Early cancer treatment
Breast cancer can be treated with a mastectomy or breast preservation surgery, lumpectomy, followed by radiation and sometimes chemotherapy. These are the best ways to prevent recurrence of cancer. The most common place for cancer to come back is in the same area where it was found the first time.
The determination of which breast cancer Brachytherapy is best for an individual is based on the pathology of the disease. The initial biopsy, which is done when the cancer is first suspected, will tell what type of cancer is present and whether it is hormone receptive. The knowledge of hormone receptors, or not, found will be part of the decision making information for an individual’s breast cancer Brachytherapy. Some types of tumors are stimulated by normal hormones found in a woman’s body, such as progesterone, estrogen, and HER-2. A tumor may show a positive response to one or more of these hormones. By knowing this information, a plan of treatment can be offered that will improve a woman’s chances of cancer free survival.
The pathology from the surgery, done to remove the cancer tumor, will tell if the entire tumor was removed and if cancer was found in the lymph nodes. During surgery the surgeon can see the cancer tumor, but not all of the cancer cells can be visualized. So the tumor is sent to a pathologist who puts the tumor and the surrounding tissue that was removed by the surgeon under a microscope. This way cancer cells that might be outside the main tumor can be seen. The lymph nodes that were removed in surgery can also be looked at under a microscope and it can be determined if there are cancer cells found in the lymph nodes. Often a Sentinel Node can be found, if a dye is used before surgery. This dye is injected before surgery and will show which node is the main node that drains fluid from the cancer tumor site. (The lymphatic system drains non blood fluids throughout the body.)
A woman who has been diagnosed with cancer, from a biopsy, then will see a surgeon who specializes in breast cancer. Surgery to remove the tumor is always needed, as long as the tumor is in the breast it will grow and chances are the cancer cells will travel away from the main tumor and spread throughout the body. These cells that move away from the main tumor will settle and grow into tumors in other parts of the body, not just the breast. The surgeon will ask questions about the woman’s health and ask about the woman’s family. If a woman has family members that have, or have had breast cancer, this information will be included in treatment decisions. The surgeon then will discuss ways to treat the cancer.
A mastectomy which is a removal of the breast that has the cancer in it, with one or more lymph nodes removed is one choice. A lumpectomy which is removal of the cancer tumor and a small amount of tissue surrounding the tumor is another choice. The size of the tumor, determined by the mammogram, will influence these choices. If the tumor is large a lumpectomy may not be a good choice. The smaller the tumor, the better the chances of survival for the woman. The larger the tumor the more involved the surgery will need to be, such as a mastecomy. Sometimes chemotherapy is needed before surgery; the chemotherapy will hopefully shrink the tumor and kill cancer cells that may have moved away from the main tumor (metastasized). When this is done before the surgery, the hope is that after surgery most or all of the cancer will be gone and only radiation will be needed. Chemotherapy may be needed after surgery depending on the type and stage of the cancer.
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