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 Cui Yu Rong

Breast Surgery

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Does breast cancer cause hair loss in the early stages?

Breast cancer generally does not directly cause hair loss. In some cases, if it is breast cancer, it may cause anxiety, poor rest, and sleep quality, which might lead to relatively noticeable hair loss. However, hair loss associated with breast cancer mainly occurs during chemotherapy, as it is a common side effect of the treatment. Therefore, apart from chemotherapy, the relationship between breast cancer itself and hair loss is not particularly significant. While some people may experience noticeable hair loss, most do not have obvious hair loss.

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Written by Yan Chun

Oncology

1min 11sec

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Symptoms of male breast cancer

The clinical symptoms of male breast cancer are generally similar to those of females, mainly presenting as painless, progressive enlargement of breast lumps. These breast lumps usually occur under the areola, and some patients may experience nipple inversion or abnormal nipple discharge. Many breast lumps tend to have unclear boundaries with surrounding tissues and often adhere to the skin or chest muscles. Many patients with male breast cancer experience metastasis to the axillary lymph nodes, causing the metastatic lymph nodes to enlarge and become painful, local lymphatic drainage obstruction, and causing local upper limb swelling and pain. Moreover, some male breast cancer cases have metastasized to the lungs, presenting clinically with symptoms such as coughing and chest pain related to the respiratory system. Some patients with male breast cancer have liver metastasis, clinically presenting with pain in the liver area, decreased appetite, and abnormal coagulation functions.

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Written by Zhang Chao Jie

Breast Surgery

43sec

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Does early-stage breast cancer hurt?

Early-stage breast cancer almost has no symptoms, and over 90% of breast cancer cases do not involve pain symptoms, especially in the early stages. This means that only early-stage breast cancer combined with breast hyperplasia-like diseases might involve pain. Generally speaking, early-stage breast cancer has no pain symptoms, and one might not feel anything abnormal. It is only during a health checkup that breast cancer can be detected by a breast specialist through palpation or imaging techniques such as color Doppler ultrasound or mammography without the patient feeling any symptoms. Pain may occur only if there is early-stage breast cancer combined with hyperplasia, or if the breast has been injured.

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Written by Lin Yang

Breast Surgery

36sec

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early symptoms of breast cancer

Breast cancer, in the majority of cases, manifests as a painless lump, often accidentally discovered by the patient without any adverse discomfort. During self-examinations or routine screenings, a few patients might detect them. These lumps are commonly found in the upper outer quadrant, typically appearing as a single lesion on one side, with no obvious abnormalities on the skin. Dimpling, an orange-peel-like texture, the appearance of satellite nodules in later stages, nipple retraction, bloody discharge, and eczema-like changes can be observed. There is also swelling of regional lymph nodes.

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Written by Zhang Chao Jie

Breast Surgery

1min 22sec

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Breast cancer symptoms

The symptoms of breast cancer depend on the severity of the cancer and whether there are any signs of metastasis or recurrence. It is important to emphasize that over 90% of breast cancer cases do not involve pain as a symptom. This means that the earliest symptoms of breast cancer are usually determined by whether the cancer is in its early or late stages. Early-stage breast cancer may have no symptoms at all, or there may be signs such as a lump or hard nodule in the breast, discharge from the nipple, especially coffee-colored or bloody discharge. Late-stage symptoms can include changes in the skin of the breast resembling the texture of an orange peel, palpable large lymph nodes in the armpit that are hard but neither painful nor itchy. If the cancer has metastasized to the lungs, chest cavity, pleura, liver, bones, or head, symptoms might include chest pain, coughing, difficulty breathing, abdominal distention, bone pain or fractures, as well as headaches, eye pressure, and dizziness, among others. Therefore, the symptoms of breast disease depend on whether the cancer is in its early stages; if it is in a late stage and has metastasized to other parts, corresponding symptoms will be present. It is also important to remember that early-stage breast cancer may not show any symptoms at all.