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Doctor insights on: Bilateral Mastectomy Dd Ac Taxol Radiation

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Dr. Le Wang Dr. Wang
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I had stage 1 grade 2 invasive lobular cancer. Had a bilateral mastectomy. Taking Anastrazole, but no chemo or radiation. Is this smart?

Dr. Le Wang Dr. Wang
1 doctor agreed:
I had stage 1 grade 2 invasive lobular cancer. Had a bilateral mastectomy. Taking Anastrazole, but no chemo or radiation. Is this smart?

Stage I Breast Ca: Suppose you had ER/PR-pos and Her2-neg BC. Stage I BC defined as tumor size 0, 5cm or N1mi, consider oncotype for recurrence score (RS). If RS is high (>31), chemo may benefit. ...Read more

Gamma Rays (Definition)

This is light of extremely short wavelengths typically produced either among the stars / in cosmic rays or by radioactive element decay. Gamma rays form the background of normal radiation in which we all live; it is substantially greater than the exposure we get from imaging scans or should get from ...Read more


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Can you tell me about mastectomy without chemo or radiation?

Can you tell me about mastectomy without chemo or radiation?

Sometimes an option: Women with smaller breast cancers that have not spread outside the breast can often be treated with mastectomy and no radiation or chemotherapy. Sometimes hormone treatments will help such women after surgery. If a tumor is larger (more that 5 cm), more aggressive (poorly differentiated, triple negative, or her2 positive), or in the skin, muscle or lymph nodes chemo and or XRT might be needed. ...Read more

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When does chemo being after mastectomy? I am having a double mastectomy and I am wondering how long it usually take before chemo radiation begins?

Short break: Chemotherapy is generally given before radiation. This starts 4-6 weeks after surgery. In most cases, radiation is not required after mastectomy. Exceptions are for patients with large tumors (>5cm), skin or muscle involvement with tumor, or > 3 lymph nodes involved with cancer; patients with any of these will benefit from post-mastectomy radiation. This is given over 6 weeks. ...Read more

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Why radiation after a mastectomy? I have already had chemo pre surgery

Why radiation after a mastectomy? I have already had chemo pre surgery

Local recurrences: After mastectomy there is some breast tissue left along back of skin & chest wall. Ctx is most effective at lowering chance of tumor recurring distantly from breast and lymph nodes by killing microscopic cells n the blood if they r there. Radiation after mrm further reduces the chance of tumor recurring n chest wall or nodes. >4ln's, tumor>5cm, or + margin are indications. Increases survival. ...Read more

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Is it normal to have a mastectomy and radiation therapy afterwards, rather than the other way around?

Is it normal to have a mastectomy and radiation therapy afterwards, rather than the other way around?

This can be normal: If a patient has mastectomy and the lesion was large or had many nodes involved this is followed by chemo then radiation. If the patient had a lumpectomy then radiation they would not need mastectomy. However if later on it recurs one can still have a mastectomy. This does not happen often. ...Read more

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Is it safe to get a tattoo after mastectomy and radiation?

Is it safe to get a tattoo after mastectomy and radiation?

I would advise: Against getting tattoos on the same arm as the mastectomy. If you develop an infection, it could become a problem, even though it might be trivial in under normal circumstances. Ask your surgeon to be sure. ...Read more

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Stage 1b IDC, grade 3 with 1 lymph node 1.9 mm (micrometastasis) and had mastectomy. Age 32, would u recommend radiation?

Discuss: With your radiation oncologist and medical oncologist. Many people with micrometastases will benefit from radiaition. The also benefit from hormonal therapy if receptor positive. Good luck ...Read more

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Why is it that some patients who are in stage 1 dcis have to have a partial mastectomy followed by radiation?

Stage 0 breast ca: DCIS is a stage 0 breast cancer. A lumpectomy is only comparable to a mastectomy when the lumpectomy is followed by radiation. Otherwise the risk of the cancer recurring in the same breast is higher. For some older patients (over 70) radiation may be optional after a lumpectomy. ...Read more

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With a lump the size of a m and m in my breast if its cancer would I need chemo or radiation if I got a mastectomy?

With a lump the size of a m and m in my breast if its cancer would I need chemo or radiation if I got a mastectomy?

Too many assumptions: Young women often have benign breast masses that come and go. If a mass is present for more than 2 months, without decrease in size, a biopsy would be in order. If it showed cancer (not likely) then surgery to remove the lump and sample lymph nodes would be needed to get the stage of the cancer. Small cancers (<2cm) with no spread to ln may not need any chemo at all. ...Read more

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Guck n simple 08-10 br ca chemo radiation mastectomy left breast CT scan 2wks ago enlarged nodes in mediastatin and nodes on right lung. Now what?

Guck n simple 08-10 br ca chemo radiation mastectomy left breast CT scan 2wks ago enlarged nodes in mediastatin and nodes on right lung. Now what?

Biopsy and/or PET: Ct guided biopsy or mediastinoscopy with biopsy may be indicated. Pet may show increased areas of activity and oncologist may want to treat simply due to your history. Contact oncologist and surgeon. ...Read more

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How can a patient still have cancer after lumpectomy? Cant find good surgeon (even if rich celebrities)? Not fair to need mastectomy vs radiation, etc

How can a patient still have cancer after lumpectomy? Cant find good surgeon (even if rich celebrities)? Not fair to need mastectomy vs radiation, etc

Breast neighborhood: It's not the surgeon, it's the bad breast neighborhood that allows cancer to return. Cancer cells can sneak away from the tumor before surgery, which is why radiation therapy is necessary after any lumpectomy. Even with radiation, there is a higher chance of cancer returning after a lumpectomy compared to mastectomy. You're right, it's not fair. We need better treatments for breast cancer. ...Read more

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After doing a skin sparing and nipple/areola sparing mastectomy, followed by chemo and radiation, can the cancer return in my nipple, areola or skin?

Rare, can happen: Unfortunately, recurrence of cancer can occur whether you have had a lumpectomy, mastectomy or nipple sparing mastectomy but only in a small number of patients. Your treating physicians will keep a close eye on you with regular checkups. As we don't know your case history details including the type of reconstruction it would be best to speak with your oncologist, breast and reconstructive surgeon. ...Read more

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Is it reasonable to have a mastectomy for early-stage breast cancer and not have chemo or radiation?

Is it reasonable to have a mastectomy for early-stage breast cancer and not have chemo or radiation?

It Depends: A mastectomy does not guarantee you won't need chemo or radiation. The tumor's "personality" determines that. After a mastectomy, you might need chemo if the tumor is aggressive. Chemo treats your whole body to kill cancer that may have traveled. You might need radiation if you have positive lymph nodes, or if cancer was near the incision site. Ask your oncologist. It's complicated! ...Read more

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General question. What is the 5 year. Survival of non-metastasised breast cancer if you only had a double mastectomy and no chemo and no radiation?

General question. What is the 5 year. Survival of non-metastasised breast cancer if you only had a double mastectomy and no chemo and no radiation?

Depends: Not enough information. Depends on tnm staging. Treatment decisions based on that as well as biomarkers - er, pr, her2/neu. The absolute risk reduction provided by chemotherapy and/or hormonal therapy can then be individualized. On useful online tool is adjuvant! Online. That assumes adequate local control - eg surgery +/- radiation. ...Read more

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If cancer comes back in the same breast after having a breast-sparing surgery, will I need a mastectomy then? Will I be able to have breast reconstruction even though I have had radiation?

If cancer comes back in the same breast after having a breast-sparing surgery, will I need a mastectomy then? Will I be able to have breast reconstruction even though I have had radiation?

Yes: Yes to both. Since you can't have radiation twice in the same breast, most women need a mastectomy if the cancer returns after breast-sparing surgery. You have several reconstruction options after previous radiation, depending on how your breast tissue responded to radiation. Talk to a plastic surgeon about options. ...Read more

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Advanced lobular breast cancer. What is the success rate when a mastectomy, 3rd generation chemotherapy and radiation is done?

Advanced lobular breast cancer. What is the success rate when a mastectomy, 3rd generation chemotherapy and radiation is done?

Depends: May be good, but need much more detailed information on tumor size, stage, lymph nodes, hormone receptors, etc. Your own oncologist would be in a much better position to help answer this question for you. ...Read more

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Do I have to wait until my radiation treatments are over before I can get breast reconstruction? I wanted to get immediate breast reconstruction after my mastectomy, but my doctor says I need radiation and recommended I wait. Why? .

Do I have to wait until my radiation treatments are over before I can get breast reconstruction? I wanted to get immediate breast reconstruction after my mastectomy, but my doctor says I need radiation and recommended I wait. Why? .

Breast Cancer: I perform immediate breast reconstruction on patients every week who will get radiation treatments. I prefer to perform the diep flap for patients who I know will get radiated because I can take care of your own tissue much easier than an implant after radiation. The only time I don't perform or delay the reconstruction is when the tumor is close to the chest wall and maybe difficult to check. ...Read more

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Dr. Barry Rosen
977 Doctors shared insights

Mastectomy (Definition)

A mastectomy is complete removal of all visible breast tissue. Different variations exist, some of which spare some or all of ...Read more