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Breast Cancer: Stage 3 & 4 Community

This patient support community is for discussions relating to breast cancer, biopsy, genetics, chemotherapy, hormone therapy, lumps, lumpectomy, lymph node dissection, lymphedema, mammograms, mastectomy, radiation therapy, reconstruction, self exams, and stage 3 and 4 treatments.
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is radiation needed

by daya605, Jun 18, 2008 05:37PM
I have mastectomy and they removed 5 centinniel noed and 14 lymph nodes out of 2 centiniel node came posive with 0.5 mm . my margins are safe and nagative i am restrogen positive so can i just go for tamoxifen ?
Member Comments (2)

by katarina777, Jun 23, 2008 03:15AM
To: daya605
Is radiation needed? If your doctor has recommended radiation for you, consider it extra insurance for preventing your bc from coming back.
it may come back with or without it, and not with or without it, but it's probably a higher risk if you don't do radiation after your oncologist recommended it. So, is it needed? i don't know how to answer that one.

by Dennis MD, Aug 04, 2008 06:18PM
To: daya605
Hi.
How are you doing?
The American Society of Clinical Oncology (ASCO) recommends postmastectomy radiation treatment for patients with 4 or more positive axillary lymph nodes and when the tumor is stage III (except T3N0M0).  The summary of the guidelines can be found in this internet link:  http://jco.ascopubs.org/cgi/reprint/19/5/1539.pdf.
Tamoxifen can still be given after you have undergone postmastectomy radiation treatment.
You need to discuss your treatment plan with your oncologist.  
Good luck.
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