Does breast cancer require chemotherapy?

Written by Zhang Chao Jie

Breast Surgery

Updated on February 08, 2025

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Not all breast cancer requires chemotherapy, which is just one method in the comprehensive treatment of breast cancer. Comprehensive treatment for breast cancer includes surgery, chemotherapy, radiotherapy, endocrine therapy, biological targeted therapy, and also traditional Chinese medicine treatment. Chemotherapy, in particular, can be described as a double-edged sword that kills both cancerous and normal cells. If the breast cancer is in an early stage, especially if the genetic typing is favorable, there might be an opportunity to forego chemotherapy. However, unfortunately, as of now, a significant portion of breast cancer cases still require chemotherapy. Therefore, it is necessary to communicate with professional doctors and analyze each specific case individually; one cannot generalize the treatment.

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Written by Zhang Chao Jie

Breast Surgery

44sec

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Can breast cancer be contagious?

Breast cancer is not contagious. Infectious diseases have their natural characteristics. For instance, respiratory infectious diseases and even hepatitis can be transmitted through certain pathways. Cancer, including breast cancer, is not communicable. To date, medical research has found no evidence suggesting that cancer can be spread from person to person. Only about 5% of cancers have a genetic component. Consider this: if cancer were contagious, wouldn't medical professionals, aside from the patients' families, be the most affected group? However, how many health care providers have contracted cancer from their patients? Thus, it can be stated that breast cancer is not contagious.

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Written by Gong Chun

Oncology

1min 30sec

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How does one get breast cancer?

How is breast cancer caused? Regarding the causes of breast cancer, the primary factor should be family history. If a first-degree relative has breast cancer, then the likelihood of developing breast cancer increases. The second factor is reproductive factors; for instance, if the age at menarche is quite young, menopause age is relatively late, menstrual cycles are short, there is no childbirth or the age at first full-term pregnancy is older, there are fewer childbirths, and there is a lack of breastfeeding, then the incidence of breast cancer is also higher. The third factor involves hormones, possibly related to endogenous hormones or exogenous hormones, such as those mainly associated with oral contraceptives used externally. The fourth major point is a high-fat diet, or habits like drinking alcohol, smoking, and a diet low in vitamins, which may increase the risk of breast cancer. The fifth point involves other factors, such as exposure to significant amounts of ionizing radiation, chemicals from cancer drugs, lack of physical exercise, and occupations, such as working in the beauty industry or pharmaceutical manufacturing, etc., which may also increase the chances of developing breast cancer.

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Written by Fan Hong Qiao

Breast Health Department

1min 13sec

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Differences between Breast Hyperplasia and Breast Cancer

Both breast hyperplasia and breast cancer can present as breast lumps. The lumps in breast hyperplasia are generally softer or of medium hardness, often occurring bilaterally with multiple lumps of varying sizes. They may appear nodular, plaque-like, or granular, are quite mobile, and have no adhesion to surrounding tissues. The size and characteristics of the lumps commonly change with the menstrual cycle and emotional fluctuations, and they tend to grow slowly, predominantly affecting young and middle-aged women. In contrast, breast cancer lumps are generally harder, usually unilateral and solitary. These lumps may be round, oval, or irregular in shape, can grow quite large, have limited mobility, and tend to adhere to the skin and surrounding tissues. The lumps are not related to the menstrual cycle or emotional changes, can increase in size rapidly over a short period, and are more commonly seen in middle-aged and older women. Sometimes breast cancer can be confused with breast hyperplasia, necessitating a hospital visit for examination and diagnostic differentiation by a doctor.

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Written by Lin Yang

Breast Surgery

34sec

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How long does breast cancer surgery take?

Generally speaking, for breast cancer surgery, local anesthesia is first used to biopsy the pathology. After removing the pathology, it is quickly determined whether it is malignant or benign. Then, the procedure is switched to general anesthesia to perform either modified radical mastectomy or radical mastectomy, or a sentinel lymph node biopsy. The approximate time is about two hours, plus postoperative care, it usually ends in about two and a half hours, and then the patient is sent back to the ward to rest, generally not exceeding three hours.

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Written by Lin Yang

Breast Surgery

52sec

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Can being angry cause breast cancer?

Frequent anger in women is associated with a higher risk of breast cancer. The causes of breast cancer are not yet fully elucidated, but recent research suggests that its development may be related to various factors. These include familial factors, reproductive factors, levels of sex hormones, and relevant genes. Frequent anger in patients can cause instability in the body's hormones, leading to exacerbated breast hyperplasia. Increased breast hyperplasia can then lead to the formation of small nodules in the breast. Due to the stimulation of estrogen in the body, these breast nodules are more likely to become cancerous. Therefore, it is important to maintain a cheerful mood, minimize anger, and eat more foods containing vitamins, as Vitamin A plays a role in protecting breast cells.