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Topic: When can you have surgery after chemo?

Forum: Surgery - Before, During, and After — Surgical options and helpful tips for recovery and side effects.

Posted on: May 11, 2020 07:13AM

dysonsphere wrote:

My last Taxol chemo is on 6/18. I am currently on disability and so far it's only approved through 6/22. I was assuming I would just have surgery after chemo and wasn't worried about getting the disability extended. For those that had chemo first, did you have to wait a certain period of time to have surgery? Now i'm worried I may be expected to go back to work before surgery. Thanks!

Age 50 at Dx, 11/20 abnormal Mammo, 12/2 Ultra sound, 12/3 Biopsy,12/31/19 Started treatment at MD Anderson , 1/9/2020 Node biopsy, malignant 1/13/2020 Genetic Test negative 2/6 Started 16 cycles of chemo (completed 6/18) Dx 12/10/2019, IDC, Right, 1cm, Stage IIA, Grade 2, 5/27 nodes, ER+/PR+, HER2- Chemotherapy 2/5/2020 AC + T (Taxol) Surgery 7/16/2020 Lumpectomy: Right
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May 11, 2020 09:24AM Spookiesmom wrote:

Seems like it was only a few weeks in between. I was scheduled for around thanksgiving, but caught bronchitis, that pushed it to midDecember. 8 years ago, hard to remember exactly.

Reoccurrence 3-19. Dx IDC, Stage IIIA, Grade 3
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May 11, 2020 09:32AM dizzywombat wrote:

My MO told me a minimum of 2 weeks after my last Taxol treatment before I could have surgery.

Dx 10/22/2019, ILC, Right, 3cm, Stage IIIC, Grade 2, ER+/PR+, HER2- (FISH) Chemotherapy 11/21/2019 AC + T (Taxol) Surgery 4/22/2020 Lymph node removal: Underarm/Axillary; Mastectomy: Right Radiation Therapy 5/25/2020 Whole-breast: Lymph nodes, Chest wall Hormonal Therapy 7/8/2020 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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May 11, 2020 09:46AM Maryjv wrote:

Mine was 3 weeks...SO did not want to wait any more than that

Dx 11/22/2019, IDC, Right, 1cm, Stage IB, Grade 3, ER-/PR-, HER2- (FISH) Chemotherapy 12/30/2019 AC + T (Taxol) Surgery 3/27/2020 Mastectomy: Left, Right
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May 11, 2020 01:50PM FarAwayToo wrote:

Mine was 4 weeks after the last dose. A lot of doctors want to wait at least several weeks after last chemo due to lower platelets/WBC. It's not likely that you will have your surgery immediately after your last Taxol.

What surgery are you planning? After AC +Taxol I had BMX with TE and I took 6 weeks off work (I was working 16-24 hrs a week during chemo, but decided to stop working just prior and immediately after surgery). I can say that there was no way I could work in the first 2 weeks after surgery (I have a desk job that I do from home). Starting week 3 I could probably work a little, but I chose to stay off for 6 weeks. I then went back to work full time - I ended up not needing radiation.

Even if you have lumpectomy, you need some time to recover, so I think you need to get your disability extended.

Dx 8/31/2017, IDC, Right, 2cm, Stage IIA, Grade 2, 0/4 nodes, ER+/PR+, HER2- Dx 9/15/2017, DCIS, Left, 3cm, Stage 0, Grade 1, 0/3 nodes, ER+/PR+, HER2- Chemotherapy 9/29/2017 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxol (paclitaxel) Hormonal Therapy 2/22/2018 Zoladex (goserelin) Surgery 2/27/2018 Mastectomy: Left, Right Surgery 2/28/2018 Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy 4/4/2018 Femara (letrozole) Surgery 8/20/2018 Prophylactic ovary removal; Reconstruction (left): Saline implant; Reconstruction (right): Saline implant
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May 11, 2020 07:58PM OnTarget wrote:

4 weeks

Diagnosed at 42, Oncotype score 16, ITC in one node- considered node negative. Lost right implant to infection March 2020. Waiting to start reconstruction all over again. Dx 4/8/2019, ILC, Left, 3cm, Stage IB, Grade 2, 0/3 nodes, ER+/PR+, HER2- Dx 4/23/2019, ILC, Right, <1cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2- Surgery 5/15/2019 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy 6/13/2019 Zoladex (goserelin) Chemotherapy 8/5/2019 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 11/6/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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May 12, 2020 06:46AM Marmotka wrote:

The standard of care is between 4 to 8 weeks after last chemo round with the optimal at 6 weeks. It's for the red and white blood cells to rebuild to acceptable levels.

Because of covid, mine will be delayed further....still don't have a date. So they are putting me on tamoxifen starting this week.

Diagnosed at 43 with no family history. Have 2 children, 4 and 7, and a science and policy career. Dx 11/19/2019, IDC, Left, Stage IIB, ER+/PR+, HER2- (IHC) Chemotherapy 12/18/2019 AC + T (Taxol) Hormonal Therapy 5/14/2020 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 6/21/2020 Lymph node removal: Sentinel; Mastectomy: Left; Reconstruction (left): Silicone implant
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May 12, 2020 12:20PM morrigan_2575 wrote:

My MO and SO are planning for 3-4 weeks post Final Chemo

Dx 1/20/2020, DCIS/IDC, Right, 4cm, Stage IIA, Grade 2, ER+/PR+, HER2+ (IHC) Chemotherapy 2/4/2020 Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy 2/4/2020 Herceptin (trastuzumab) Targeted Therapy 2/4/2020 Perjeta (pertuzumab) Surgery 6/18/2020 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Dx 6/19/2020, DCIS/IDC, Right, <1cm, Stage IA, Grade 2, 1/3 nodes, ER+/PR+, HER2+ Targeted Therapy 7/5/2020 Kadcyla (T-DM1, ado-trastuzumab) Radiation Therapy 8/9/2020 Whole-breast: Breast, Lymph nodes, Chest wall
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May 28, 2020 08:02AM Maddy83f wrote:

I had 3 weeks between last chemo and my surgery (implants replacing tissue expanders). Last chemo was April 28 and surgery was a week and a half ago on May 18. All has gone very well and I feel really good. I am on short term disability - and mine was extended for the surgery.

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