Should breast cancer patients have chemotherapy before or after surgery?
That’s a tricky question and, ultimately, each woman needs to make that decision with her doctor. But there are some advantages to having chemotherapy first.
It may be a good option “in women who have a tumor that is too big in relation to the breast size for conservative surgery[lumpectomy] but who want to have conservative surgery,” said Dr. Eric Winer, director of breast cancer oncology at Dana-Farber Cancer Institute. In these cases, chemotherapy can often shrink a tumor enough to allow breast-conserving surgery. Women who get such surgery typically get radiation afterward to prevent local and regional recurrence.