Breast cancer patients may see their oncologist when there is a strong suspicion of cancer or after confirmation of cancer has been made from preliminary tests. They often will come with very little information about their disease but are nervous and anxious for their treatment to begin. Sometimes patients are disappointed that treatment doesn't typically start on their first visit.
In many cases, there is a delay. This gives their doctor time to gather more information about their cancer with blood tests, imaging, or other diagnostic procedures. Then, the doctor will order a "staging workup." The goal of staging is to determine the original tumor's location, the tumor's size and severity, whether the lymph nodes contain cancer, and if the cancer is confined to a specific area of the body or has metastasized (spread) to other areas of the body.
A clinical stage is determined when their oncologist has detailed results of their physical examinations, imaging scans, and biopsies. Pathological staging is based on surgical tumor findings as well as clinical findings. Pathological staging gives a physician the most amount of information to make a prognosis. However, it isn't always an option depending on the tumor's location and/or the individual's health.
Breast Cancer Stages
Stage I is often referred to as early-stage cancer. It is usually a small cancer or tumor that has not grown deeply into nearby tissues or spread to the lymph nodes or other body parts.
Stages II and III cancers have extended beyond the immediate region of the tumor and may have invaded nearby lymph nodes and muscles but have not spread to distant organs. Typically, both stages indicate larger cancers or tumors have grown more deeply into nearby tissue.
Stage IV is advanced or metastatic cancer that has already spread to other distant parts of the body from where it was first diagnosed.
Sometimes cancer doctors will use the term "restaging," but it's important to understand that it never changes once a stage is determined. The cancer may grow or shrink, spread to other organs, or come back after treatment, but it will still be referred to as initially staged. Restaging refers to determining the current extent and nature of the cancer, either after treatment or over time. Though the term restaging can be misleading, the information is still highly valuable in determining whether the cancer is stable, has gotten better or worse, or returned. Restaging guides treatment strategies, such as when to start or discontinue therapy.
