How to Treat Stage I (1) Breast Cancer

[@yerbba]

Get your Yerbba Report Here: www.yerbba.com/ Take control of your breast cancer treatment with personalized insights.

[@JPfirm619]

My lady just got diagnosed. Please have her in prayers. I can't loose her. She's the rock of our family❤️

[@yerbba]

We certainly will hold her and your entire family in our thoughts.

[@peterlawrence6815]

I'm on your side all the best been there too.

[@timcox1682]

JP, Jesus is telling me in heart intuition right now for her... "what is scripted for her is, BUT @ a God level, her life has been halted to see what truths she is avoiding, what hasn't she processed, or hasn't dealt with,, is there lies she is existing in?" That's as a starting point JP. ***My mum, got breast cancer & had both her breasts taken out, she hasn't felt a sexual woman for a very long time, dad come out & left mum with a truth with males & divorced mum when i was 9 (i'm 45 now), so mum hasn't been truly desired, even the stepfather is on the fence with his sexuality, he hasn't truly lived to know himself either. So my mum & stepdad met the mirror of each other not connected to sexuality & haven't truly lived so don't know their sexualities in truth. Plus my mum's soul was a nun in another lifetime, so mum's soul hasn't known sexuality, been comfortable in it, been alive in it for life times now!!

[@pkre707]

My mother was just diagnosed with 1b breast cancer. It’s terrifying, but at the same time I remind myself that out of all of human history there has never been a better time to have this disease. This was once a death sentence, but now there is treatment, information, community, and counseling. There is hope. I will pray for all of you as I hope you will pray for my mom and I. 🙏

[@yerbba]

Your mom is fortunate to have your support and positivity by her side. Your perspective in such a challenging time will help your mother. It's true that advancements in treatment, support, and knowledge about breast cancer have transformed the journey for many, offering hope where there was once fear. With this stage, the prognosis is excellent.

[@Jewels-wy2xe]

Thank you for saying that. My core needle biopsy revealed the diagnosis first week of June. I have an appointment with surgeon Thursday, I just told myself this today and you reassured me. Thank you again.

[@LovelyLauren83]

Thanks for sharing the real truth; watching this video has prepared me for my upcoming appointment with my oncologists; I anticipate that they'll share this shocking of the ovaries treatment, which sounds completely devastating. I now understand why conceiving would be hard after such treatment.

[@yerbba]

Thank you for sharing your experience with us. We're pleased to hear that our video has helped you prepare for your upcoming appointment with your oncologists. If you have any further questions or require more information, please don't hesitate to leave a comment. We're here to support you on your journey. Best wishes for your appointment. Thanks for watching!

[@gingerjoy5836]

Excellent info, amazing presentation. Thank you!🙌🏼💗

[@yerbba]

Glad it was helpful!

[@soniabatres8343]

Thank you great information! I my just had her surgery last week and the dr call and let is know that she needs another surgery.

[@yerbba]

Thank you for watching.

[@afxterjohn]

Please pray for my mother she has stage 1 breast cancer ❤❤

[@yerbba]

Your mother is in our thoughts and prayers. Wishing her strength and a smooth journey through her treatment.

[@meritabuff741]

I had one stage breast cancer 16 radation treatments no chemo no cancer in limp nodes one year ago doing great I think your mom will be fine Praying for her and everyone who is going to breast cancer 💯

[@afxterjohn]

@@meritabuff741 she finally beat it thx for your support

[@mamacooks1778]

Please pray for me

[@yerbba]

Thank you for watching. We're here to offer our support and positive thoughts. You're not alone, and we're sending you strength and comfort during this time.

[@denisemodica9792]

Outstanding information 🦋🦋

[@yerbba]

Thank you for watching and the positive feedback!

[@infinite3743]

Plz pray for me i am 5 months pregnant n having grade 2 breast cancer

[@yerbba]

Thank you for watching. Yerbba is rooting for you.

[@SarahPerine]

I hope you’re getting through treatments well so you can enjoy your baby💚

[@AguChinazaRosemary-gz1lk]

Thanks a lot,

[@sujatahanumanthu501]

Please pray for my mother

[@yerbba]

Thank you for watching, we hope for the absolute best for your mother.

[@briggettecammett6181]

Could u talk about the recurrent rate of mucinous breast cancer? Ty.

[@yerbba]

The recurrence rate is about half of what it would be if this were a non-mucinous carcinoma. The prognosis is very good with mucinous cancers. It is hard to make a specific estimate without knowing other things such as the size of the tumor and the lymph node status.

[@PaulNoake]

Hi Dr I have just been diagnosed with DCIS in my left breast it's stage 1 and I'm not coping at all it's my 2 time as I had stage 1 DCIS in my right breast 18 months ago

[@yerbba]

Oh, we wish you weren't going through this again. Make sure you reach out for support. We have some videos on how to get the support you need.

[@margaretsentamu9559]

Very useful info. But my question is ....does one have to undergo radio or chemotherapy even after the surgery?

[@yerbba]

Decisions about radiation therapy are based on the risk of locoregional recurrence. In someone who had breast conserving surgery (lumpectomy), radiation is almost always recommended with few exceptions. Chemotherapy recommendations are based on a number of factors, including the size of the tumor, the hormone receptor status, the HER2 status, and, in people whose tumors are sent for genomic assays, the results of those assays.

[@josephharley9448]

my mother is 78 had a lump remove from her breast was then told by consultant that it had gone to lymph nodes A sample of some sort has been sent to the USA for i guess a very detailed analysis. Chemotherapy was mentioned as a possible treatment. I was out for a walk today with her and she is the picture of health. Inside i am very worried about what is coming down the line.

[@yerbba]

It's hard not to be worried. Keep watching our videos as they are likely to be helpful when you get the outside pathology report. Your mother is fortunate to have you.

[@MicheleMitchell-tn6yr]

Excellent video!

[@yerbba]

Thank you for your support!

[@denisemodica9792]

So informative 🌺thank u 🌺u r brilliant 🌺

[@yerbba]

Thanks for watching!

[@binapatel1118]

Very informative... Thank you🌺

[@yerbba]

You are very welcome.

[@maysalam4469]

Thank you for nice presentation

[@yerbba]

Glad you liked it.

[@kmac2um112]

Stage 1. Had a mastectomy of the right breast. Her2- but one lymph node came back positive and one negative, so now I'm being recommended for chemo and radiation as a preventative method....

[@yerbba]

Thanks for sharing your experience. We're rooting for you.

[@Itsmichiebishhhh]

Same here chemo then radiation they also mentioned hormone therapy.

[@TK-yo2rp]

Thank you so much for your 12 lists. Very helpful. I’m starting mind in 2 days. 😢

[@yerbba]

Thank you for watching and sharing your positive feedback. Yerbba is rooting for you!

[@hasibahmed4050]

My Mom is suffering from breast cancer. Her pathological report is ER, PR is positive and Her-2 negative, Stage 1, Grade 2, and Tumour size 1.5 cm. Lumpectomy and Radiotherapy with Auxila are done. No SLNB and Auxila dissection is done. Now hormone therapy ( Exemastine) is continued. Are we on the right track? Can we skip hormone therapy after taking 4 months because of side effects?

[@yerbba]

The hormonal therapy is an important part of your mother's treatment plan. If the first medication is causing unmanageable side effects, trying one of the other aromatase inhibitors and, if that is no better, trying tamoxifen would all be reasonable options.

[@evgeniakotsifos7878]

We do know if cancer cells are in our blood by doing the CA125 blood test, and or CA 27.29, and many other blood tests can be done to see if cancer cells are in your blood

[@yerbba]

These tests are specific but not sensitive. For example, only half of people with a very large number of cancer cells have an elevated CA 27.29. So a normal test doesn't mean the cancer hasn't recurred.

[@nonyabiness4023]

I was recently diagnosed with breast cancer again. This time triple negative. Last time, lumpectomy and radiation. This time I had a bilateral mastectomy. Same breast. Final diagnosis after surgery was no malignancy in auxiliary lymph nodes on right or sentimental on left. No malignancy in any breast tissue. It hadn’t begun to spread. The tumor was 7x4mm in size. Very small. Is chemotherapy still necessary? They got it out with surgery. My oncologist still wants chemo due to the type of cancer.

[@yerbba]

Triple-negative breast cancer of that small size is most definitely associated with a good prognosis. We understand that it can be scary, however. Chemotherapy is an important part of most people's treatment plan if the tumor is greater than 6 mm in any dimension. I hope this is helpful.

[@judybee6698]

Sounds so similar to me. Second time around. First was hormone positive grade 1. This time triple negative grade 3. Small 6mm x 5mm x 3mm. Clear margins, 4 nodes taken, all clear. Oncologist says chemo but it just isn't sitting well with me. Did you do the chemo?

[@nonyabiness4023]

@@judybee6698 I did! Taxotere and cytoxan. It was brutal! Hopefully you’ll get lower dosages than I got. Triple negative is so aggressive they had to hit it hard. 4 treatments every 3 weeks. I’m so glad it’s over! And I’m growing hair! 7 months post chemo and it’s about 2 inches. Sending positive thoughts your way 🫶🏽🌷

[@judybee6698]

@nonyabiness4023 thanks for responding. That is exactly the treatment I am in for. First infusion next Friday. I live alone, so i am hoping it's not too rough. So not looking forward to it. Glad you made it through. Congrats!

[@nonyabiness4023]

@@judybee6698 Communicate everything with your oncologist team. They give you meds to counteract side effects. Go in for fluids and anti nausea meds if you need to in the days to follow. It helps a lot! Nothing will taste right. For me bacon, green olives, V8 juice and beef broth was the easiest to taste. If you run a fever, tell them quick. White blood count will drop. They can give you a booster shot for your WBC level to not drop too low. You will be tired. And ache. Rest as much as you can. I’ll be praying for you!!! 🙏🏽 You’ll get through it too!

[@amandabass04]

Juicing mostly 80% veggies helps, use a slow juicer…. Celery juice… ginger and turmeric are anti inflammatory , juice both with a green apple/golden apple plus lemon or lime….

[@amandabass04]

Vitamin D supplements are great

[@yerbba]

Sounds delicious!

[@mutesahonesa3653]

But u not talking about zoladex injection wen to start it and for hw long🤷

[@yerbba]

In people offered the LHRH analogs for early stage breast cancer, the clinical trials have generally given these medications for 2 to 3 years.

[@DC-xw4ln]

Does the tumor grade (3 for example) determined at biopsy change the stage?

[@DC-xw4ln]

What is the usual treatment for Stage One, Grade 3, no nodes, ER/PR+, Her2 negative? Thank you!

[@yerbba]

The grade does not determine the stage, no. The grade can increase the risk of recurrence however, and in a tumor such as the one you describe, a genomic assay such as the OncotypeDX assay may be offered. You may want to check out our video on the OncotypeDX assay here: kzbin.info/www/bejne/Z6PZZZ2DhLZrkLM

[@travelingwittee6058]

In treatment now for triple negative, taking Taxol it's effective but the side effects are crazy , I'm pushing through them 5 more treatments to go them on stage 2 of treatment.

[@yerbba]

Thanks for sharing your experience. It sounds like you're going through a challenging time, but your determination to push through is commendable.

[@pammcclung861]

I know this is an older video, but I’ve been told that I will lie on my stomach for my radiation (haven’t started yet) and my breast being treated will go down through a hole in the bed I’ll be laying on and the radiation will be targeted to the breast and will affect the lung much less - right breast, so less involvement of the heart as well since it’s on the other side). I don’t know if this type of radiation treatment is newer or just different than what you describe. I’ll learn more in a few weeks when I get my first treatment.

[@yerbba]

That sounds like prone-position radiation, which is a technique designed to minimize exposure to the heart and lungs, especially for right-sided breast cancer. It’s an excellent method for targeting the breast while reducing potential side effects to surrounding tissues. It’s not necessarily newer, but it’s becoming more widely used based on individual patient needs.

[@SANGSful]

HGDCIS ER PR -ve HER 2 +ve, few sub mm foci of IDC present in mastectomy specimen. Margins clear SLN excised all clear. Does she need to take Herceptin?

[@yerbba]

Trastuzumab (Herceptin) is not used in the treatment of DCIS.

[@SANGSful]

@@yerbba thanks for your response.

[@raheelajan1007]

Thnx for your awareness plz tell me my mother have a tnbc stage I , she had done lumpectomy ,Age 56 will she need chemo or some medication

[@yerbba]

We generally do use chemotherapy to treat triple-negative breast cancer, yes. Radiation therapy will depend on the kind of surgery and the size of the primary tumor. There are some people with exceptionally small tumors (a couple of millimeters) in whom we do not use chemotherapy even for triple-negative cancer, but it is pretty uncommon to find a tumor that small. Your mother is fortunate to have you looking out for her and learning about what she might expect.

[@raheelajan1007]

Mam her tumor is also small 1.5cm only

[@raheelajan1007]

Her all nodes are tumor free Dr. 's gave her 4 chemos(Cyclophosamide n Dexa) after 14 days intervals but now they said she takes 12 more chemos by weekly plz tell me is this correct?

[@amichristine8343]

Hello , im not getting answers straight on from dr in my area , so im waiting once again for mri , i was diagnosed on 29th of nov last week with breast cancer , already did all biopsy and mammogram, ultrasound. Its 8mm in size and slowly broke through the circle is how they put it but one dr said stage 2 and other said maybe stage 1. When i went yesterday my image looked lil differently from first one . How do i know if it spread or stage or if i really need chemo...im playing wait game and just getting more worried cause i dont have anything moving along yet like surgery and stuff .

[@yerbba]

Waiting for answers and feeling stuck in the process is so challenging. While staging and treatment decisions can take time, it’s worth asking your care team for clearer timelines or considering a second opinion to help move things forward. We also recommend watching our video on how to communicate effectively with your doctors [kzbin.info/www/bejne/ZpyllWyaoNGCoac]-it might help you ask the right questions and ease some of your concerns. In terms of treatment, the stage is only one thing that helps medical specialists decide what treatments to offer. In addition to tumor size and lymph node status, the tumor biology, which includes estrogen receptor and progesterone receptor status and HER2 status, are useful in identifying whether chemotherapy will help or not.

[@vdquery6613]

I am 69yrs old, diag stage 1,

[@yerbba]

Many (most) people with the tumor characteristics you describe do not need or receive chemotherapy. It may be helpful to have the primary tumor sent for a genomic assay such as the 21-gene assay (brand name is Oncotype). This will reveal the extent to which chemotherapy will improve outcomes. The grade of the tumor, which you don't describe, can also be helpful. High grade (grade of 3) tumors tend to have a high recurrence score on the 21-gene assay whereas a tumor with a grade of 1 tends to have a low recurrence score on the 21-gene assay.

[@CheeTengLee]

Hi Dr Griggs, I am 48 years old and got the breast cancer 8 years back (at 40 yrs old) at right breast with chemo and radiation done. It is hormone positive. However, 8 years later, i am diagnosed with breast cancer on left breast, which the tumor size is 8x7x5mm, ER & PR positive, lymph node negative, histologic grade : 2. With this, do you think chemotherapy is needed ? Appreciate your comment.

[@CheeTengLee]

CT scan result is negative

[@yerbba]

Although we can't give specific advice without being part of your medical team, we can tell you that, if the lymph nodes are negative, a tumor genomic assay (such as the Oncotype DX) can help determine the benefit of chemotherapy (if there is a benefit or not). Wishing you the best.

[@vegam6323]

Really helpful information Dr. Grigg. My question is what do you do when you have an Oncotype score of 29 and a Mammaprint indicating low risk on a Stage 1, Grade 1, 8mm tumor with no lymph node involvement and ER/PR positive and HER2 negative in regards to chemo? Would you have recommended chemo or no chemo? The oncotype was the outlier based on my clinicals and mammprint result.

[@yerbba]

This sounds like a difficult situation. The 21-gene assay (Oncotype) has the most data supporting its use, so I can see why this is perplexing. At this point, your preferences play a role in deciding the next steps along with the guidance from your medical team.

[@vegam6323]

@@yerbba I continued my research and learned that the Tailor X study did not include tumors that were below 1.1cm unless your tumor was intermediate or high grade for which they did study 0.6cm and above. My tumor was Grade 1. So given my specific grade and tumor size was not part of the research, most doctors have indicated they would not have ordered the Oncotype for me. So given my tumor characteristics were not part of the study, my Dr and I agreed we would not do chemo.

[@TinaSweeney-fn2du]

I had stage one grade 2 breast cancer, with microinvasive, is that a bad one ,thank you, and when thay were doing the biopsy it took all the caner out so when thay done the test on the lump there was none in it ,and how bad is precancerous cells ,😅i took arimadex for 10 years ,

[@yerbba]

You've been through a lot, and it can be so hard not to understand all the details of your cancer report. In people in whom the cancer was all removed with the biopsy, the recurrence rate is low. The endocrine therapy makes it even lower. Precancerous cells are also treated with endocrine therapy, and the risk of progression is much lower than with true cancer cells. We hope this is helpful.

[@TinaSweeney-fn2du]

Is microinvasive cells the same as precancerous cells thank you ,first I was told thay were precancerous and now microinvasive, 😢

[@TinaSweeney-fn2du]

Can i ask is it bad to eat eggs after cancer thank you ,

[@liannebenn2097]

At last someone mentioning tubular carcinoma!

[@yerbba]

Thanks for watching, and we hope you're doing well. It can be hard to have a less common tumor.

[@liannebenn2097]

@@yerbba Thank you! It's nice to have a better prognosis but there are practically no specific statistics related to it which is annoying when making decisions.

[@lindas2531]

@@liannebenn2097is not tubular same as ductal?

[@liannebenn2097]

@lindas2531 no

[@gwennnavarro2613]

Did i get it right, if ER/PR negative - most likely to be offered chemo, but if ER/PR positive - might require hormonal therapy? What’s a good news between being negative or positive? :)

[@yerbba]

Great question. In general, tumors that have ER and PR are considered more "favorable." If ER/PR-negative, chemotherapy is recommended (depending on the size and other medical problems of the person with cancer). If the tumor is ER/PR-positive, hormonal therapy may be added after chemotherapy, or chemotherapy may be omitted altogether. There's substantial overlap in the recommendations, and it depends on the size of the tumor, the lymph node status, the tumor grade, and results of a genomic assay if one has been done.

[@ElinorG]

Dear Dr. Grigg. I have been diagnosed with Stage 1 ER and PR positive in both breasts. The one in my right breast is 9x5 mm and the one in my left breast is 6-7 mm. The radiologist recommended surgical biopsies in two additional places in my right breast. I have had MRI and US guided biopsies in both breasts and the radiologist wants me to have two additional MRI biopsies besides the ones I had. They are scheduled in two weeks. The surgeon said she could either do lumpectomies followed by radiation or mastectomies in both breasts. She is not making recommendations, she said it is my choice. What is your opinion on my course of treatment?

[@yerbba]

Thanks for writing and sharing your experience. Everyone's care is individualized, so it's hard to comment on your case in particular.

[@maudaretz1782]

I just finished radiation of just 5 sessions for a 2cm lobular carcinoma after a lumpectomy. I asked to have it spread out over 5 weeks instead of 5 days. Minimal side effects. I am also facing that aromatase inhibitor pill, and very concerned about the side effects.

[@yerbba]

It’s great to hear that you experienced minimal side effects by spreading out your radiation treatments. Facing the start of aromatase inhibitors can feel daunting, but you’re not alone-many in the community have shared tips on managing side effects. Wishing you a smooth transition, and we’re here if you have questions along the way!

[@wendypop1113]

had biopsy there was cancer cells in my breast and a few in my armpit, waiting for dr to send me appoinment to tell me what theyre ganna do i think she said to try meds to try and shrink it or cut out

[@yerbba]

We will be thinking of you as you move forward. Keep coming back--we have a lot of videos that may be helpful.

[@Terege16]

Hello Dr , I was diagnosed with breast cancer stage 1, grade 3, 1.5cm tumor , estrogen and progesterone positive, her2 negative, no cancer cells in lymph nodes, oncotype 20 . Do I need quemo ?

[@yerbba]

Chemotherapy decisions in your case are difficult. The OncotypeDX score of 20 may indicate some benefit of chemotherapy depending on your age. Let your medical team know about all of your questions before you make a decision.

[@vegam6323]

Ask your doctor to also run the RSClin model for you, which takes your tumor characteristics and your Oncotype score and calculates your risk with your clinicals included. It is definitely worth doing, and the Dr can do it in their office in a couple of minutes.

[@mediataher]

Hi dear, I have been recently diagnosed with the same thing like you had, I am waiting to see the oncologist to decide what treatment to give me, do you mind please telling me what treatment they offered for you and what was the side effects! many thanks & best wishes

[@sue8319]

Lumpectomy, surgeon did not check with dye on lymph nodes. Current having radiation, with oral tx to follow. I hope she made the correct decision

[@yerbba]

Not everyone needs to have lymph nodes examined. For older people with small tumors, omission of lymph node assessment may be appropriate.

[@sue8319]

@@yerbba thank you for your comment. DISC & other is invasive Cancer, stage 1. I am old

[@mythaichannel9082]

My was HER 2 positive stage 1. I am going to have double mastectomy and reconstruction next Tuesday. My oncology doctor want to do chemo after surgery. will find out what going to be next steps wish me good luck and easygoing surgery and healing ❤️‍🩹🙏🙏🙏

[@yerbba]

Thank you for watching and sharing your experience. We at Yerbba have been thinking of you the past week!

[@N_B860]

What about triple negative tubal breast cancer stage 1,grade 2? What are the treatment choices in this case?There is a genetic mutation in BRACA2. What's your advice?

[@Rozie32]

Please do more research do not ask a stranger onnlie

[@yerbba]

We can't give specific medical advice on our KZbin channel because there are many details that are necessary to make a firm recommendation.

[@cherie9692]

Hello Dr. Grigg. Unfortunately my mom has been diagnosed with HER2 + and has been set to take the Enhertu chemotherapy. She’s still in the first stage. Do you recommend that she starts with that chemotherapy ?

[@yerbba]

Hello! Your mother is fortunate to have you. With HER2-directed therapies along with chemotherapy, the chances of disease free survival are as good as with people whose tumors are HER2-negative. So while I don't know things like the size of the tumor, the grade, the hormone receptors, etc., I would encourage her to follow the recommendations of her medical team. Most people tolerate HER2-directed therapies like Enhertu very well.

[@FlorenceMata-b7y]

Hi dr how are you, i have a breast cancer stage 1 Invasive Ductal carcinoma, i get surgery finish on last august 21 and petscan already done just im waitng for the result, i dont want to make a chemotherapy can i take for another treatment ????

[@yerbba]

Thanks for writing. There are many things that play a role in your treatment options, including the size of the tumor and the number of lymph nodes involved (if any), the estrogen receptor and progesterone receptor status, the HER2 status, and the grade. In people with zero or only 1 to 3 positive lymph nodes whose tumors are positive for hormone receptors and negative for HER2, additional tests of the tumor can be done to see if chemotherapy will offer any benefit. Check out some of our other videos on these topics.

[@MirandaElenaCostamagna]

Purtroppo dopo otto anni ho avuto una recidiva del tumore al seno. Il cancro è mutato ed è her2 negativo al 4 stadio. Ho problemi alle ossa e al fegato. Mi curo con kisquali, fulvestran e xgeva. Ci sono nuove cure adesso? Grazie per la vostra disponibilità.

[@yerbba]

We're so sorry to hear about the recurrence and the challenges you're facing. Kisqali, fulvestrant, and Xgeva are highly effective treatments, and it’s great that you’re actively managing this. New treatments are being researched constantly, so ask your oncologist about trials or emerging therapies that might be relevant to you. Sending you strength and hope.

[@ankitakarmakar9166]

This is very very helpful video.Thank you so much...Ma'am I have a question....Is 8 cycle of chemotherapy given to stage 1 breast cancer after surfers surgery??

[@yerbba]

If the tumor has unfavorable tumor characteristics, 8 cycles of therapy would be appropriate.

[@HomemadecookingbySue]

I was diagnosed with Stage 1 breast cancer and I had lumpectomy surgery. My lympnode tested negative but the lump which is 3 cm in size is aggressive. Now, the Oncologist is recommending chemotherapy before undergoing Radiation therapy. Is this normal?

[@yerbba]

This is a good question. Although the lymph nodes were negative, the "personality" of the tumor is a critical driver of prognosis and therefore treatment. While I cannot comment on your specific case, chemotherapy for a tumor this size with this personality is standard. And yes, we do give chemotherapy before radiation therapy. It sounds like this is not what you were expecting, and that can be hard. It's my impression that you are receiving the best care.

[@amandarzarate]

Very helpful. Thank you 🙏🏾

[@yerbba]

Thanks for watching and the feedback!

[@olivesoondar1165]

Can burn heal cream heal the skin after Radiation treatment ?

[@yerbba]

There are a lot of topical creams and ointments that can help with the skin problems from radiation therapy. It would be prudent to check with your radiation therapy team.

[@OMM2003GG]

I am being given "targeted radiation " and they never put tattoos or marking for the radiation. I am only getting 5 treatments every other day. Is this common as I haven't heard anyone mention this plan. 😢

[@yerbba]

Every other day, highly targeted radiation therapy, also called stereotactic radiation, is used to treat small areas, such as the eye, liver, or lung when these areas have cancer. This type of radiation therapy is not generally used to treat the breast itself in people with breast cancer.

[@LenlenMoya]

I don't know if I have it or what

[@yerbba]

If you're concerned about your health or suspect breast cancer due to symptoms or other factors, it's important to consult a healthcare provider for proper evaluation. Always better to be thorough when it comes to your health!

[@raheelajan1007]

Plz tell me my mom had done lumpectomy stage I tnbc will she need chemo or radio therapy

[@yerbba]

Although we cannot give specific advice to an individual patient, in general lumpectomy is followed by radiation therapy. For a TNBC, we generally do recommend chemotherapy as long as the patient is relatively healthy and is willing to accept chemotherapy.

[@shirleygagne1674]

Do we need estrogen for a healthy brain? I wouldn’t worry about memory loss etc.

[@shirleygagne1674]

I’m sorry I meant I would worry about memory loss.

[@yerbba]

Thank you for watching. The data on cognitive function and estrogen is fascinating. We used to say that our cognitive function declined after menopause (when the ovaries stop making estrogen), but there are a number of studies suggesting that cognition actually gets better after menopause. Clearly, each person is different. We recently uploaded a video about the role of estrogen in breast cancer!

[@meritabuff741]

Will pray 🙏

[@yerbba]

Thank you for watching. Sending positive energy your way.

[@N_B860]

I mean is there a necessity for double mastectomy when diagnoses of triple negative tubular cancer or ductal carcinoma grade 2 stage 1 but there is a mutation in BRACA2?

[@yerbba]

Not everyone has to have a preventititve mastectomy if they have a BRCA2 mutation. Close clinical following and breast imaging are another option.

[@aliciaruiz5381]

Thank you so much

[@yerbba]

You're most welcome

[@DanySt-Pierre]

I'm shocked to learn that mucinous cancer=no chemo.... since I went through chemo with that type of cancer, stage 1!! How is this possible?

[@yerbba]

It's not clear how decisions were made in your individual case. In people who have positive lymph nodes with mucinous cancer, some people will be offered chemotherapy.

[@OhGummy]

My mother is set to receive her last of four rounds of adjuvant chemo. Her diagnosis was Stage 1A Solid Papillary carcinoma. Her margins were clear after surgery and she had no lymph node involvement. The reason she even had to get chemo was because her oncotype score came back at 35 which meant she benefitted greatly from chemo. Right now, doctors are telling us they’re 90% sure she’ll be clear at 10 years. Should I still be worrying about that score?

[@yerbba]

Thanks for writing. We are not entirely sure how helpful the Oncotype score is in a person with papillary carcinoma in terms of prognosis. Statistically speaking, she has an excellent chance of having been cured. She's fortunate to have you as a daughter.

[@patfondren6013]

@@yerbba Yerbba, we are never to worry but to turn our worry over to God and our concerns to our medical staff. May God bless you and yours and may your mother be healed and pass into eternity painless and happy, knowing she has a beautiful daughter who cared enough for her to question her status

[@lisal1210]

Good information. I was diagnosed on 08.16.21 with Invasive Ductal Carcinoma Stage 1. This video really helped me understand what to look forward to. Thank you

[@sena_2341]

praying for you ❤️

[@yerbba]

Glad it was helpful

[@okukuliliann6765]

God heal u

[@yerbba]

We hope you're doing okay. This can be so hard.

[@HeatherHarrisfit]

@@sunshinehippie0019 I just got your exact diagnosis. I cm also. If you don’t mind sharing, what rx did you have and how are you these days! ❤

[@bonniecolegrove3865]

thank you

[@yerbba]

Thank you for watching.

[@ToowokeforFlorida]

Mayo Clinic has newer radiation procedures. Find that video. More agressive at first, every day, and over in 3 weeks. Also beginning studies of proton use.

[@yerbba]

Yes, a lot of centers around the country that are giving what is called hyperfractionated breast cancer, which is just as you describe. It is not possible for everyone to find a treatment center that offers hyperfractionated radiation. At this point, proton therapy is reserved for people who have already had radiation therapy and need treatment again in the same area or as part of a clinical trial.

[@tamarabutler7672]

Hello dr Grigg, I met with my oncologist and I have stage 1, ER positive. Nodes and margin clear and negative. Recommendation, hormone therapy, radiation. Is 6 weeks of radiation the normal length of time? Is hormone therapy absolutely necessary? I'm anxious about the side effects. I'm a worker, go getter, and a busy person. I want to take good care of myself. Is there something else I should be asking for? Your videos have helped so much. Would a integrative oncologist be good to consult?

[@yerbba]

Thank you for writing. There are forms of radiation therapy that are given over a shorter period of time. If your radiation oncologist does not bring this up as an option, it may be because there are specific criteria that need to be met in order for this to be safe and effective. In terms of your other treatments, many things factor into treatment decisions in addition to the stage and hormone receptors. In general, we do recommend endocrine (hormonal) therapy for people with tumors that are estrogen receptor-positive if the tumor is over 6 mm. As you can tell, that's quite small. Endocrine therapy decreases the risk of cancer coming back in the same breast, in the other breast (a new cancer) and in the other parts of the body sometime later down the road.

[@tamarabutler7672]

@@yerbba thank you very much for this insightful information. Truly appreciated!

[@dao-lam]

Did you have to do adjuvant chemotherapy? How big is your tumor?

[@joannorlando3547]

I am in the same situation and worry about the side effects.

[@OceanSound100]

She said radiation causes fatigue BUT we don't know why that happens. Great! Should know why things happen.

[@yerbba]

Good point! It appears to have something to do with cytokines (molecules within cells) that are released from our body's cells during radiation therapy. It would be wonderful to understand everything that happens within our bodies even without radiation therapy, but much of how our bodies work remains a mystery.

[@OceanSound100]

@@yerbba The immune system is compromised and causes fatigue, the very thing we need to prevent disease. It is a vicious cycle. A study found that the mortality rate of non-radiation patients and radiation patients were the same. I think radiation is not a necessary choice for every Cancer patient.

[@patfondren6013]

@@OceanSound100 The easiest answer I have always given is that chemo is a toxin, just like antibiotics are a form of toxin. If it were not toxic to something, it would not kill it. If antibodies were not toxic to infection, infection would live on. If chemo was not toxic to cancer, the cancer lives on. Therefore, toxins make our immune system tired from the fight they have to do along with the chemo (or antibiotic). Imagine being in the ring with two different boxers and trying to keep up with both, one good one and one bad one and they are fighting one another and me.

[@bhaskar1118]

My girlfriend mother had breast cancer please god help my mother please pray for her i love her family so much i am very afraid 😔 and my girlfriend also in depression please help her mother we are from India Kolkata and they gone to mumbai for treatment i don't know what to do in this situation 😔 please help mother please God i can't sleep at nigt from 5/6 days my girlfriend also crying infront of me all the time 😔 please help

[@yerbba]

We are truly sorry to hear about the pain and fear you and your loved ones are experiencing. It's completely natural to feel overwhelmed during such a tough time. Remember that you're not alone in this journey, and your love and support mean a lot. Once a treatment plan has been made, you will all likely find more peace and reassurance. Thank you for watching.

[@shelamaesta.teresa9489]

hi! my mom is just recently diagnosed with stage 1 cancer. Should i stop taking soy supplements as well for prevention? im doing resistance training and so i needed to increase my protein intake that i am taking from whey protein supplements. Thank you for your information.

[@yerbba]

Hello! Thank you for asking. Eating whole-soy foods (for example, soy sauce, tofu, soy milk) as part of your normal meal is okay. In fact, there is some evidence that having a soy-rich diet may reduce the risk of breast cancer. If you do enjoy soy-based food, we recommend that you not have excessive (more than 1 or 2 servings per day) amounts. We also recommend that you avoid soy supplements (such as tablets, shakes, or powders) because they may interfere with your treatment. Resistance training can be a great way to stay healthy and reduce your risk of breast cancer, especially when paired with a good diet and cardiovascular exercise. You can learn more about this by watching our video "Lifestyle Recommendations During Breast Cancer" - link here: kzbin.info/www/bejne/hXrQnXqGod6qh9U

[@carlakucharski5433]

I just found out I have stage 1Breast cancer. So scared, trying to be brave, but so scraed

[@yerbba]

Thank you for watching. Remember, it's completely normal to feel scared and recognizing this is a sign of your strength. Allow yourself to process your emotions, and lean on your support system. You're not alone in this journey, and there's a whole community here to support you.

[@07734KAT]

Should SOY like tofu, edamame, soy sauce, soy milk, etc. be completely avoided by ERPR Positive Brreast Cancer patients? Thank you.

[@yerbba]

Hi! Thanks for your question. Taking dietary soy, such as soy sauce, tofu, soy milk as part of your normal meal is okay. There is no evidence that plant-estrogens are dangerous. On the other hand, you should avoid soy-supplements such as tablets, shakes, or powders that can increase the normal levels of estrogen in your body. You can learn more about this by watching our video "Lifestyle Recommendations During Breast Cancer" - link here: kzbin.info/www/bejne/hXrQnXqGod6qh9U Also, if you are being treated in the US, you can obtain more personalized treatment information by signing up for a Yerbba Report at www.yerbba.com

[@RajiTripathi]

I have another perspective. Soy products contain Isoflavons, which are the same as the building blocks of Estrogen. It doesn't matter whether they are from a plant source. If I or a family member were diagnosed with (or had a family history of) breast cancer, I would totally avoid soy products because it is not worth taking even the infinitesimal risk. Cancer cells feed on Estrogen, so why take a chance?

[@lindas2531]

Can you please put up tables with probabilities of new cancer (sarcoma, angiosarcoma, lung, oesophagus, etc.) caused by radiotherapy 5-15 years down the road; lymphoedema; fibrosis; breast shrinkage; permanent burn; red spider veins; etc. and their link (if any) to initial cancer type, radiation total dose and dose per treatment day (fraction); patient age; genetic test result; lifestyle (alcohol, smoking, sugar, exercise, body weight); etc. “Very small” risk of this and that is NOT how you should be informing patients as they might have preferred a mastectomy to lumpectomy + radiotherapy to avoid those “small chances” of life changing and life threatening radiation side effects altogether. It seems that hospitals and oncologists are making so much money on radiotherapy that it is being pushed as a standard treatment for everyone with stage1 and 2 in the UK, while in other countries you would be offered a choice between the 2 surgical options with explanation of all pros and cons.

[@yerbba]

These are good points. Although rare, if they happen to you, they are not rare at all! One key point for our other viewers is that having a mastectomy does not eliminate the recommendation for radiation therapy in many people. While these adverse effects are important, in most people, the benefit outweighs the risks. Again, this is not to minimize the impact of long term and late effects.

[@RealPlasticsDoc]

This is a nice discussion, but the illustration shows a old modified radical mastectomy, which is archaic and does not reflect the modern uncle Plastic Surgery available to most women today. It would be fair to at least describe the different types of mastectomy available and and delayed versus staged reconstruction. The possibility of an immediate natural appearing breast after removal of breast tissue will sway many women.

[@yerbba]

Check out our video on breast reconstruction here. We cover all of the options: kzbin.info/www/bejne/Z3qac5p4gtemn9E

[@strongwoman8576]

Stage 1 cancer here

[@yerbba]

Thanks for watching and writing.

[@freepalestinanow]

How are you now

[@Kongszeman]

😊

[@yerbba]

We hope you found this video helpful! Thanks for watching.

[@margaretsentamu9559]

My doctor just said. the surgery is enough. Removal of the breast

[@yerbba]

Thank you for writing!