Are There Other Options to Treat Breast Cancer Rather Than Chemotherapy?

[@theresahickscch6581]

I’ve had hr positive breast cancer twice and chemo has never been offered. Tamoxifen the first time and Letrozole for the current diagnosis. I’ve been lucky.

[@yerbba]

It's great to hear that it has been effective for you. Thank you for sharing your experience, and we're glad to hear that you've been doing well.

[@MLM111]

Go carnivore and your cancer will go away it is very healing…

[@shannono8397]

PS Thank you for such a helpful video. Very nice to hear her sincere help!

[@yerbba]

Thank you for watching and your positive feedback. Yerbba appreciates you.

[@Munthaha883]

​@@yerbba My elder sister has breast cancer and cannot get treatment for money Can someone help me with some money For my sister's treatment😢🙏

[@naththomas9946]

Thank you for your helpful information.

[@yerbba]

You are welcome!

[@bd3966]

Thank you for this very informative video

[@yerbba]

Glad it was helpful

[@kaleiam6246]

Can you elaborate a little about chemotherapy before vs after menopause? Does being premenopausal make needing chemotherapy more or less likely?

[@yerbba]

Menopausal status affects the selection of endocrine therapy. In people who have a 21-gene assay, the cutoff for recommending chemotherapy is a little lower, meaning that premenopausal people are a little more likely to be offered chemotherapy for the same tumor.

[@carolynsmall9282]

Good morning everyone!! Praying for stronger vibes today!! Happy Monday!!

[@yerbba]

Same to you!

[@stchannel2476]

This was very interesting. Thank you very much

[@yerbba]

You're very welcome

[@momovaryacting8798]

What about: Invasive poor-differentiated ductal carcinoma. 4.2 cent. Triple negative no lymph nodes swollen. Estrogen is not causing it. Is a lumpectomy only a good option? It is chemo necessary?

[@yerbba]

Great question. The most likely treatment you will be offered is chemotherapy given that this is a triple negative Stage II(2) cancer. It is normal not to want chemotherapy. We have not met many people who are eager to have chemotherapy. Nonetheless, chemotherapy has a proven track record in people with a cancer such as yours.

[@tttony9426]

question please,why not just remove the ovaries from the start So to lower the estrogen in the system thats what Tomoxifine does,??? the cardio side effects are much easier to treat then cancer ????

[@yerbba]

It sounds as if you're referring to people having their ovaries removed as a form of cancer prevention. This is something we offer for people at very high risk, such as those who have an inherited susceptibility to breast cancer. For the general population, doing so would cause much more harm than good at the population level. It's a good question, and we hope this answer is helpful.

[@emanaladawy3567]

57 y old, diagnosed with invasive breast cancer, ER+, PR+, HER2- T4,N1,M0, recieved Letrozol for one and half year, then total mastectomy done with sentinel LN. Two positive out of 19 LN removed. after histopathology: T2N1a, PR become negative, ER +, HER2 still negative...please do i need chemotherapy or what...very thanks

[@yerbba]

It's difficult to provide specific recommendations without being part of your care team. Your oncologist should be able to help you understand the pros and cons of additional therapy.

[@bryaryassin1956]

Hi doctor , can invasive ductal carcinoma grand 2 be survived?

[@rowspampolina3195]

Same case with my sister

[@yerbba]

The goal of treatment in Stage II (2) breast cancer is cure. That is, everything we do is because we believe that cure is not only possible but likely.

[@melissasmith1322]

In early stage why is chemo given before hormone treatment? I have mucinous carcinoma grade 2 and have been told that chemo will be given. I’m 42. Upon research I h e read that hormone therapy is required for this type of cancer . Should I get a second opinion? I really don’t want chemo especially if hormone therapy can work.

[@yerbba]

In early stage breast cancer, chemotherapy given first has several advantages. Chemotherapy can decrease the size of the tumor and can improve the outcome of surgery. For example, it can make it possible for someone to have breast conserving surgery instead of a mastectomy. It may also make enlarged lymph nodes easier to remove. Finally, it can allow time for genetic counseling and testing before surgery and can give us a sense of how responsive the tumor is to chemotherapy. Your other question--about mucinous carcinoma--is really important. We do not generally treat mucinous carcinoma with chemotherapy unless there are many positive lymph nodes. Mucinous carcinomas should not be sent for the 21-gene assay (brand name: OncotypeDX) or other tumor gene assays. The results are not helpful in mucinous carcinoma. In addition, the results are almost always come back "high risk" when, in fact, mucinous carcinomas are extremely low risk. If you are not comfortable with the recommendation for chemotherapy, I would encourage you to indeed get a second opinion and consider seeing a breast oncologist instead of a general oncologist.

[@rushirajsunkersett1424]

Yes even I have the same question..when we already have Hormonal therapy available, why adjuvant chemotherapy is still required.. it's like first do the mastectomy then chemo followed by Hormonal therapy. What's the use of detecting the cancer early when the line of treatment and Patient's suffering still remains the same...

[@gumbylovesyou]

What would be the exceptions to the rule of starting with oral medications (AI's etc.) first and chemo later with Stage 4/MBC? That is, in what sorts of cases might they actually start with chemo first? I have Stage 4 MBC de novo (hormone +, HER2-) with bone mets in just two main spots; waiting to find out if doctors are going to consider it "oligometastatic" and treat accordingly. Although I'm not asking for specific medical advice here, I am wondering if chemo would sometimes come first when it's a case of oligometastatic disease, de novo, or if you were referring to other sorts of scenarios. Thanks so much.

[@yerbba]

Great question. Because the likelihood of endocrine therapy working is higher than with chemotherapy and the toxicity is less, people can stay on endocrine therapy much longer. There are some oncologists who would start chemotherapy first in someone who may have a narrow window of time in which we would hope to see a response. For example, someone with a lot of involvement in the liver. The hope would be for a rapid response and then to put the person on hormonal therapy. There is actually not a lot of evidence that chemotherapy works more quickly.

[@melaniepitt4295]

Interesting to know if these comments on pros and cons of hormone therapy versus chemotherapy as first defense apply to endometrial cancer.

[@yerbba]

Thanks for watching. In endometrial cancer, treatment decisions are based on a variety of factors, including the purpose of treatment, the stage, the type of endometrial cancer, and the patient's overall health. I wish we could be more helpful.

[@do9138]

Chemo can make you ill for months. Hormone therapy can put you in constant pain for 10 years or more.

[@chanellegracewolff7475]

Hello Dr. What are your thoughts on the treatment for occult breast cancer? I have just been diagnosed and am waiting for my treatment plan. Thank you. I have not found much information on occult breast cancer.

[@yerbba]

Occult breast cancer, for our other viewers, means that lymph nodes are positive for what is consistent with breast cancer but no primary breast tumor is found. This usually happens when the body has effectively resolved the primary tumor. Because we cannot be sure that there isn't a tumor somewhere in the breast, radiation therapy is generally given to the breast area. Treatment decisions are made on the basis of the lymph node status and the "biology" of the tumor, which includes estrogen receptors, progesterone receptors, HER2 status, and grade. We hope this is helpful.

[@bhanumathikalyanasundaram.4930]

​@@yerbbaHave never heard the term occult breast cancer. What a revelation!!😊

[@caitlingann1111]

Is a T2N0 tumor always stage 2? Or will they also look at biomarkers and grade? Does stage 2 always get chemo or is it still based on onco dx score?

[@yerbba]

A T2 tumor is a stage II (2) tumor even with negative lymph nodes. Because the OncotypeDX assay looks at all the tumor's genes, it is a great predictor of whether or not chemotherapy will offer benefit. The OncotypeDX assay quantifies many of the other characteristics you ask about. We hope this is helpful.

[@jefrinjafar1220]

50yr old having invasive carcinoma with grade 1 no brisk mitosis or lymphovascular or perivascular invasion noted tumor size 0.6mm ,does she need chemo?

[@yerbba]

Thanks for the question. While it is unlikely that chemotherapy will be offered, we cannot say for sure without being involved in her care team. You may find it helpful to go to yerbba.com to get a personalized report if you live in the U.S.

[@Aduhh33165]

Thnks Dr.Jennifer..🌹🌹🌹🌹🌹eventhough I'm healthy...there's nothing wrong to knw and take note info's given...👌

[@yerbba]

Glad to help

[@elsadomi3838]

Hello Doctor , I have IDC , Tumor size 3.3 and Iam 24 years old . Iam tripple positive ER+ PR+ and HER2+ . I don’t want to do neither chemo and neither hormone therapy , I only want to take the tumor out and do radiation . What you think about this?

[@yerbba]

This must be so difficult for you. Being so young and having cancer. Only you can make decisions for yourself. What we do know is that chemotherapy and HER2-directed therapy increases the chances that cancer will come back in other parts of the body. Endocrine therapy is extremely effective. In a tumor such as yours, treatment is associated with markedly improved chances of survival. It would be worth learning more about treatment and asking your team to go over all of your concerns about treatment. That way, you can make the most informed decision.

[@HebaHassan-po3lp]

I am stage 3 , grade 3 invasive ductal carcinoma, ER+, PR+ ,HER2 -ve, KI67 is 45% . Do I need chemotherapy!?

[@yerbba]

Chemotherapy is usually recommended for people with Stage III breast cancer. However, your oncologist will consider all factors to make the best decision for you.

[@carolynsmall9282]

Hi. Im having stomach issues for the last 3 days after my chemo treatment. I have been drinking ginger tea?

[@yerbba]

Thank you for sharing your story. Having an upset stomach is a common side effect of chemotherapy. Ginger (ginger lozenges, ginger tea, ginger ale) can help with those side effects. It's also important to let your medical team know about your symptoms because there are lot of things that we can do to help.

[@SaraBrehmer]

Hi! My mom was recently diagnosed with her2 positive hormone negative breast cancer, stage 2. She was recommended to have chemo first, but she is deciding to go with the lumpectomy first and go from there. Do you have any thoughts on this? Is this a mistake?

[@yerbba]

Thanks for writing. Your mother is fortunate to have you looking out for her. There is no difference in survival between surgery first followed by chemotherapy vs. the other way around. Chemotherapy first can help make the surgery more "successful" (better margins, for example). And radiation therapy given after surgery and chemotherapy can reduce the risk of recurrence even if the margin is close. Wishing you both the best.

[@luvinjc7]

I know you mentioned in the "rare type of breast cancer" video that usually Papillary Carcinomas often don't get chemo. How about Invasive Papillary Carcinoma, no lymphnode, 28mm, clear margin. Will this need chemo? Other sources say it's rare to get chemo. How common for IPC to reocurr?

[@yerbba]

With invasive papillary cancer, it is uncommon for chemotherapy to be recommended.

[@gaurikris9420]

would like to know dfs and os for t3nomo breast cancer which is her2 positive for a 70 year old women.i have never seen much information on t3nomo subgroup.also I'm scared since my mom is on neoadjuvant chemotherapy is there any possibility for it to be metastatic during treatment from stage 2b

[@yerbba]

The prognosis is actually quite good with a T3 tumor in someone getting treated. Specific tumor characteristics, such as the hormone receptor and HER2 status as well as the grade of the tumor are important in determining prognosis. Getting neoadjuvant therapy is helpful because, if the tumor responds to treatment, we get additional information about the responsiveness to treatment. Your mother is fortunate to have you looking out for you.

[@ashoknangare201]

Do invasive breast carcinoma grade 3 1st stage requires chemotherapy?

[@yerbba]

Whether stage 1 grade 3 invasive breast carcinoma requires chemotherapy depends on various factors like tumor size, tumor markers, and more. For a more detailed understanding of your diagnosis, we invite you to visit yerbba.com to access personalized treatment options and a comprehensive overview of your diagnosis. This resource is designed to help you understand your treatment options in a comprehensive and detailed report. We're here to empower you with information to make confident decisions about your care.

[@charmz533]

Hi Doctor. I am 59yo. I was diagnosed of invasive lobular carcinoma, stage1a, grade 2, estrogen and progesterone postive, HER2 negative. Ki67-10-20%. Is chemotherapy benificial to me? I dont have cancer in my lymphnodes, my surgeon took 2 during my lumpectomy and 0 for cancer. The cancer they were taken is 1.2 x 1.2 x .9. I am still waiting for MDT meeting. Is it possible just to do radiation then hormonal or endocrine therapy? Thank you so much.

[@yerbba]

Thank you for reaching out with your question. It is hard to determine your treatment plan without being part of your medical team. For a more comprehensive understanding of your treatment options, visit Yerbba.com to access your personalized Yerbba report. We're dedicated to empowering you with personalized treatment options to help you make informed decisions with confidence.

[@TheBubbleBia]

Dr. I'm a 45 yo with Grade 2, ER 95% PR 100% HER 2-. Tumor 3.2cm, 1 lymph node affected, Ki-67 15%. My doctor wants me to do chemo and not get Oncotype test. Just do chemo regardless - 4 rounds of TC. Any thoughts pls? Thank you so much ❤

[@yerbba]

Many oncologists would proceed with the OncotypeDX assay in a tumor such as yours. It may be helpful to ask more questions about your doctor's recommendation. We hope this is helpful.

[@MaryChristyLBarzo]

Small cyst in my breast...what the different of sizes of breast tumor or cyst.?

[@yerbba]

Cysts are generally benign. They may cause pain, however, so having a cyst looked at and addressed is appropriate.

[@muhammadahmad-hm2dd]

What is best treatment chemotherapy or not

[@yerbba]

Thank you for watching and your comment. Your medical team will help you figure out the treatment right for you. If you want to learn more about your personalized treatment options, visit yerbba.com

[@alabiblessing4455]

Thanks for this insightful video, it is really educative… medical treatments are good ,know also that Jesus heals every stage and type of cancer. He can do that during your treatment or He does it without the treatment at all(Miraculously). He healed me of breast cancer completely while I prayed and serve Him. May God heal every sick person here in Jesus name. Amen

[@yerbba]

Thanks for watching.

[@valentinavardanyan2602]

Amen!🙏🏻

[@jundreisc7517]

Thanks doc

[@yerbba]

Always happy to help.

[@shannono8397]

if you are very early 40's, and had partial lumpectomy, would removing ovaries be an option to help (if that person is ok with not having children) *but would like to not do Chemo

[@yerbba]

Removal of the ovaries and endocrine therapy could be an alternative to chemotherapy depending on the particular characteristics of the tumor.

[@LostinTranslationss]

Why I didn’t have chemotherapy? I had high grade DCIS with micro invasion (T1mic), 1*0.5 cm, her2+, hormone negative. Only lumpectomy + 20 radiations given. Is this under treatment?

[@yerbba]

Great question. With microinvasion, we do not give chemotherapy.

[@dq5146]

Does Multifocal micro-invasive ductal carcinoma require chemotherapy? pT1mi(m)pN0(sn), Thanks!

[@yerbba]

Chemotherapy is generally not part of the treatment plan for microinvasive DCIS as long are there are no areas larger than 6 mm.

[@dq5146]

@@yerbba If there are 20 microinvasive foci, but each is less than 1mm, does this require chemotherapy? Thank you very much!

[@tttony9426]

question please,???? there's dozens of drugs to stop the ovaries from making estrogen,chemo shuts down the ovaries correct, ???arromitase inhibitors stop the body from making estrogen from testosterone correct ???,i do understand our bodies system requires estrogen to metabolize many things,but too much also causes problems, is it not easier to treat the arising problems from no ovaries then it is to treat breast cancer,,,and since the female body knows when in life to turn the ovaries off this process is coming anyway correct ???,hot flashes plus mood swings are very easily treated by supporting the hypothalmus it is our bodies thermostat correct ??? isnt this why the natural menopause process takes up to and sometimes more then a year to complete ???, its giving the endocrine system time to adjust to lower amounts estrogen in the system,,there's so many differing opinions out there !!!!,,a cancer cell starts out as a normal cell but then mutates due to many different factors but the main factor seems to be too much estrogen,this is why all the treatments stop the estrogen by 1 way or another correct ????,thank you for your videos,

[@yerbba]

Thanks for your thoughtful digestion of all the information out there.

[@anusayakudhekar1254]

My mother is going to take her 3rd chemo but she is refusing to take it bcoz it's very painfull can u plz tell me how to reduce pain after chemo her age is 53 plz rly

[@Aduhh33165]

Sorry ...can I knw what she meant painful..was it the needle..? My sister she had mastatic beast cancer stage 4 one yr ago and she is 57 yrs old..did many chemos..and now doing well..back to work..no side effects..only the beginning she had fatic and no appetite...u must encourage her the positive vibes..with support and encouragement..she can go thru it well..

[@anusayakudhekar1254]

@@Aduhh33165 she says after taking chemo she feels like fire in all her body and head and for 6,8days she lost her appetite

[@Aduhh33165]

@@anusayakudhekar1254 yes indeed thats what my sister went thru..ur mom need to drink more plain water..use a straw if cnt drink. hv more rest and gives her fruits juice..like berries..soft avocado..try avoid sugary foods..if she wants can add natural pure honey..

[@anusayakudhekar1254]

@@Aduhh33165 thanku 👍

[@Copache15]

Hey I didn’t watch the vid but I’ll leave this here. Cancer cells are “addicted” to iron. They can make you anemic if you have too many. One thing that you can take to eliminate iron outside your main circulatory supply is to take wormwood with black walnut. Wormwood is a 5,000 year old plant, not a drug; it is much safer than chemotherapy (although combination therapies exist) and results in almost no healthy cell death while outcompeting cancer cells for their growth source (iron). If I got cancer it is the first thing that I would take for two weeks. Also kills viruses. This is advice for family not an ad.

[@MaryChristyLBarzo]

i haved an small cyst before last January 2022...

[@yerbba]

A cyst is different from a tumor. Cysts are fluid-filled rather than cancerous. I hope this is helpful.

[@MaryChristyLBarzo]

Good afternoon

[@yerbba]

Hello! Thanks for dropping a note in here.

[@orseernadoo-wk3lu]

Can I breast feed my baby with breast cancer, I have not gone to the hospital yet, but I have lump in my breast and ampit, I feel weak and other things. I am juicing vegetables fruit as teartmemt pending when I will have money. I don't know what to do. Will my baby be affected with cancer?

[@yerbba]

Thank you so much for your question, keep an eye out for our upcoming video regarding this concern! In short, the cancer cells cannot spread to the baby. Breastfeeding is possible depending on the treatments you're on. Thanks for watching.

[@orseernadoo-wk3lu]

I have stopped giving her the right breast because it is salty. I thought it will affect her

[@nazminhossain4258]

ER & PR- ,Her2+ ..is chemotherapy needed?

[@yerbba]

Chemotherapy is generally part of the treatment plan when the HER2 is positive. Chemotherapy is given along with HER2-directed therapy.

[@daicymc]

I was diagnosed with Invasive DCIS and my breast surgeon recommended neoadjuvant chemotherapy.

[@yerbba]

Neoadjuvant therapy has many advantages. We have a video on it that you may find helpful. Hope everything goes smoothly for you.