Over the past 20 years, progress in treatment and early detection has led to improved survival for people of all ages, races, and stages of breast cancer. Between 1990 and 2010, breast cancer mortality declined by 34 percent among women in the U.S. . And today, there are more than three million breast cancer survivors in the U.S., more than any other group of cancer survivors.
The goal of treating early breast cancer is to get rid of the cancer and keep it from coming back. Treatment for early breast cancer includes some combination of surgery, radiation therapy, chemotherapy, hormone therapy and targeted therapy. These treatments are designed to remove the cancer from the breast and destroy any cancer that might still be in the body.
Your breast cancer treatment plan is based on both medical and personal choices. It is tailored to:
Because of the differences between tumors and between people, your treatment plan may differ from another person’s, even though you both have breast cancer. This is called personalized care and each treatment option has risks and benefits to consider along with your own values and lifestyle. That said, treatment for breast cancer can be thought of in two areas: local therapy and systemic therapy.
Local therapy removes the cancer from a limited (local) area, such as the breast, chest wall or lymph nodes in the underarm area. It also helps to ensure the cancer does not come back to that area. Surgery and radiation therapy are local therapies.
Systemic therapy aims to get rid of cancer cells that may have spread from the breast to other parts of the body. It uses drug therapies (either in IV or pill form) that travel throughout the body to get rid of cancer cells. Systemic therapy includes chemotherapy, hormone therapy and targeted therapy. Because systemic therapy is in addition to (an adjunct to) breast surgery, these treatments are often called adjuvant therapy.
In select cases, treatment with chemotherapy, targeted therapy or hormone therapy may be given before breast surgery. This it is called neoadjuvant therapy and while it does not increase survival, it changes the timing of treatment and can change surgical options. For instance, it can shrink a tumor enough so that lumpectomy plus radiation therapy becomes an option to mastectomy.
No matter your age, your treatment plan depends on many factors, such as the stage of the breast cancer and the characteristics of the tumor. Your overall health and other health conditions you may have also play a role. For example, if you have heart disease, some medications used to treat breast cancer can do more harm than good. All of these things are considered when developing a treatment plan that is right for you. Young women with breast cancer may have special concerns about early menopause and loss of fertility due to treatment. Learn about these unique issues for young women with breast cancer.
Throughout your treatment and beyond, you will receive care from many health care providers. Your health care team may include:
These professionals may be involved in your care during diagnosis, treatment and recovery. To learn more, see Getting Quality Care.
You may find it helpful to create a notebook or other organizer to keep track of your breast cancer treatments and health care team. A three-ring binder often works well. This notebook should include:
People who complete the full course of treatment have a higher chance of survival. And although completing your treatment plan may be hard, there are things you can do to make it easier. First, talk to your health care provider. If you’re suffering from side effects, tell your provider right away. He/she may be able to help. Having fewer side effects can give you the perseverance to complete your treatment plan. Sticking to your treatment plan can be especially hard for long-term treatments, such as hormone therapy. Planning ahead can help you juggle your treatment and daily life. For example, if you have trouble remembering to take your pills, a daily pillbox or setting an alarm on your watch or mobile device (you may be able to download a mobile app) may help .
Insurance issues may be a major concern when you are undergoing treatment for breast cancer. Sometimes, paying for medications and other out-of-pocket expenses can be a challenge. Learn about insurance coverage and financial assistance programs.If you need help getting to and from treatments or if you (or your family) need a place to stay overnight while getting treatment, there are programs that can help. There are also financial assistance programs to help you with child care and elder care while you are undergoing treatment. Learn about transportation, lodging, child care and elder care assistance.
Susan G. Komen’s Breast Care Helpline
To learn more about these programs and other helpful resources, call Komen’s breast care helpline at 1-877 GO KOMEN (1-877-465-6636). When you call, you will speak with a trained and caring staff member who can help you navigate your way through all of the complex breast cancer information as well as help you find resources.
Breast cancer treatment options according to stage.
Information on treatments ranging from surgery to radiation, chemotherapy, hormone therapy and targeted therapies.
Interactive Treatment Navigation Tool
Facts for Life: Treatment choices - An Overview
Co-Pay Relief Brochure
1-877 GO KOMEN(1-877-465-6636)
What gives you strength during treatment?