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I had discussed this with my onc after my preliminary scans-mamo,ultrasound and MRI that showed 4 tumor sites. Her response at the time was that they only count the primary and one other. I have always felt that it would be inacurate due to the importance of the size of the tumor in stageing of a single tumor. I don't understand why the others do not count just because there were normal cells in between. The total tumor load seems to me to be more important. In my mind I always counted the total and adjusted for it.I would like to read more on this if anyone has more info.
Thank you
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