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another source of a second opinion would be a radiation therapist
at a major cancer center.
Should she not choose mastectomy, I would expect they would plan to radiate and you would need to find a radiation therapist willing to do that in this setting...so that also becomes part ot the equation. Those at major cancer centers will have experience in treating those who don't fall in the normal category ie, those with one tumor only.
I know that multicentric (multiple tumors in one breast) bc was one of the criteria which did not allow patients to be placed into the APBI (ACCELERATED PARTIAL BREAST IRRADIATION) clinical trial at Stanford. That made sense, as you wouldn't want to limit the field (ie, partial breast) when the whole breast was at risk.
No wonder people usually just take the easy way out and don't ask questions--it is hard work.
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