of the body.
Many other specialties may be involved in patients’ treatment teams, including assistants, nurses, psychologists, social workers, nutritionists, genetic counselors, and others.

Factors affecting the treatment of breast cancer

Cytology and behavior of breast cancer affect cancer treatment. Some tumors are smaller but grow faster while others are larger and grow slowly. Treatment options and recommendations are very personal and depend on several factors, including:

Tumor type, including hormone receptor status (ER, PR) and HER2 status
Tumor stage
Genomic markers such as oncotype DX
Age Patient General health Menopausal status
Existence of known mutations in inherited breast cancer genes such as BRCA1, BRCA2
Although breast cancer care groups consider cancer treatment specifically for each patient, there are general methods for treating breast cancer in its early and advanced stages. For both DCIS and invasive breast cancer in the early stages, doctors usually recommend surgery to remove the tumor. To ensure complete removal of the tumor, the surgeon also removes a small area of ​​healthy tissue around the tumor, although the goal of surgery is to remove all visible cancers. A number of microscopic cells can remain in the breast or elsewhere, which means that other surgery is needed to remove the remaining cancer cells.

Treatment of breast cancer with chemotherapy

For larger cancers and those that grow faster, doctors may recommend systemic or chemotherapy or hormone therapy before surgery, which is called neoadjuvant therapy. There may be several benefits to using other treatments before surgery:

Women who need a mastectomy may retain breast surgery if the size of the tumor decreases before surgery. Surgery is probably easier. This is how your doctor will find out if certain treatments work for you. Women may be able to use new treatments through clinical trials.

Possibility of breast cancer returning after treatment

After surgery, the next step in treating cancer in the early stages is to reduce the risk of recurrence and kill the cancer cells. These cancer cells are not detectable, but they have the potential to cause cancer to recur because they can grow over time. Treatment after surgery is called adjuvant therapy and may include chemotherapy, targeted therapy, or hormone therapy. Whether you need medication depends on whether any cancer cells remain in your breast or body, and the possibility There is a specific treatment for cancer. Although adjuvant therapy reduces the risk of recurrence, it can not completely eliminate the risk. At the same time as determining the stage of the tumor, other instruments can estimate the patient’s prognosis and help the patient and physician decide on adjuvant treatment. . This includes tests that can determine the chance of a tumor coming back by testing the body’s tumor tissue.

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