Five months after completion surgery for a Stage 11 ductal/lobular carcinoma, I have just been diagnosed with an agressive contralateral carcinoma (Bloom-Richardson 9/9, HR negative, HER-2/NEU positive, T2 at least, NX,MX). I also have just completed proton radiation for a primary bone cancer and conventional radiation for the original breast cancer(75 Gys proton and 50 Gys photon/electron). With regard to other history, I had a TAH with BSO last year for a Stage 1 endometrial cancer (so four primaries in less than two years).
Medically, I could opt for either a mastectomy or breast conservation surgery. However,in making this decision, I have two questions regarding possible effects of radiation if I were to chose a WLE. Given that I will be having very aggresive chemo either way, would I be likely to tolerate having an additional 50 Gys or so of radiation? Would it be too much radiation? Also, since I will surely have Adriamycin, should the possibility of radiation to the heart (this is the left breast)factor into my decision as well?
Dear primariesfour: The decision to do mastectomy or lumpectomy is largely a personal one, with a couple of exceptions. Some of these are when the tumor is large and a good cosmetic result cannot be acheived, a person cannot complete radiation, or when there are medical reasons. The most important consideration with respect to radiation is that it should not overlap a previously radiated area. As you have been through radiation in the past, you are more familiar with your ability to tolerate the side effects. It will, of course, prolong your treatment. You should have a thorough discussion with your oncologist to discuss the pros and cons of all of your options as they pertain specifically to you.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.