How to Treat Stage I (1) Breast Cancer 

Yerbba is rooting for you!

Wishing you the best well healing ❤️‍🩹

You will by the grace of Allah 🙏🏻🥹

@@yerbba 🙌🙌Thank You so much 🙌🙌

@@mythaichannel9082 🙌🙌Thank You so much 🙌🙌

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

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

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.

Glad it was helpful!

Thank you for your support!

Glad you liked it.

You are very welcome.

Thank you for watching and the positive feedback!

Thank you for watching.

Thanks for watching and the feedback!

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

Thanks for watching!

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!

You're most welcome

Vitamin D supplements are great

Sounds delicious!

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.

@@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.

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

@@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.

Thank you for watching.

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.

Thank you for watching. Sending positive energy your way.

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.

praying for you ❤️

Glad it was helpful

God heal u

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

@@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! ❤

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

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.

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.

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

Check out our video on treatment of breast cancer in older women. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-oyRccWTwxEk.html

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

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

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.

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

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.

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

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.

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

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

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.

Thanks for sharing your experience. It sounds like it's time to have a heart-to-heart with your medical team about the goals of therapy and about your options. Wishing you the best.

Please do more research do not ask a stranger onnlie

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

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.

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

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.

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.

Mam her tumor is also small 1.5cm only

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?

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

@@yerbba thanks for your response.

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

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.

@@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

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.

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.

CT scan result is negative

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.

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.

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.

Thank you for watching. Yerbba is rooting for you.

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

Thanks a lot,

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.

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

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

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

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.

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?

@@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 🫶🏽🌷

@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!

@@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!

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: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-OImlGPlywQs.html

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.

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.

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.

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

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

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!

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.

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

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

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!

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.

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.

@@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.

@@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.

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

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.

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.

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: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-OImlGPlywQs.html 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

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?

Thanks for watching and writing.

How are you now

Thank you for writing!

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