What is the first treatment choice for breast cancer?

Q. For breast cancer, should we do chemo first or surgery?

Answered by
Dr. Saumya Mittal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 16, 2016 and last reviewed on: Jun 28, 2023

Hi doctor,

My grandmother was diagnosed with breast cancer three years ago and had a right mastectomy. She however did not have chemo or radiation. She has a little extra fat on the lateral area of the breast that after surgery it looked like a small third breast. Right over the old incision, a large ulcerative cauliflower-like wound has developed. The tumor is protruding and is very vascular. It currently has no odor, but it is bright red and bleeds excessively once the dressing is removed. She is 86 years old with a history of high blood pressure, COPD, CHF, diabetes, CAD, TIA, and pacemaker. She still ambulates, is alert and oriented. Also, she understands what is going on. We visited the oncologist and were told she will either need to undergo chemo or radiation. The surgeon, who did the mastectomy, is recommending surgery to remove the protruding tumor. Which is the best option to do first? My family is very leery about her ability to handle chemo and frankly does not want her to have chemo. We know that removing it does not cure the cancer. Should we do radiation first then remove it with surgery? If we were to consider chemo should we do some cycles first and then remove it with surgery? Which option would you say is the safest route? We want to keep her around for many more years if we can. Thanks for your time.



Welcome to icliniq.com. Here are my suggestions; assuming that you want to undergo full treatment, the best method would be to start chemo and radiotherapy. The cycles of chemotherapy will depend on the medicine chosen by your oncologist. This will reduce the tumor size. Then go ahead with the surgery and then complete the treatment with further cycles of chemo and radiotherapy. Another option is surgery followed by a few cycles of chemo and radiotherapy. Managing growth is important because if left untreated, the site may get infected. Other complications are of course to be considered. The other option is no treatment at all. Just palliative medicines to keep her comfortable. This way she can live a comfortable life considering that you have said she is stable. Please note that I am just explaining the option. The choice of treatment would be your decision. I suggest getting a PET scan before deciding.

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