Life Expectancy with Untreated Stage 3 Breast Cancer - Oncology

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If I really have breast cancer?


Hello Doctor: After the physician's diagnosis, I may have stage III breast cancer (biopsy not yet performed).
If I do have it and do not plan to undergo treatment, how long might I still live? Thank you!

sammi, 40~49 year old female. Ask Date: 2004/07/20

Dr. Fan Sheng reply Oncology


Dear Sammi: Stage III breast cancer can still be treated or have a significant impact on extending life, and there are many things you can still do.
Don't lose hope.
Keep fighting!

Reply Date: 2004/07/20

More Info


Understanding life expectancy with untreated Stage 3 breast cancer is a complex issue that involves various factors, including the specific characteristics of the cancer, the patient's overall health, and the presence of any other medical conditions. Stage 3 breast cancer is considered locally advanced, meaning that the cancer has spread beyond the breast to nearby lymph nodes and possibly surrounding tissues, but has not yet metastasized to distant organs.

Without treatment, the prognosis for Stage 3 breast cancer is generally poor. The five-year survival rate for Stage 3 breast cancer varies widely, typically ranging from about 40% to 56%, depending on various factors such as the tumor's biology, the patient's age, and overall health. This means that, on average, a significant number of patients may not survive beyond five years without treatment. However, it is essential to note that these statistics are based on historical data and may not accurately predict individual outcomes.

The specific type of breast cancer also plays a crucial role in determining prognosis. For instance, hormone receptor-positive cancers (those that are estrogen receptor-positive or progesterone receptor-positive) may respond better to hormone therapy, while triple-negative breast cancers (which lack estrogen, progesterone, and HER2 receptors) tend to be more aggressive and have fewer treatment options. In your case, if the cancer is confirmed to be Stage 3 and untreated, the likelihood of progression and metastasis increases, which can significantly reduce life expectancy.

Additionally, the patient's overall health and lifestyle factors, such as nutrition, exercise, and mental health, can influence survival. Patients who maintain a healthy lifestyle may experience better outcomes than those who do not. However, it is crucial to understand that untreated cancer can lead to severe complications, including pain, infections, and other life-threatening conditions.

If you are considering not pursuing treatment, it is vital to have an open and honest discussion with your healthcare provider. They can provide you with detailed information about your specific situation, including the potential risks and benefits of treatment versus the consequences of forgoing it. They may also discuss palliative care options, which focus on improving quality of life and managing symptoms rather than attempting to cure the disease.

In summary, while it is difficult to predict exact life expectancy without treatment for Stage 3 breast cancer, the prognosis is generally poor, and the risks of not treating the cancer are significant. It is essential to weigh these factors carefully and consult with medical professionals to make informed decisions about your health and treatment options.

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