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Is chemo or hormone therapy best for my grandma's cancer?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My 69-year-old grandmother was recently diagnosed with HR-positive breast cancer. Her doctor suggested chemotherapy along with hormone therapy, and I am trying to understand why chemotherapy would still be needed. I thought hormone therapy was the main approach for HR-positive cases.

  1. What can we expect from the chemotherapy process?
  2. How can we help her manage any side effects?

Kindly advise.

Answered by Dr. Mohamed Abdirahman Ali

Education:

MBBS

Professional Bio:

Dr. Mohamed Abdirahman Ali is a skilled and experienced Consultant General and Laparoscopic Surgeon dedicated to providing advanced surgical care. He specializes in minimally invasive laparoscopic procedures, gastrointestinal and abdominal surgeries, and complex general surgical interventions. Renowned for precision, patient-focused care, and evidence-based approaches, Dr. Ali combines technical expertise with compassionate guidance, ensuring optimal outcomes and promoting faster recovery and overall wellness for his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Your grandmother has been diagnosed with HR-positive (hormone receptor-positive) breast cancer. I would like to inquire about any additional tests, such as an MRI (magnetic resonance imaging) or a PET (positron emission tomography) scan, to determine if the disease has spread (metastasis). Also, what is the size of the tumor?

I would like to inform you that this type of tumor is estrogen and progesterone hormone receptor-positive, which generally has a better prognosis compared to hormone receptor-negative tumors. The treatment for it typically involves chemotherapy combined with hormonal therapy for about three to four months.

Chemotherapy is suggested for the following reasons:

  1. Kill cancer cells and prevent their spread.

  2. Reduce the size of the tumor, which may later allow for an option to remove just the lump and preserve the breast.

  3. Address cases where the tumor has already spread to other parts of the body.

The side effects of chemotherapy may include the following:

  1. Nausea.

  2. Vomiting.

  3. Anemia.

  4. Fatigue.

  5. Diarrhea or constipation.

  6. Hair loss.

However, these side effects can generally be managed with medication.

I hope you find this information helpful. Please let me know if you need further assistance.

Thank you.

Medically reviewed by iCliniq medical review team
Published At October 11, 2024
Reviewed At July 10, 2026

Education:

MBBS

Professional Bio:

Dr. Mohamed Abdirahman Ali is a skilled and experienced Consultant General and Laparoscopic Surgeon dedicated to providing advanced surgical care. He specializes in minimally invasive laparoscopic procedures, gastrointestinal and abdominal surgeries, and complex general surgical interventions. Renowned for precision, patient-focused care, and evidence-based approaches, Dr. Ali combines technical expertise with compassionate guidance, ensuring optimal outcomes and promoting faster recovery and overall wellness for his patients.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Mohamed Abdirahman Ali is a skilled and experienced Consultant General and Laparoscopic Surgeon dedicated to providing advanced surgical care. He specializes in minimally invasive laparoscopic procedures, gastrointestinal and abdominal surgeries, and complex general surgical interventions. Renowned for precision, patient-focused care, and evidence-based approaches, Dr. Ali combines technical expertise with compassionate guidance, ensuring optimal outcomes and promoting faster recovery and overall wellness for his patients.

This doctor is not available for online consultations on the platform anymore.

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