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Doctor insights on: Lumpectomy With Radiation Combination

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I was treated with a lumpectomy and radiation and sent home without any explanation?

I was treated with a lumpectomy and radiation and sent home without any explanation?

Call back: If you did not get explanation then call or email or fax back to office your questions. Ask for return response/call. Hopefully someone will call you back. If not, make an appointment to get explanation. It is important to understand what is going on with your body. ...Read more

Dr. Regina Hampton
182 doctors shared insights

Lumpectomy (Definition)

A lumpectomy means removal of a breast lump. It frequently is used in relation to removal of breast cancer. However it can be generalized to removal of other lumps or imaging abnormalities also. Other terminology such as excision, wide excision or a partial mastectomy usually may mean the same thing. If it is done for breast cancer frequently it needs to be ...Read more


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If one had a lumpectomy with clear margins, no node involvment and is on anti-hormones, is it absolutely necessary to have radiation?

If one had a lumpectomy with clear margins, no node involvment and is on anti-hormones, is it absolutely necessary to have radiation?

Yes in most cases: It depends on both patients' and tumor's characteristics. For most early stage breast cancer, studies have shown that lumpectomy plus radiation is equivalent to mastectomy in term of long term survival. However, recent studies also showed that radiation can be safely omitted in elderly patients (70 or older) with hormonal receptor positive, node negative small breast tumor. ...Read more

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I was just diagnosed with hi-grade dcis. I had dcis in 1991 and had a lumpectomy and radiation..No tamoxifen. What are my options now?

I was just diagnosed with hi-grade dcis. I had dcis in 1991 and had a lumpectomy and radiation..No tamoxifen. What are my options now?

Questions: Is your new dcis in the same breast as your surgery and radiation? If so, then you will need a mastectomy (check reconstruction options). I recommend you meet with your oncology team (include a plastic surgeon) to discuss all of the options. ...Read more

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What is cure rate for dcis, nuclear type3 post lumpectomy and radiation treatment?

What is cure rate for dcis, nuclear type3 post lumpectomy and radiation treatment?

High cure rate: The prognosis for dcis after lumpectomy and adjuvant radiation therapy is great. The average cure rate is more than 95% (of course small tumor size, low grade, clear margins tend to ahve better outcome than high grade or positive margins). At your age (46 yo) and with high grade dcis, you should discuss with your oncologist about the use of tamoxifen to further decreease the chance of recurrence. ...Read more

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Why does my left arm hurt so much after a lumpectomy a year ago, chemo and radiation? What can cause this?

Why does my left arm hurt so much after a lumpectomy a year ago, chemo and radiation? What can cause this?

Surgery under arm?: Did you have any surgery under the arm (lymph node biopsy or axillary dissection)? Did you get radiation to the underarm/axilla? These can contribute to the discomfort. You may want to contact your surgeon and get evaluated at a lymphedema clinic. ...Read more

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Why would my doctor not recommend radiation therapy after a lumpectomy?

Why would my doctor not recommend radiation therapy after a lumpectomy?

Low risk to recurr: There is a good chance the type of disease was dcis (ductal carcinoma in situ). This is a pre-invasive disease ( not cancer yet). Radiation can be avoided in the most favorable group of patients with dcis since chance of recurrence is very low. Typical conditions met are: 1) large clear margins of resection was obtained, 2) the disease is not too large (size) , 3)not too aggressive ( low-grade). ...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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Does this ever get easier? After 2 lumpectomies and radiation for dcis... (believe me when i say i was in the right place at the right time) and appreciate all that's been done for me! now looking at a complete hysterectomy for persistent HPV with (mi

Wow, : Wow, it sounds as though you have been through a lot! many people who have chronic illnesses or have been through serious illnesses can have residual anxiety and/or depression stemming from their experiences. It may be helpful to you to have someone to talk to while you are dealing with all of these very stressful situations. The worry, the crying, the avoiding other people, the pain from clenched muscles make me concerned that you are experiencing either anxiety, depression or both. You should call your doctor to let them know how you are feeling. I promise you, you are not the first! they may be able to refer you to a psychologist or psychiatrist that may be able to give you the support and tools that you need in order to deal with everything you've been going through in a healthier, happier way. This is way more common than many people think, so don't hesitate to get help! ...Read more

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I had cancerous calcification on my right breasts. I also had a lumpectomy and radiation, but why is the cancer coming back?

I had cancerous calcification on my right breasts. I also had a lumpectomy and radiation, but why is the cancer coming back?

We Wish We Knew: There is nothing more frustrating than cancer recurrence, especially when one is given a "clean bill of health" after treatment. Unfortunately, some breast cancers can recur--if its in the breast alone, a mastectomy may be necessary; if its elsewhere in the body, this requires chemotherapy. If you are unclear about this, please discuss at length with your cancer doctor. Good luck! ...Read more

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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