I am 78 years old and have Stage 3B breast cancer, T4, N0, M0. I first had a lumpectomy 3 weeks ago, diagnosis was Invasive Lobular Carcinoma, T4a (tumor infiltrates chest wall muscle). Resected margins were clear. ER postitive and c-erb B2 positive. I am now on Armidex.
Last week I had surgery to remove my axilliary lymph nodes and mastectomy of my left breast. The pathology report showed no residual tumor in my breast and no metastasis in any of my lymph nodes. My oncologist recommended that I undergo radiotherapy since I am T4a. However, my surgeon had mentioned he excised part of my chest wall muscle during the 1st surgery, and felt he had removed all of the primary tumor. Is it still necessary for me to undergo radiotherapy, especially since my lymph nodes and margins were clear?
If I do start radiotherapy and the side effects get to be too much, can I stop halfway?
Dear BelSmith: Without evaluation, it is impossible to speculate on what should be done about this breast cancer. You may benefit from a discussion with the radiation oncologist and oncologist about what the added value of radiation may be in light of risks. This information may help you to make a better decision. There is no research to tell us whether a "little bit" of radiation has any benefit, so careful consideration of risks vs benefits up front seems like a better way to proceed.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
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.