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I had rads to all areas you asked about~the way my Dr. described it to me was it would help significantly in local recurrances (less than 5% chance of recurrance in area radiated). I had clear margins with modified rad mastectomy also. I really didn't suffer from fatigue but I was also coming off of months of chemo and I felt better from that in itself. My arm swelled slightly and went back to normal after radiation was over. He explained that can happen sometimes. I had the extra radiation since I had 10+ nodes & it was the most aggressive thing to do. I am still NED and finished radiation in 2003. I agree that a second opinion would be a good idea given your weaker lung capacity and the missing chest muscles.
The area that was radiated on me just went through a breast reconstruction with implants and it is doing fine. I think ultimitely everyone's body responds differently to radiation as it does to chemo. My experience was a good one.
Hope this helps a little! Peace~Ruth
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