Breast Cancer Resources Center

1. Surgery: Surgery has been the traditional mode of treatment for breast cancer. However, changes have taken place during recent times. The surgery now is more precise and is directed to the exact spot of the disease so that the damage to the unaffected area is minimized.

a. Lumpectomy: The cancerous lump is removed surgically without removing the surrounding lymph nodes.

b. Mastectomy: This is performed if the lump has become large or in case the cancer has spread to other areas. The affected breast is surgically removed.

c. Lymph Node Dissection: This is the surgical removal of lymph nodes. Usually done in case of invasive breast cancer, it is a procedure performed at the time of mastectomy or lumpectomy. During mastectomy, it is an extension of the breast incision (to the armpit area). If done during lumpectomy, a separate incision is performed in the armpit. A part or all of the lymph nodes are removed. Usually it also involves cutting the nerve carrying sensation to the area.

2. Radiation Therapy: Radiation is a highly targeted and effective way of treatment, which destroys the cancer cells. High levels of radiation are sent directly to the cancer cells. Radiation therapy undertaken after surgery can also kill those cancer cells that could not be treated by surgery. It can also be combined with chemotherapy, to relieve pain, or to shrink the tumor. It is short and relatively easy but side affects can also occur. The traditional radiation therapy is external in nature. Internal radiation therapy is also being experimented. In this process, radiation-producing substances are either implanted directly in to the tumor or injected through a tube.

3. Herceptin: Applicable only to women with HER2-positive breast cancer, it consists of an antibody, the primary role of which is blocking the HER2 protein in cancer cells. It is useful in cases where the breast cancer has spread to other parts of the body. Also known as immune treatment, it is approved by US FDA for women with metastatic disease.

4. Hormone Therapy: It is another effective treatment. It is useful for women having hormone receptive positive breast cancer. Aromatase inhibitors are more effective in women with post menopause and Tamoxifen in women with pre menopause hormone receptive positive breast cancer.

5. Chemotherapy: Chemotherapy, or use of chemicals to treat a disease, is a systematic therapy. Since the use of chemicals affects the whole body by going through the blood stream, it is very effective as it can act on the cells, which are rapidly dividing. A major drawback in this mode of treatment is that the drugs act not only on the cancer cells, they act on healthy cells as well leading to various side-effects like losing hair, nausea, skin diseases and so on.

6. Alternative Therapies: In addition to the above modes of treatment, there are many alternative therapies as well e.g. yoga, acupuncture etc. Since sufficient research is not available in respect of such therapies, it is difficult to come to any decisive conclusion.

Since the disease conditions differ from patient to patient, the ideal treatment for an individual would depend on various factors. The best mode of treatment can be formulated with due consultation between the patient and the doctor.