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Re: Radiation after pCR - what to do!?
I was in the dreaded grey area
I also had a pcr after chemo -here's the kicker, I had no positive nodes on imaging before chemo started, my tumor was 2.2ish cm
the reason I was told I needed rads:
grade 3
LVI
young age (42)
I also had the scarring note on my post surgical pathology which makes me think I did have a positive sentinel node
I did rads because I only had 2 nodes removed and I was worried about that plus my RO strongly recommended based on the 3 factors above
I think ultimately I was over-treated but I made the best decisions I could at the time
I asked my RO and he said the pathology and treatment prior to starting chemo is how they make their recommendations. I believe they are studying how pCR affects things like radiation bu I haven't seen any results - maybe ask if there are any studies out
rads has its own SE and your concerns are very very valid
__________________
diagnosed aug/11
right breast IDC 2.2 cm LVI
neoadjuvant fecx3, tax and her x3
surgery -pCR 0/2 nodes
25 rads
herceptin x18
tamox
prophy bi-msx with TE's oct 15/12
LD flap reconstruction (PM me if you want the details)
zoladex shots monthly until SOFT studies come out
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