If any female of age between 25-30 yrs had a second stage breast cancer since last one year, then how much amount and how many chemotherapy is essential for her, she also had a problem of unbalanced monthly chroming (not in time).
The chemotherapy after surgical section of breast cancer is necessary to eliminate the remnant cancer cells too small in number to detect in the current imaging or pathological technologies. They are able to form minimal residual disease (MRD), which is the main cause of latent relapse.
It's depend of breast cancer type (ER and HER2 expression), lymph node involvement (i.e. stage II is very wide definition - it include patients with T1-2N1, T2-3N0) and chemotherapy regiment! Unfortunately information about patient and disease is insufficient for meaningful consultation.
I'm pretty sure, that You can get the proper answer here:
http://www.nccn.org/professionals/physician_gls/pdf/breast.pdf
chemotherapy is extremely essential and mandatory after surgery and all of my patients who refused it developed metastases
Dwar Pradeep, please stop playing with us, and please provide the following info: mammography result, size of the primary tumor, numbers of tumorous foci, estrogen, progesteron receptor status, type of surgery, type of lymph node sampling, size of the tumor deposit in the affected lymph node, number of dissected and investigated lymph nodes, grade of the tumor, Ki67 index, topo2-alpha expression, type of the HER2 status determination.
Dear dr. El-Sagher, let me allow to cast serious doubts regarding your straight statement. Would you be so kind to express your thoughts about patients having Luminal A type cancer?
If you mean she had a surgery one year back, then it's too late for her to have adjuvant chemotherapy! As she's supposed to receive it within six months after surgery. Moreover, stage II is very wide description because axillary lymph node involvement and tumour size are critical in decision of adjuvant chemotherapy. Briefly, mainly in stage II, it's as follows; 5-fluorouracil, epirubicin and cyclophosphamide. Docetaxel if she had positive axillary LN metastasis. Bear in mind the histopathology and the hormonal status of the tumour cells is very essential in management of breast cancer patient.
I think that depend on : 1_ axillary nodes +
2_ patient age under 80
3_ E_P receptors ..
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