Does breast cancer require chemotherapy?

Written by Zhang Chao Jie

Breast Surgery

Updated on February 08, 2025

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Not all breast cancer requires chemotherapy, which is just one method in the comprehensive treatment of breast cancer. Comprehensive treatment for breast cancer includes surgery, chemotherapy, radiotherapy, endocrine therapy, biological targeted therapy, and also traditional Chinese medicine treatment. Chemotherapy, in particular, can be described as a double-edged sword that kills both cancerous and normal cells. If the breast cancer is in an early stage, especially if the genetic typing is favorable, there might be an opportunity to forego chemotherapy. However, unfortunately, as of now, a significant portion of breast cancer cases still require chemotherapy. Therefore, it is necessary to communicate with professional doctors and analyze each specific case individually; one cannot generalize the treatment.

Other Voices

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Written by Zhang Chao Jie

Breast Surgery

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Can breast cancer be cured?

Breast cancer is one of the few curable solid malignant tumors; a solid tumor refers to one that forms a mass or has a tangible tumor body. However, the prerequisite is that the breast cancer must be in its early stages, as advanced breast cancer is currently difficult to cure, and not all early-stage breast cancers can be cured. With standardized systematic treatment in modern medicine, about 60% to 70% of early-stage breast cancers can be completely cured. However, 30% to 40% of early-stage breast cancers still develop into advanced-stage breast cancer. This is one of the reasons why long-term monitoring, close follow-up, and regular re-examinations are necessary for breast cancer management later on.

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Written by Liu Liang

Oncology

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Thymus cancer and breast cancer differences

Thymic cancer, which refers to the malignant tumor that occurs in the thymus, predominantly presents as squamous cell carcinoma. It generally arises in the mediastinum, with clinical symptoms such as chest pain, cough, and breathing difficulties. Breast cancer, on the other hand, refers to the malignant tumor occurring in the breast tissue, with invasive ductal carcinoma being the most common type. Its symptoms often include unintentionally discovered breast lumps, or metastasis to axillary lymph nodes, felt as enlargement of these nodes. Therefore, these two diseases differ in their sites of origin, symptoms, pathological types, and treatments.

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Written by Lin Yang

Breast Surgery

44sec

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Clinical manifestations of breast cancer

The clinical manifestations of breast cancer mostly present as painless lumps in the breast. Many early-stage breast lumps are found during physical examinations or screenings. Lumps commonly develop in the upper outer quadrant and are typically solitary on one side, though occasionally there are multiple lumps, or they may appear bilaterally. The size of the clinically observed lumps varies, with diameters of up to 5 centimeters being common. Generally, the lumps are hard in consistency, have unclear boundaries, and are not easily movable within the breast. Sometimes, the nipple may be inverted and there may be bloody discharge. Enlarged lymph nodes may also be present under the armpit.

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Written by Zhang Chao Jie

Breast Surgery

56sec

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How long does breast cancer surgery take?

The duration of breast cancer surgery varies depending on multiple factors, such as the type of surgery chosen, the surgeon, and the medical institution performing the surgery. Simply put, if a breast-conserving surgery is performed, the operation might only take about half an hour; whereas a typical modified radical mastectomy, which involves removing the entire breast, might take about an hour and a half. If the surgeon is a specialist in a top-tier hospital and performs breast cancer surgeries weekly or even daily, their surgery time is definitely the shortest. Therefore, depending on these factors, the duration can be as short as several tens of minutes to as long as several hours, in the case of reconstructive surgeries where the breast is removed and then reconstructed, which can take six to eight hours. Thus, it cannot be generalized; the duration can be as quick as twenty to thirty minutes or as lengthy as several hours.

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Written by Zhang Chao Jie

Breast Surgery

1min 1sec

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Breast cancer surgery accompaniment for a few days

The duration of postoperative care for breast cancer surgery depends on the extent of the surgery. This includes modified radical mastectomy, classic radical mastectomy, and surgeries that preserve both the breast and the axilla. For surgeries that preserve the breast and axilla, patients typically recover quickly, and generally, providing care for three to five days is more than sufficient. However, to ensure patients feel comforted and cared for, it's common to provide care starting the day before surgery until the patient is discharged. Postoperative care tends to be longer for modified radical mastectomies that include axillary clearance, as care is needed until the patient can fully manage the arm on the operated side on their own. Therefore, the care duration varies depending on the individual and their recovery. Thus, the shortest duration of care is usually for surgeries that preserve both the breast and axilla, typically sufficient within three to five days.