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: 8/18/2017 I was dx with Triple Negative BC in June on left breast and had a mastectomy three weeks after dx on that breast only.
 Asked: 8/18/2017 Hello All, I am still in real shock since i heard that my mom has breast cancer.
 Asked: 8/16/2017 What is the criteria for Oncotype DX in post menopausal, invasive, er+, pr+, her2 -, grade 2b, tumor 2.1cm, 2/3 positive nodes? One MD...
 Asked: 8/17/2017 I''m triple positive .8 cm no nodes stage 1 grade 3.
 Asked: 8/10/2017 No progesterone high ER stage one no nodes Mamaprint high risk.
 Asked: 8/10/2017 Is CMF useful in high risk ER+Progesterone- stage one node free.
 Asked: 8/10/2017 My 42 yr old wife was diagnosed with triple negative Stage 2b breast cancer.
 Asked: 8/10/2017 I have an Estrogen positive tumor that has significantly shrunk from the ACT chemotherapy treatment.
 Asked: 8/9/2017 Should patients have an oncotype DX test with positive nodes 2/3.
 Asked: 8/8/2017 The first oncologist I met with ordered Oncotype test.
 Asked: 8/6/2017 I thought when I choose to have a lumpectomy for my pr/er+ her- 24mm tumor that chemotherapy would not be needed because the her test was negative.
 Asked: 8/5/2017 I am currently taking Xeloda and my tumor markers have been steadily going up recently.
 Asked: 8/2/2017 Hi, I have TNBC (IDC & DCIS).
 Asked: 8/2/2017 Stage 2b ductal, grade 1, er/pr+, her2-, node 2/2 (one 2.1mm and the other micro), oncotype 19.
 Asked: 8/1/2017 Is adjuvant chemotherapy after mastectomy for an 8 mm tumor- triple negative , no lymph node involvement.? I am 62 years old.
 Asked: 8/1/2017 I have IDC stage 2A grade 2.
 Asked: 8/1/2017 Hello, ok here is the question my mother has stage 2b/3 triple negative breast cancer She finished her A/C treatment on June 22 and started...
 Asked: 7/30/2017 Hello, my mother is given Taxol every weeks her first one was July 17 her next one is Aug 4.
 Asked: 7/30/2017 Stage 1 <0.8 with no node involved.
 Asked: 7/29/2017 HI I''am 52 with early stage BC,IDC 3cm, Grade 3.
 Asked: 7/28/2017 70 years old was on HRT high dose before operation .
 Asked: 7/28/2017 Hello, My mom was diagnosed with triple negative breast cancer.
 Asked: 7/28/2017 Since chemo may not be very effective on highly er positive tumors, due to slow growth, will AI''s work better because of 100 % er...
 Asked: 7/27/2017 Hi, I''m 33 year olds, i had mastectomy on 21-06-2017, now i know oncotype Dx score 14, ER score: 10.1 (positive), PR score: 8.3 (positive),...
 Asked: 7/27/2017 Just diagnosed: Left breast ILC, ER+ PR+ HER2-, one 5x3 cm mass and one 10 cm mass.
 Asked: 7/27/2017 I was diagnosed with Stage 2A IDC Grade 2 with one tumor at 2.1cm.
 Asked: 7/27/2017 Hello, My my mom was diagnosed with stage 2B triple negative breast cancer she just finished her A/C treatment on June 22 and started her Taxol...
 Asked: 7/26/2017 Is it true that chemo is not very effective on tumors that are strongly estrogen positive? I do know that the AI''s are very important, as well.
 Asked: 7/26/2017 Hello, My question is after chemo (Taxol) my mother breast swelled up.
 Asked: 7/25/2017 Hello, I would like to know how can you tell if the cancer cells are dying during chemo?
 Asked: 7/25/2017 my wife has invasive lobular carcinoma, < 1 cm, Estrogen receptor positive, HER negative with microinvasion to 2 sentinel LNs.
 Asked: 7/25/2017 I''ve had a double mastectomy with 1cm DCIS and well differentiated 2cm ILC, Grade 1, Stage 1C, node negative, all in the left breast.
 Asked: 7/24/2017 Hello, My question is does the tumor hurts when it''s shrinking my mother already had five chemo treatment.
 Asked: 7/24/2017 I see the comments regarding better and newer regiments then CMF.
 Asked: 7/24/2017 Your estimate please: What % of stage I breast cancer patients choose to undergo chemo with a 3% chemo benefit?
 Asked: 7/22/2017 I had a lumpectomy plus SN, yesterday and so will start chemo in a month or so.
 Asked: 7/22/2017 My mom''s Breast cancer report: node negative prognosis, recurrence score result of 27, ER of 8.2, PR =6.4, HER2 = 8.0.
 Asked: 7/21/2017 ILC lumpectomy ER+ PR+ Her2- 11/15 nodes involved T2 N3a MO=IIIc my margins were clear, PET scan clear, should i do chemotherapy with radiation? I broke my shoulder 6...
 Asked: 7/21/2017 My mother was Diagnoised with IDC. Her left breast is having a lump of size 4cm*3cm and metastatic auxiliary node.
 Asked: 7/21/2017 1. If CMF chemo is less toxic to the patient why isn''t this done instead of the more toxic chemo regimens? 2.
 Asked: 7/21/2017 Hello - my 44 year old sister was recently diagnosed with breast cancer.
 Asked: 7/20/2017 Hello, I forgot to mention my age.
 Asked: 7/20/2017 I have invasive lobular breast cancer. Tumor size is 4.7cm, grade 2, two SIN have isolated tomor cells, focal lymphovascular invasion, and the tumor also focally extends into deep skeletal musle.ER, PR are both 100%, her2 negative.
 Asked: 7/20/2017 Second time recurrence of breast cancer on the same side within 1 year of last treatment, confusion on chemotherapy and hormone therapy. Details: First time in sep...
 Asked: 7/20/2017 For my aunt diagnosed with T2N0M0 ER+, PR+, HER2-, 3cm breast cancer 4*TC chemotherapy was given.
 Asked: 7/19/2017 I have been diagnosed with stage 1 grade 3, 1.4cm TNBC, clear sentinel nodes, bilateral mastectomy with clear margins.
 Asked: 7/19/2017 Hi - I have Stage IIIa IDC, grade 2, ER/PR+, HER2-, 4/18 nodes.
 Asked: 7/17/2017 hi, i''m 33 year old, i had mastectomy on 21-June-2017, the result ER/PR Positive 100%,HER2/NEU (Negative score=1+), Ki67 positive 25%, P53 Negative (0%), invasive ductal...
 Asked: 7/16/2017 I''m 48 and healthy and was recently diagnosed with IDC and cribriform carcinoma.
 Asked: 7/16/2017 For a 40''s pre-men woman with Grade 1 IDC, ER+/PR+ HER2-, p56-, ki67 15%, 1 micromet (.1 cm) LN - would chemo be required?
 Asked: 7/16/2017 I am would like to know if you would reccommend chemotherapy for me.
 Asked: 7/14/2017 Sorry, just asked a question, but forgot to mention that genetic testing came back negative for all genes, but RAD51C that was inconclusive.
 Asked: 7/14/2017 Hi, I am 52, pre-menopause, in pretty good health, had lumpectomy 3 weeks ago to remove 2 IDC in my right breast (one irregular ~2.5-3.5...
 Asked: 7/14/2017 My mom finished AC treatment on June 22 and will start her Taxol treatment on July 17 every two weeks.
 Asked: 7/13/2017 My mother who has stage 2B triple negative finishes AC treatment on June 22 and will start Taxol treatment on July 17,(175mg )every two weeks.
 Asked: 7/13/2017 My mother has stage 2B triple negative breast cancer she finished A/C treatment on June 22 and will start her Taxol treatments on July...
 Asked: 7/13/2017 Hi, My mom is 78, dignosed with stage 1 BC, and had a lumpectomy 7 weeks ago.
 Asked: 7/13/2017 Hi Lillie, I was diagnosed with early stage tnbc last year...and doing well I want to know what would be the physical or clinical symptoms...
 Asked: 7/11/2017 I am 52. Stage 1A (5 micro-invasions <1cm), grade 3.
 Asked: 7/11/2017 Hello, My family member just finished A/C treatment on June 22,2017 and is about to start Taxol treatment on July 13 my relative A/C treatment was...
 Asked: 7/10/2017 Hi, I''m 33 years old. i had mastectomy on 21-06-2017, the result ER/PR Positive 100%,HER2/NEU (Negative score=1+), Ki67 positive 25%, P53 Negative (0%), invasive ductal carcinoma NOS grade 2, tubular formation score:3/3, nuclear pleomorphism score: 2/3, mitotic count score:1/3, tumor size: 0.2 and 1.8cm for invasive carcinoma,tumor focality: two foci, tumor site: LIQ specimen integrity: single intact specimen, margins: nagative for invasive carcinoma, Lymphovascular invasion: focal identified, regional node metastasis: nagative 0/3 lymph nodes.
 Asked: 7/9/2017 Hello, I am diagnosed with invasive, ductal adenocarcinoma in the right breast.
 Asked: 7/6/2017 I had a mastectomy and an expander plate yesterday for er+ pr- IDC, My breast surgeon told my husband that there were cancer cells in...
 Asked: 7/6/2017 Would you recommend chemotherapy in a 42 year old with stage 0 dcis with recurrence score of 24? .
 Asked: 7/5/2017 i''m 33 years old, i had mastectomy on 21-June-2017.
 Asked: 7/6/2017 I received a first second and third opinion and yet I''m still feeling very uneasy.
 Asked: 7/6/2017 I was diagnosed with Stage IIa cancer with a positive lymph node identified via clinical exam and confirmed with core needle biopsy.
 Asked: 7/5/2017 Hello, My mom is has stage 2B triple negative breast cancer already started chemo treatment.
 Asked: 7/5/2017 I''m 33 years old, i had mastectomy on 21-06-2017, the result ER/PR Positive 100%, HER2/NEU (Negative score=1+), Ki67 positive 25%, P53 Negative (0%), invasive ductal carcinoma...
 Asked: 7/4/2017 What is the current NCCN guidelines for 48-year female (premenopausal) with HER2 positive tumor (size 8mm, grade 3 with NO nodes involvement)? .
 Asked: 7/4/2017 Hello, My family member finished her chemo A/C treatment on June 22 her Taxol treatment is on July 13.
 Asked: 7/3/2017 My apologies if this is a duplicate - I could not remember if I left my email for a reply.
 Asked: 7/3/2017 Regarding needing chemo for breast cancer, do you use Mammaprint or Oncotype Dx testing and if so, which one and why? Thank you.
 Asked: 7/2/2017 Hello, How long is radiation for stage 2B triple negative breast cancer..
 Asked: 7/2/2017 I am an unhealthy inactive 69 year old with diabetes and Cronic stage 3 kidney disease with mobility issues.
 Asked: 7/2/2017 My oncotype score is 13. However, my 8mm tumor was HER2+ (grade 3).
 Asked: 7/2/2017 My husband, 73 yrs, was diagnosed er+, pr-, her2+ a year ago.
 Asked: 6/30/2017 my mama print core was low risk.
 Asked: 6/30/2017 Is chemotherapy typically recommended for very small triple negative breast cancers? More specifically, 3 millimeter IDC, grade 3, no lymph node involvement, no invasion...
 Asked: 6/30/2017 Hello, My mother has stage 2B triple negative breast cancer she just finished her A/C treatment on June 22 and will start her taxol treatment on...
 Asked: 6/30/2017 58 yr old post menopausal stage 1 Breast cancer and dcis, er/pr positive oncotyoe score 23, would I benefit from chemotherapy? Or should I just...
 Asked: 6/30/2017 Is chemotherapy always recommended for TNBC, even if the IDC tumor is only 3 millimeters and there is no lymph node involvement and no indication...
 Asked: 6/30/2017 36 yo female: core biopsy DCIS, ER/PR neg, grade 3.
 Asked: 6/30/2017 Hi I am 39 years old. I will be turning 40 in August.
 Asked: 6/30/2017 How can I make a remote consultation appt.?
 Asked: 6/30/2017 Hi Based on my Oncotype results ( my score was 18) , and the comparison for treating with chemo and tamoxicifen or just tamoxicifen was 12%...
 Asked: 6/30/2017 Hi I am 42 and resident in the UK.
 Asked: 6/28/2017 Invasive Ductal Carcinoma- Stage 1 Grade: II/III Carcinoma measures 7mm in greatest dimension Lymph-vascular invasion: not identified Duct Carcinoma in situ: present --architectural pattern: comedonecrosis and solid types --nuclear grade: high --necrosis:...
 Asked: 6/27/2017 Hello my mother has stage 2b triple negative breast cancer she finished her last A/C treatment on June 22 her weekly treatment for Taxol will...
 Asked: 6/27/2017 Recently diagnosed with ILC, 2.3cm. Have had lumpectomy and SNB found 1 positive node.
 Asked: 6/27/2017 Hello, My mother has stage 2b triple negative breast cancer started chemo on April 20 finished A/C on June 22 about to start Taxol weekly.
 Asked: 6/27/2017 I am Stage 1B with (1) node positive (Micromet), Tumor size 0.8 cm, Oncotype 21, ER+, HER2-.
 Asked: 6/25/2017 I have Stage 1A T1a NOMO Grade 2 Invasive Lobular Carcinoma, ER+, PR+, Her2+, BRCA-, and Oncotype 38.
 Asked: 6/25/2017 Hi, My mom (68) was diagnosed with: CA of LT breast, between 2-4, ILC, oncoplastic partial mastectomy. MRI and CT-PET showed no metastasis, and FISH from FNA/TRUCAT...
 Asked: 6/25/2017 I just recently had a partial mastectomy to remove a breast tumor (invasive ductal carcinoma) size 0.9 x 0.6 x 0.4 cm.
 Asked: 6/25/2017 Hi I am 39 years old. I will be turning 40 in August.
 Asked: 6/24/2017 What is the standard of care for ER+, PR+, HER2- with 2 positive nodes? Chemo or no chemo? Oncotype DX suggests an option of no...
 Asked: 6/23/2017 My mom has an oncotype of 1b stage 1b1, but a positive 1.2 micromet on one nice.
 Asked: 6/22/2017 Hi I have stage 2b breast cancer. The sentinel nodes ( 2) were positive but they took out 8 more and they were all negative.

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