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Chemotherapy is a more aggressive systemic treatment, and it's not always necessary for ER+/HER2- breast cancer. However, it may be recommended in certain situations. Let’s look at some important factors. Chemotherapy uses powerful drugs to kill cancer cells, and it works throughout the body. It’s often used if the cancer is more advanced, has spread to the lymph nodes, or has a high risk of recurrence. Chemotherapy can also be used if the cancer doesn't respond to hormone therapy. The specific chemotherapy drugs used depend on several factors. The oncologist will consider the stage and aggressiveness of the cancer, previous treatments, and the patient's overall health. Chemotherapy is usually given in cycles, with periods of treatment followed by rest periods to allow the body to recover. This allows the medication to do its job and also allow you to heal. Common chemotherapy drugs for breast cancer include:
