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metaplastic carcinomia
by 4gd, Apr 24, 2008 08:23PM
I am 55 and was recently diagnosed with metaplastic spindle cell carcinoma of the left breast. Mass was 1 cm. with clear margins. Sentinel node biopsy scheduled. Original breast Dr, oncologist and radiation oncologist recommend radiation only. MRI of breasts and PET scan show no mets. Second opinion at cancer center recommend chemo and radiation. Due to other health issues including only one functional kidney, arrythmias, numerous antibiotic and other med allergies I am reluctant to follow this course of action. Would just getting radiation treatments be an acceptable course of action?
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According to the NCCN (national comprehensive cancer network) guidelines. Tumors that are 0.6cm to 1cm in diameter can be "considered" for chemotherapy though the benefits will not be as pronounced compared to when chemotherapy is given for someone with larger tumors. I understand your concern regarding the risks of chemotherapy and I suggest you discuss this thoroughly with your oncologist if the benefit will be worth taking the risk. Treatment will also depend if the tumor is hormone receptor positive (estrogen or progesterone).
Regards and God bless...