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jason222

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Reply with quote  #1 
Hi everyone,

We are scheduled to do the radiotherapy soon.
But we have receive conflicting opinions, as some feels that radiotherapy is not justified while others feels that it should be done.

Need your feedback on this.
My mother's BC stats, is 2.5cm, triple negative, with 1 lymph node involvement out of 8 removed. She had a mastectomy done 6 months ago and is currently finishing chemo.

How should we decide whether to go for radiotherapy or otherwise? What's the pros and cons?

I have read that radiotherapy increases the risk of other cancer and lymphodema, and does not help in the prognosis, as it only provides local disease control in some cases.

What do you think?

Karen1956

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Reply with quote  #2 

Jason - I am ER/PR+ so the "rules" might be somewhat different, by mom onc said that 4+ nodes then radiation - I too had mastectomy then chemo.  All my docs seemed to be in agreement with this.  Who is giving you conflicting advice? Can your get a 2nd opinion? I hope you get some answers to feel good about moving forward.

nosurrender

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Reply with quote  #3 
Jason,
DEFINITELY GET RADIATION.
Your mom decreases her risk of recurrence dramatically with radiation.
Chemo is systemic therapy.
Radiation is local therapy. It cleans up the area of any stray cells that might not have been killed by the chemo.
I highly recommend it.
The benefit far outweighs the risks.
Big hugs to you and your mom,
g


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jason222

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Reply with quote  #4 
Thanks for the advice.
Am arranging for the radiation.

By the way, how long after chemo does radiation start normally?

Karen1956

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Reply with quote  #5 

Jason - my onc said I could start as early as 3 weeks post chemo - and thats what I did - I just wanted to be done with Tx. 

jason222

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Reply with quote  #6 
Hi,

One more question. Which part does the radiologist radiate?
I heard that there are a number of areas that they may consider, such as the underarm and the subclavical area.. but how do they determine which area to radiate?

The current radiologist recommends the chest wall area and the subclavical area, ignoring the underarm..

Any idea?

energybunny

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Reply with quote  #7 
Jason,  It has to do with the node involvement.   If nodes involved, they do certain areas, and also where tumor was.

I am sure someone will be along shortly to lay out more fully to you.  Hugs to you and your mom.  Lee

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mommaj

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Reply with quote  #8 
Jason;
Having just completed 33 treatments, I remember asking the same questions at the beginning. I received it to the chest wall only, since no nodes were involved. My rads onc did say that there is a certain "purposeful" overlap of the field they are radiating so that it automatically zaps some of the node area anyway. I can truthfully tell that it did as my underarm is quite red and peeling, though not like the main area. Ask your oncologist how far the field will be.
You are correct in getting the radiation--so much extra coverage for a minimal "investment". I have not regretted it.
Make sure she uses the Biafine regularly--it made a huge difference in my "recovery"
Janeen

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Janeen Stoever

"And which of you by being anxious can add a single hour to his span of life?...Therefore do not be anxious about tomorrow, for tomorrow will be anxious for itself. Sufficient for the day is its own trouble." Matthew 6:27,34
mrsb

goddess forever
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Reply with quote  #9 

Jason 6 years ago I was facing the same decisions. I was 2 nodes positive what they call micromets my radiologist felt that i would benefit. I was not a candidate foe chemo as i had severe medical problems  the risks outweighed the benefits. I felt very strongly that i needed to throw everything at this cancer so went ahead. i had 25 treatments . I did not have rads to the axilla .they focused on the breast chest and the area around the clavicle.I have never regretted having rads.Shelagh
LizM

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Reply with quote  #10 

I had a similar diagnosis with 2.1 cm tumor and 1 positive node out of 8; however, my tumor was ER/PR positive and her2 negative.  I had bi-lateral mastectomy with cancer on only one side and other removed prophylactally (sp).  I read a lot of studies to help me make my decision.  My breast surgeon did not think radiation was necessary but my radiation oncologist thought there is some benefit for those with 1 to 3 positive nodes.  I decided to be aggressive and went with the radiation.  My radiation oncologist said that if he was doing radiation he wanted to go for the gusto so I had rads to the chest wall, supraclavical and auxilla (underarm).  I can tell you it gives me peace of mind knowing I did everything I could to give myself the best shot at staying cancer free.  I also had dose dense chemo with AC followed by Taxol.  I had all of my treatment at Johns Hopkins in Baltimore, MD.

onecent

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Reply with quote  #11 
I am very happy I had radiotherapy.
I didn't want to leave anything to chance that I could obsess over later.
I have the type of personality that is a nagging one.
I ask myself questions all the time like, I should have bought the other car instead of the one I am stuck with and I never should have let TJ start the Cello when a Viola would have been so much easier on his back.
I am glad I did everything I could.
Of course, I was pushed by the No Surrender women.
thank goodness they did!
Warmly,
Penny


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