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What is my prognosis with HER2- breast cancer at age 43?

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Patient's Query

Hello doctor,

I am 43 and have just been diagnosed with HER2-negative breast cancer. My mother died from breast cancer, so I am terrified. They say it is an early stage, but I am still scared. Please answer a few of my questions:

  1. What does HER2-negative mean for my prognosis?

  2. I am worried about my daughter. Should she get genetic testing?

  3. What are my treatment options?

  4. Will I need chemotherapy?

  5. Are there any new targeted therapies for HER2-negative cancer?

  6. Also, what is the likelihood of recurrence?

  7. I am scared of losing my hair and being sick around my daughter. I want to be around to see my daughter grow up. And how can we know early if she might get something like this?

Kindly help.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

HER2 (human epidermal growth factor receptor 2) is better than HER2-neu-positive breast cancers. As you mentioned, the stage is early, so it usually has an excellent prognosis. If a HER2 neu-negative breast cancer patient is hormone receptor-positive, then the prognosis is usually good, depending upon the stage.

The treatment of HER2-negative breast cancers will depend on the stage of cancer and the status of the hormones ER (estrogen receptor) and PR (progesterone receptor). Most patients may need chemotherapy, surgery, and radiation therapy. Hormone therapy is also needed, depending on the status of the hormones ER and PR.

HER2-negative patients will not receive Trastuzumab (monoclonal antibody), which is usually given for one year or more. Follow-up is needed after the completion of treatment every three months for two years and then every six months. As your age is less than 50, I would suggest you undergo BRCA (breast cancer) genetic testing. In case it is positive, your daughter, sister, etc., needs to go for genetic testing and screening as well.

The recurrence rate is very low in early-stage HER2/neu and hormone-positive breast cancers. Most of the chemotherapy-induced side effects and complications are usually manageable.

I hope I have answered your question.

Let me know if I can assist you further.

Medically reviewed byiCliniq medical review team

Published At September 22, 2024
Reviewed AtJune 3, 2026

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