BREAST CANCER EXPERT FORUM
treatment option

treatment option

I had a modified radical mastectomy and am trying to decide on treatment options.  My cancer was invasive ductal, 1.9 cm. My lymph nodes (sentinal + 6 nodes)were clear and there was a clean margin.  My choices are chemo (either AC or CMF)followed by tamoxifen, or just tamoxifen. The oncologist says the chemo increases my survival rate by only 2-3 percent.  Because of the low percent of benefit,I am leaning toward just the tamoxifen because of the side effects of the chemo,especially adriamyican,which has the potential for heart problems-a prominent health problem in my family.  I am currently seeking a second opinion,but would like to get as many opinions as possible.  Thank you.
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Dear nburl, According to the 2000 National Institute of Health Consensus Conference on Adjuvant Therapy for Breast Cancer. Adjuvant chemotherapy (treatment given after surgery to try to prevent or minimize the growth of microscopic deposits of tumor cells that might grow into a recurrent tumor) is recommended for the majority of women with primary breast cancers that are greater than 1 cm in diameter. This is independent of nodal, menopausal or hormone receptor status.  

An anthracycline containing regimen (the A
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