Ask an Expert: Chemotherapy

Johns Hopkins Avon Foundation Breast Center
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Questions about Neoadjuvant and Adjuvant Chemotherapy.
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 Asked: 2/19/2017 I am confused. I have had surgery twice in the last month.
 Asked: 2/18/2017 Fish test came back negative for her2 but ihc was3+.
 Asked: 2/18/2017 Is chemo still a standard of care for positive nodes? If Oncotype says no chemo for 10 or less does this include negative nodes and/or 3...
 Asked: 2/18/2017 I have been diagnosed with Stage 2 ER/PR+, HER2-, IDC in my right breast.
 Asked: 2/17/2017 My mom goes in Tuesday for a bilateral mastectomy.
 Asked: 2/17/2017 Taking nulesta after every AC chemo given every other week 4 weeks.
 Asked: 2/17/2017 I have invasive ductal carcinoma, ER /PR + ,, her2 - ,, nodes - ,, My oncotype result is 45 .
 Asked: 2/17/2017 I have been diagnosed with Stage 2 ER/PR+, HER2-, IDC in my right breast.
 Asked: 2/17/2017 NCCN receives financial support from Genomic Health maker of the Oncotype DX test. NCCN is not a federal branch since it openly receives monies from many...
 Asked: 2/17/2017 I have invasive left breast cancer. It is multifocal- 2 tumours-2.5 cms and 3 cms IDC.
 Asked: 2/15/2017 In my former question I asked about chemo first or surgery first I stated that both doctors agree a double mastectomy has to be done You stated...
 Asked: 2/14/2017 My breast cancer is stage 2, grade2, idc.
 Asked: 2/14/2017 Lillie, The mammaprint is FDA approved, no intermediate score and phase 3 trials are complete.
 Asked: 2/13/2017 My breast cancer is stage 2, grade2, idc.
 Asked: 2/12/2017 I''ve read chemo doesn''t do as well on grade 1 tumors.
 Asked: 2/9/2017 Hello, after lumpectomy, I have been diagnosed with stage IIa, tumor was 1 cm or less, with one partially full lymph node closest to...
 Asked: 2/8/2017 Hi Lillie earlier I posted here regarding my concern with tnbc you said I will do good and live long was diagnosed with dcis last...
 Asked: 2/8/2017 Dx 12/30/16 1.1cm IDC. 1 of 6 nodes with a micromet 1.8mm.
 Asked: 2/6/2017 I have a Stage IIB Invasive Ductal carcinoma.
 Asked: 2/3/2017 I had a 1.3 cm IDC grade 3 (according to final pathology report- was grade 2 after biopsy) removed by lumpectomy on 1/26/17 Estrogen/PR+ and...
 Asked: 2/3/2017 Would a Oncotype score of 23 rule out considering chemotherapy for IDC Stage 2, with one positive node?
 Asked: 2/3/2017 I am 67 years old and just had a lumpectomy.
 Asked: 2/3/2017 I had first round AC-T and have to say by last evening was praying to die. Severe headache, nausea, heartburn, sweats, fingers And toes numb, could...
 Asked: 2/2/2017 1. Is it a standard of care for chemo with stage 2B, ER+, PR+, HER2- and 2/3 positive nodes without Oncotype DX score and/or Mamma print score? 2.
 Asked: 1/30/2017 I am a healthy 73 year old with er positive (90) and pr positive (60) her2 9.9 negative node negative with a onco type dx of 20 .
 Asked: 1/30/2017 I am a 79 year-old woman. I had a single breast mastectomy (December 23, 2016).
 Asked: 1/30/2017 Has the Oncotype DX score recommendations changed with any new trial data presented at the San Antonio Breast conference in December 2016 for ER+, PR+,...
 Asked: 1/30/2017 I have been diagnosed with IDC. Lumpectomy completed 12/30.
 Asked: 1/29/2017 Dx tnbc, 1.2cm,no node involvement,58 yr old.
 Asked: 1/29/2017 Hi I have gotten some great information here before.
 Asked: 1/28/2017 Hi: I am 52 years old dx with stage 1 grade 3 ilc.
 Asked: 1/28/2017 Lillie, I read on a discussion forum that strongly ER+ breast cancer is not very responsive to chemotherapy.
 Asked: 1/27/2017 I need someone''s suggestion about decision for chemotherapy, since my Oncotype is 23 in intermediate range.
 Asked: 1/27/2017 HI I am a 44 y/o female diagnosed with breast cancer found routine screening mammogram 5.8cm grade 3 SLNB positive with macromets trying to determine...
 Asked: 1/27/2017 When one is on Xeloda, is it okay to get a shingles shot?
 Asked: 1/26/2017 I was diagnosed at age 35.
 Asked: 1/26/2017 I am 67 and just had a bilateral.
 Asked: 1/25/2017 Was diagnosed with IDC, in October, had lumpectomy in November, margins not clear, 2nd lumpectomy in late November, margins still not clear told DCIS was...
 Asked: 1/24/2017 I am 61 with IDC ER/PR+ HER2+.
 Asked: 1/24/2017 I AM A 51 YEAR OLD POST MENOPAUSAL .
 Asked: 1/23/2017 Luminal b, lobular, er positve, PR negative, her 2 negative and ki67 of 20%.
 Asked: 1/22/2017 Hi...I am 47 perimenopausal and I had a mastectomy on my right breast on Nov 15th.
 Asked: 1/20/2017 Hello, I am 53 years old, premenopausal, but definitely periods coming less frequently, with recently diagnosed IDC Stage 1, Grade 1.
 Asked: 1/20/2017 What might be the most possible chemo combination for TNBC stage 2, with negative armpit lymph node, the combination, the frequency and the length?
 Asked: 1/19/2017 Just had a lumpectomy and sentinel node bx, it came back with clear margins and negative nodes.
 Asked: 1/19/2017 I just got an Oncotype score of 18, and have had a lumpectomy for a 9mm IDC 0/1 nodes ER+PR+ HER2- grade 1 tumor.
 Asked: 1/19/2017 I previously posted, but I think I was misunderstood.
 Asked: 1/19/2017 My wife was diagnosed w/ and invasive lobular carcinoma.
 Asked: 1/18/2017 Is chemotherapy (TCH) or TH alone the recommended? Having lumpectomy followed by TCH 6 rounds, or TH 4 rounds, then radiation.
 Asked: 1/18/2017 Hello, I have invasive ductal carcinoma , stage 2, size 4.5 cm.
 Asked: 1/18/2017 Went to dentist for a check up.
 Asked: 1/15/2017 Thank you and just to follow-up on the question I posted earlier tonight about the Mammaprint test concerns, what is the general thinking about the...
 Asked: 1/15/2017 THanks for answering so quickly, but should he make her agreed upfront to no chemo, is that a reasonable request?
 Asked: 1/15/2017 Dear Lillie, I have a friend that has been diagnosed with IDC Grade 2 ER+, HER2-.
 Asked: 1/15/2017 Hi - I''m facing chemo in less than 2 weeks and was wondering what your opinion of the Mammaprint test was since it''s not widely...
 Asked: 1/15/2017 Can an oncotypeDX test be performed in pre-menopausal females (IDC, stage II, Grade 2, PR+, ER+, HER2-, 37% proliferation)?
 Asked: 1/15/2017 I am age 68, had a unilateral mastectomy, ILC, Stage 2B with clean margins, no lymph involvement, tumor size 7cm, ONC DX score of 8.
 Asked: 1/14/2017 I am a 65 yr old woman diagnosed with 1.8 cm grade 1 invasive ductal carcinoma.
 Asked: 1/13/2017 You told a recent questioner that an Oncotype DX score of 11 was cutoff betweeen low and intermediate.
 Asked: 1/13/2017 I have had a lumpectomy on Dec.
 Asked: 1/13/2017 Diagnosed with stage 1 invasive mammary carcinoma of no special type (1cm) nuclear grade 3 (tubule formation score=3) mitotic rate is 2.
 Asked: 1/13/2017 1 am 46 and was diagnosed with breast cancer.
 Asked: 1/13/2017 Hello. I''m 47 with Dx 3/4/16 IDC ER/PR+ HER2- stage 1a, node negative, LVI present, grade 3.
 Asked: 1/12/2017 Im 46 was diagnosed with stage 1 IDC, er/pr +, HER2-, one positive node.
 Asked: 1/12/2017 Hello I am 60 yrs old, I have stage 1 9 mm in size Grade 3 Invasive ductal breast cancer and pathology shows estrogen neg,...
 Asked: 1/11/2017 I am 78 and had a lumpectomy for invasive lobular cancer, stage 2 grade 2, er positive.
 Asked: 1/11/2017 Hello, I have stage 1 9 mm in size Grade 3 Invasive ductal breast cancer and pathology shows estrogen neg, progestren neg , and HER2 Positive.
 Asked: 1/11/2017 Hi Lillie, I sent 3 e-mails to you about my unusual case, and you answered so patiently, As a quick remember I had triple neg ...
 Asked: 1/10/2017 Hello. My mom recently completed her chemotherapy for stage 1a breast cancer.
 Asked: 1/10/2017 I have had a lumpectomy with a Grade 1, clear nodes and clear margins, tumor was 1.3 cm, hormone positive, HERs neg.
 Asked: 1/9/2017 Was diagnosed with stage 2 IDC. Prosigna score came back a 70.
 Asked: 1/8/2017 I am 60 years old with a grade 1 tumor clear sentinel nodes 1.3 cm tumor estrogen & progesterone positive HERS negative with an oncotype score of 25.
 Asked: 1/8/2017 I have been diagnosed with Stage IA IDC grade 2.
 Asked: 1/7/2017 I am 57 years old with an oncotype of 20.
 Asked: 1/6/2017 Do a majority of BC patients choose to undergo chemo if Oncotype DX shows a 3% benefit? I realize this is a personal decision but...
 Asked: 1/4/2017 I have stage 1 invasive Ductal breast cancer and it has not spread to my lymph nodes.
 Asked: 1/2/2017 I had lcis dcis and invasive bc.
 Asked: 1/2/2017 I had lcis dcis and invasive bc.
 Asked: 1/2/2017 30F Left breast IDC, stage 1b, 1.4cm, 87%ER/65%PR positive, neg Her2/neu, Ki67 5%, neg fam bx, neg Brca or other gene mutation, oncotype DX score 23.
 Asked: 12/29/2016 Have ILC. Er/Pr+ HER2-.grade 2 Stage 3B.
 Asked: 12/28/2016 Do practitioners think that chemotherapy in a patient that had only invasive breast cancer prevents the onset of DCIS later on?
 Asked: 12/20/2016 Is a complete cure hopeful for IDC breast cancer, 3.41 cm, Stage II, Grade II, Triple positive, 1/5 positive nodes from a SLNB?
 Asked: 12/20/2016 I was diagnosed with invasive ductal carcinoma that is ER positive and Her 2 neu negative.
 Asked: 12/19/2016 Hi. I have diagnosed BC .
 Asked: 12/19/2016 Is it true that highly er+ breast cancer does not usually respond well to chemotherapy? Thank you..
 Asked: 12/19/2016 I have had 2.4 cm tumor, one sentinel node removed metastasis 3mm.
 Asked: 12/15/2016 Hi Doctor, I am 51 years old and not menopause yet.
 Asked: 12/14/2016 Completing 4 cycles every two weeks of AC - Nox for the T - choice of 4 cycles every two weeks or 12 weekly...any thought? Pros and cons?
 Asked: 12/14/2016 Since slow growing cancer does not respond well to chemo, does cancer that responds quickly to chemo tend to be faster growing? .
 Asked: 12/14/2016 I turned 50 in January and diagnosed with invasive ductal carcinoma in October.
 Asked: 12/12/2016 Hi Lilli I really thank you from bottom of my heart for the support you are giving to the distressed women..I''37 years old diagnosed with...
 Asked: 12/12/2016 Dose-Dense AC-T versus TC? Diagnosis: I am 36, left breast, grade 3, stage 1 T1CN0MO IDC.
 Asked: 12/12/2016 My Mom who is 72 years old and is diabetic for past 45 years, has high blood pressure and GERD problem too.
 Asked: 12/12/2016 Age 61. IDC left breast lumpectomy.
 Asked: 12/11/2016 My 76 year old mother recently underwent a masectomy.
 Asked: 12/11/2016 My sister is 60 years old, 5 cm tumor removed during lumpectomy with oncoplastic reduction, PR and ER positive, HER equivocal in tests performed after...
 Asked: 12/9/2016 Is chemotherapy always recommended with Her2 +? Diagnosis: 1cm, grade 3, ER+.PR+.
 Asked: 12/8/2016 I''ve never seen an explanation of why chemo should be started within a certain amount of weeks 12?) after surgery.
 Asked: 12/5/2016 Can you explain what this means: "There is persistent minimal irregularity in the area with increased density on the spot image.

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