The treatment of cancer of breast is done after confirming the cancer (biopsy
) then checking hormone receptor status (ER/PR/Her 2neu) on biopsy specimen, workup to rule of distant spread by bone scan CTscan/US abdomen etc. and most important is check up by oncologist
and do what we call as clinical staging T for tumor
, N for node, M for metastases. So if tumor is small and no nodes it becomes early cancer and if tumor is big with nodes in axilla
it becomes advanced cancer.
Early cancer can be operated straightaway followed by chemotherapy
Advanced cancer are usaully given chemotherapy and then surgery and radiotherapy.
The exact plan depends on the stage and clinician.
Hope it helps