Treatment Timeline for Breast Cancer: The Steps Ahead

We teach you about the steps needed to diagnose and effectively treat your breast cancer. Know what comes next in your breast cancer journey.
VISIT THE BREAST CANCER SCHOOL FOR PATIENTS:
www.breastcancercourse.org
LIST OF QUESTIONS FOR YOUR DOCTORS:
www.breastcancercourse.org/bre...
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You have plenty of time to make decisions
Making good decisions is the most difficult part of having breast cancer. You will feel pressed for time to learn everything and start your treatment as soon as possible. Time is usually on your side. You must work with your team to learn everything about your cancer and treatment options. We created the Breast Cancer School for Patients to quickly teach you to be your own expert in breast cancer. You will make better decisions once you become your own “expert” and best advocate.
A few facts about time to treatment:
The average time from the date of cancer diagnosis to the day of lumpectomy surgery is about 32 days. The average time to mastectomy surgery is about 40 days.
It can take anywhere from 3 to 12 months from cancer diagnosis to complete your final treatments, and up to ten years if you need hormonal therapy. It is a marathon. Conserve your emotional and physical efforts for the challenges ahead.
Finding your breast cancer (1 - 3 weeks)
Most small breast cancers are found on screening mammography and possibly by ultrasound or maybe a breast MRI. You may have detected your own breast lump and sought further help from your physician. The time to schedule a mammogram, have it performed, return for further breast imaging and then get the results can take days to weeks. Always ask to have your tests and appointments scheduled as soon as possible.
Getting a diagnosis: biopsy & results (2 - 14 days)
Getting scheduled to have an image-guided breast biopsy by a breast surgeon or radiologist can vary. Most NAPBC accredited Breast Centers work quickly to schedule biopsies for those who might have a breast cancer. Our “Minimally Invasive Breast Biopsy“ lesson (here) outlines why needle biopsies are the standard of care.
Make sure to ask (demand) that the physician who does your biopsy personally calls you with the results within a day or two. Call for your biopsy pathology results if you think there is a delay.
My pathology report: (3 - 14 days)
Ask for a copy of your initial biopsy report that will be available in 2-3 days.
Ask for a copy of your final pathology report with your receptor results.
Our courses on “My Pathology Report” and “My Receptors” offer more details.
Surgery or chemotherapy first?
Surgery is usually the first treatment for early stage breast cancer.
Most patients will not need chemotherapy.
If you have Estrogen receptor negative (ER-) or a “HER2-Positive“ tumor, then you will likely need chemotherapy either before or after surgery. There are distinct benefits to “Neoadjuvant Chemotherapy” before surgery. Take our video lessons linked to these topics.
Is radiation needed? (4 - 6 weeks)
Most patients that have a lumpectomy will need radiation.
Whole breast radiation is the most common type and takes 4 to 6 weeks.
Only a few patients that have a mastectomy will also need radiation.
Patient-Friendly References:
NCCN Guidelines for Patients www.nccn.org
You will find well-organized guides (here) on breast cancer treatment by stage. Follow the prompts to breast cancer and then “stage” in the dropdown menus. The National Comprehensive Cancer Network is a consortium of organizations and governmental agencies to promote quality

[@Pandagurl218]

Everything seems to be moving so much faster than explained here for me, immediately after mammogram they put me in for ultrasound. I am now scheduled for the biopsy 3 days later and meeting with the doctor immediately after same day. So scary but reading the statistics helps out my mind at ease

[@paulas_lens]

Imaging Centers need to give patients THIS video link IT IS THAT HELPFUL! At least I am aware of the map of my upcoming possible journey. Whoa!

[@leximuaune4229]

I have stage two breast cancer and currently 14 weeks pregnant. This helps me understand more what my care team is wanting to do to help me and my daughter to survive.

[@thomashelen856]

I have be dealing with Breat Cancer disease stage 4 for the past years until i got review online about Dr.Auchi on KZbin Channel people testifies how they got cured with his herbal medicine, I order the treatment and after taking it for few weeks i totally got cured permanently..

[@Haveawonderfulday444]

I pray you heal extremely fast in Jesus name!!!!! Amen🙏

[@loyalgirl1357]

Dear how r u did u give birth

[@lettybee7764]

What part of your time line is the best time to get a vacation

[@kellymorgan7155]

Your channel is my favorite. All the others scare me. I fully realise the danger of cancer, but I like the hope you seem to give. I haven't been diagnosed with anything..might not be but I do have a biopsy in 2 days. I'm hoping to be more educated should I get bad news. My prayers and thoughts to women and men that have cancer ❤

[@kittykitty8895]

Kelly, hey I’m new to school But just wanted to tell you We are warriors, Kelly means Warrior, my grandson calls me kitty, love to you, hope you are doing good

[@papamauo23]

@Nitty may Annette How is the procedure? Can I share it please.tnx

[@thomashelen856]

I have be dealing with Breat Cancer disease stage 4 for the past years until i got review online about Dr.Auchi on KZbin Channel people testifies how they got cured with his herbal medicine, I order the treatment and after taking it for few weeks i totally got cured permanently....

[@angelinatorres2939]

Thank you kelly for your prayers I was diagnosed with breast cancer 1 month ago I had a lumpectomy on monday its hard but we can do it

[@Jacksonhasti]

Breast cancer almost ended my wife's life. But with the use of natural Roots and herbs 🍀, the cancer tissues were gone completely and went in total remission ✅. All thanks to #doctorunugboje on KZbin for coming to our rescue. His natural herbal medication is the perfect solution for cancer

[@reneekoonce6532]

I love your videos. Your explanations are very thorough and very reassuring. It takes so much guess work out of everything. Still decisions to be made, but I now am equipped with the knowledge to make those decisions. Thank you!

[@rosemarycandy6882]

Thanks for sharing this video

[@dorispetitt8140]

Thank you so very much for explaining Breast Cancer.

[@patbrown8117]

Old vid I know, but I'm in the UK. Had mammogram (which indicated cancer) and biopsy same day. Results 2 weeks later, lumpectomy 2 weeks after that. It's about the only time I've been impressed with our NHS, and, of course, it's all free at the point of use.

[@dibiahgarcia9609]

Thank u so much for explaining EVERYTHING.

[@SGL2060]

Thank you for the videos.

[@mercedesyoung5906]

Thank you

[@hatinmn]

Thank you for making this video. It helped me understand what is about to happen.

[@carolinawilliams9935]

Thank you so much,

[@cdlady54_95]

Thank you for putting me at peace.

[@BreastCancerSchoolforPatients]

You are too kind. Make sure to visit the Breast Cancer School for Patients for more information. www.breastcancercourse.org. Good luck.

[@janealcoseba1453]

Clear explanation thank you doc .

[@ggunga7764]

Very good 👍

[@vcb1023]

Thank you!

[@corteltube]

Thank you..I was just diagnosed and it pretty much has gone along the same timeline have described…just had my surgery and next is meeting with oncology and radiology.

[@Pandagurl218]

Many well wishes to you ❤ I just got put in for biopsy due to mammogram and US rads 4/5 so just waiting to get on par with the course 😢

[@vishyswa]

This is really a useful site. Do you have any videos discussing neo-adjuvant chemotherapy?

[@BreastCancerSchoolforPatients]

Thank you for the feedback. Make sure you visit the complete Breast Cancer School for Patients. Same video lessons, but organized in the order of topics you will experience them. www.breastcancercourse.org/ We have the best video lesson on neoadjuvant chemo at our website within this page www.breastcancercourse.org/neoadjuvant-chemotherapy-2/. Good luck.

[@immaggiethesenilegoldenret7918]

The good doctor sounds like Captain Sullenberger(”Sully”) of “Miracle of the Hudson “ fame. Many, many women could use a “Miracle”, too!

[@heatherdufault6578]

A very useful description of the timeline...But there is one question that I have that nobody seems to address: WHY is Hormonal therapy left to the very end for those that can benefit from it? Why isn't it given right away post-surgery--and maintained throughout the time of treatment with chemotherapy and/or radiation?

[@thomashelen856]

I have be dealing with Breat Cancer disease stage 4 for the past years until i got review online about Dr.Auchi on KZbin Channel people testifies how they got cured with his herbal medicine, I order the treatment and after taking it for few weeks i totally got cured permanently....

[@sue8319]

I asked the question, why not do the hormone treatment & radiation at the same time….doc said it hasn’t been done/study. Dah

[@heatherdufault6578]

@@sue8319 I was eventually able to ask that question of the oncologist. He replied that chemotherapy and hormonal therapy are actually antagonistic to each other (and radiation usually takes place right after chemotherapy) so the hormonal therapy has to be left to the end of the other treatments, as it is taken over a much longer period of time (years, not months...)

[@paulas_lens]

We need everyone male and female to become aware and even be routinely tested genetically for the risk of cancers. We also need to guard against bringing in esteogen-mimicing PRODUCTS into our homes and bodies. TEN YEARS for the hormonal therapy??? Why are they not testing woman for the risks of that type of cancer BEFORE putting them on HRT (hormone replacement therapy) after a hysterectomy!?!?!

[@dhimantmehta2989]

My mother got operated on Feb 26, 2020. She was due for Chemo on March 20. However due to Corona Dr has postponed till the lockdown gets over in India - Mumbai. It will be of great help to us if you can guide the timeline of chemo in our case. Right now she’s in harmonal medicine. Your guidance n help is much required. Thank You 🙏🏻🙏🏻

[@PaulaGray]

Dhimant Mehta I just read your story, I pray for your mum , that God will watch over her and protect her in this scared time. I was diagnosed with stage 2 type B , Breast cancer , I was operated on 30th Jan and then again on the 13th feb to get more of the margins now I am into my second chemotherapy treatment of 4 and I was worried too, then I have a 1x12 taxol treatments I thought was it best to delay because of the the Corona , but my doctor said we don't need to stop, I will pray for your mum and let's hope with Gods love and grace they will find a cure for cancer and the virus .

[@ashwinkumarrathod833]

Dear friends....Today i have my mothers report for the breast cancer.... positive I really scerd what should I do

[@robsalazar909]

@@PaulaGray how are you doing I hope and pray your farming well and that Our Creator has given you the strength to keep fighting

[@DavesMx6]

What should I be looking forward to as a 36 year old male that my GP changed my 4 quad diagnostic to a mammogram and that?

[@ggunga7764]

Dr ! I am having hormone therapy after my chemo therapy was stopped due to side effects! I will also be having radiotherapy!

[@tinaross382]

I just had my Biopsy last Friday. Today is should be fifth day of waiting for the result. It's not a good feeling to wait for this result.

[@iamwinningrightnow]

Hi Tina. Have you rec'd your result?

[@tinaross382]

@@iamwinningrightnow Not yet, I did it since December 17th and today the 27th. I hope nothing is bad :(

[@iamwinningrightnow]

@@tinaross382 Did you call? I had my biopsy on 10/27/21 and I had the result on 10/31/21. Tht's a mighty long time to wait. If I were you, I would call. By the way, it's natural to be anxious while awaiting the result. I'll pray for you.

[@tinaross382]

@@iamwinningrightnow I did call today but they said haven't it yet. It is a very long time to wait. Thank you so much!

[@tinaross382]

@@iamwinningrightnow I live in US too, and sorry I can't say the state on here.

[@lisamurphy6203]

My surgeon put me on Anastrozle the day i was diagnosed, before lumpectomy or radiation. What reason could that be , i didn't ask why as i didn't realise that was it was very rare. I realise every one is different, im just curious.

[@VeronicaSanchez-ok9gx]

If you have dcis do you need to take medicine to prevent cancer cells to come back?

[@Ankitkumar-bx9bx]

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[@katherineharris2080]

My radiologists said there is a study that woman over 70 dont need radiation. Onco 30 idc cancer lump on chest wall got no treatment but harmone blocker which made me so so sick.

[@ElinorG]

I wish you were my doctor. My doctors do not communicate too well with each other or to me. I have been diagnosed with cancer in both breasts and the doctors keep telling me I have time! I don't know if they are more worried about their time or my time but I am afraid I am running out of time! It takes forever to get appointments and I don't know what the best course of action is. I have been assigned a nurse navigator and she is pretty much useless.

[@joyceweber4299]

Please get a second opinion!!

[@eman8736]

Is surgery preferred over chemotherapy?

[@usawadeepatrick4737]

My breast surgeon doctor discovered stage 2 right breast cancer. She has planned to remove it, but she referred me to consult with a medical oncologist first, He send me to do PET scan and told me that my T2 spine has cancer. I still can't get my my breast cancer removed yet. To He will stop the cancer from spreading, he will first start hormone therapy with anti-estrogen, followed by surgery after treated from hormone therapy. I'm not entirely sure if this is the best way to treat my breast cancer? Will my breast cancer move from stage 2 to stage 4 if I wait a long time to remove it? Should I see another doctor for 3rd opinion? Kindly advise?

[@christinebrini9538]

Triple NBC mestas tic Patients currently on chemo For 1.5 years extra skin Has grown thicker with in 3 months on chemo no leakage all the signs are there red lumps navel sunken nipple my question pain killers are not working. Alieve Tylenol oxi.is there a chance the breast can be remove . possible spread in chest lympnodes are under right arm but have shrunk

[@coleytoons]

Wow... They started my mom on the estrogen blocker in like july/august and as of the end of November they decided she needs to start doing chemotherapy and after that radiation. The doctor for some reason didn't get any of the tissue/tumor tested after it was all removed until like over a month post surgery and then kept not ordering another kind of test to be done because its the one they usually do with the biopsy tissue but never ran that test because they hadn't removed enough of the tissue for the biopsy.

[@thomashelen856]

I have be dealing with Breat Cancer disease stage 4 for the past years until i got review online about Dr.Auchi on KZbin Channel people testifies how they got cured with his herbal medicine, I order the treatment and after taking it for few weeks i totally got cured permanently....

[@do9138]

Isn't 21st corporatized "healthcare" grand? Profits increase by quantity, not quality, so we are moved through like cattle by people who are MUCH more concerned with their stock portfolios than whether we live or die.

[@ElinorG]

I have to agree with you and I am so sorry how they treated your mom, so unfair to her and her loved ones. I don't know if these healthcare workers are lazy or complacent, but it seems like the patients, and the patients' health and wellbeing, are impositions on their precious time, and that is everyone from appointment schedulers to surgeons to oncologists. I have read about people making mistakes in pathology labs and in taking samples. There is so much room for error along the way, from initial diagnosis, to treatment, to follow-up. So how do you even know if you are getting the best treatment for your cancer. Is there a best treatment? I understand that cancer is a huge moneymaking business, but what about the people who have cancer and want to live. It appears to me that this system moves so slowly that if you did not need chemo and possibly additional surgery at initial diagnosis, you will certainly need it by the time they get around to you!

[@faytleingod9592]

​@@do9138 yea, you are better off telling them you dont have insurance and watch as the cost drops dramatically as they remove a whole bunch of items from the bill. Or pay the insurance company 5-10k per year your whole life. It doesnt amount to much more than whatever they managed to cover you for. 😂 and your money went to pay for countless random things that actually harm our society, like the fauci-ouchie and the gender affirmations.

[@Sharon-pb7so]

​@@faytleingod9592 Shouldn't you at a trump rally?

[@shirleyhuang4692]

I got ER and PR are positive ,HER2 is negative , does it possible be cured ? Need your reply now , thanks u

[@thomashelen856]

I have be dealing with Breat Cancer disease stage 4 for the past years until i got review online about Dr.Auchi on KZbin Channel people testifies how they got cured with his herbal medicine, I order the treatment and after taking it for few weeks i totally got cured permanently....

[@jasminetran7074]

How are you doing now? I got the same 😢, diagnosed last week.

[@Organic-mart.]

How are you now, and what was the treatment plan for you

[@iramsavir5631]

What if you're already menopausal and ovaries are no longer producing estrogen and you're skinny as a twig so no fat cells producing estrogen. Why take hormone suppressing drugs? Also, wouldn't radiation itself cause cancers to recur?

[@SCLana]

Why I need to do chemotherapy first and hormone therapy later? My doctor said it’s ok to skip the chemotherapy and get hormone therapy

[@do9138]

Do what your doctor advises.

[@explodev2550]

Which process did you decide to take?

[@Gamez4thewin]

Have stage 2 invasive lobular carcinoma and started chemotherapy first before surgery. Will also have to do harmonal treatment as I am 100 percent estrogen receptor positive. The journey seems endless.

[@Moon0552]

Oh.. I was diagnosed with Invasive Carcinoma with ductal and lobular features.. 😢 idk my stage yet.. I hate this.

[@Moon0552]

Damn so by the time I get something done my cancer will spread 😢

[@annetteburnett3132]

What about ADH?

[@zoeisabella9873]

I'm very lucky to have come in contact with DR RORPOPOR HERBAL on KZbin in curing my breast cancer, I almost gave up in life but after using his herbal medication I feel just like every normal human and I'm so grateful

[@nicholassharma424]

I am 27 year old man I have soft lumps in my right breast I do both mammogram and ultrasound but doctors told me it’s fine but they don’t know too what is that , so I m confused. What can I do . Can somebody have any idea?

[@arle1826]

nicholas sharma get a biopsy

[@a1isareal146]

Demand a mammogram as soon as possible along with a biopsy!!! No joke, don't put it off cuz breast cancer is no joke and very real!!

[@Ankitkumar-bx9bx]

Mem aap nutritiosn use kro 8302785713

[@adetiaberlin8144]

my mom is right breast cancer for 7 years

[@explodev2550]

How is she dealing with it and what’s her stage?

[@adetiaberlin8144]

@@explodev2550 my mom has passed away 2 months ago😭😭😭

[@explodev2550]

@@adetiaberlin8144 I’m sorry to hear that.

[@adetiaberlin8144]

@@explodev2550 thank you 🙏 i wish everybody can be well soon to fight cancer 🙏🙏aamiin

[@astacy62]

Don't trust any mamogram or ultra sound. If u find a lump. Get the biopsy & ask ur MD for a MRI. ASAP

[@adriennekushner2492]

My breast cancer was granules. I felt nothing. A mammogram showed the cancer. Then I had a biopsy. I chose to have a bilateral mastectomy with diep flap reconstruction. The mammogram saved my life. Don't wait to feel a lump.

[@do9138]

Insurance companies won't pay if you don't get the cheaper tests first.

[@marciacapell1541]

One more AC treatment. The annoying side affects are miserable. Then later starts treatments every week. I sure hope the side affects arent as intense. Everything pops out that never used to. More freckles, moles, pimples, dark skin with white orb like spots 😳 ( do I have haunted hands! ) 😂 lolol. Oh boy, what a deal!

[@Godisreal123]

Yes it’s a nitemares

[@do9138]

I am 66. I will do the surgery and radiation. I might try chemo if I can do it orally. But I have heard so many horrible things about hormonal therapy that there is no way I am going to make myself that sick. That would be 5 to 10 years of sheer hell, which would be the rest of my life.

[@paulas_lens]

Oh dear...going to research what hell you speak of - yikes!

[@do9138]

@@paulas_lens Research writing sentences in English while you're at it.

[@Coyoteyiphowl]

Sounds like a nightmare!!

[@ericaspeer3179]

Thank you