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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?

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

Dr. Barry Rosen
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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