Fw: [MOL] Re:The Beauty of Our World Is Our Differences! [02659] Medicine On Line


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Fw: [MOL] Re:The Beauty of Our World Is Our Differences!



Once again, I just wanted to make sure you saw this.  If your husband by and
by wants to talk to another caregiver, please tell him he can share with me.

Charlie's blood pressure and pulse are very weak.  He recognizes voices but
does not open his eyes anymore.  I am holding him most of the day and night
talking to him so he does not feel alone.


I am so glad you have found a home with us.  MOL saved my sanity!


Love,

Sally
-----Original Message-----
From: lillian jennings <firefly@islc.net>
To: mol-cancer@lists.meds.com <mol-cancer@lists.meds.com>
Date: Thursday, August 27, 1998 10:39 PM
Subject: Re: [MOL] Re:The Beauty of Our World Is Our Differences!


>The staging is what determines the treatment to be used.  I have it below
for you
>to read.  Several things make up the staging, the size of tumor, is it
aggressive
>(type of tumor) ,is it ductal or not and are there or aren't there lympth
node
>involvement. Hey, you know Marty just sent all this information out in the
>educational series we have been so busy preparing for our mol friends, did
you
>ladies not keep your copy?  AAABBBUT BUUUT BUTTTTTT! Judy is the only one
>excused.  I guess Marty and I will have to give quizes just to make sure
everyone
>is learning at the same rate and wait till Marty starts on the nutrition
aspect
>of this series,  thoes questionaires should really be fun.  Buckle under
folks.
>We have to beat this thing called cancer and can only do so armed with
>knowledge.  Love you, lillina
>
>What is breast cancer?
>
>This summary discusses the treatment of breast cancer. PDQ also contains
>summaries of information
>on screening for and prevention of breast cancer.
>
>Breast cancer, a common cancer in women, is a disease in which cancer
(malignant)
>cells are found
>in the tissues of the breast. Each breast has 15- 20 sections called lobes,
which
>have many smaller
>sections called lobules. The lobes and lobules are connected by thin tubes
called
>ducts. The most
>common type of breast cancer is ductal cancer. It is found in the cells of
the
>ducts. Cancer that
>begins in the lobes or lobules is called lobular cancer. Lobular cancer is
more
>often found in both
>breasts than other types of breast cancer. Inflammatory breast cancer is an
>uncommon type of breast
>cancer. In this disease, the breast is warm, red, and swollen.
>
>Hereditary breast cancer makes up approximately 5%-10% of all breast cancer
>cases. The genes in
>cells carry the hereditary information that is received from a person's
parents.
>Several genes have
>been found to be defective in some breast cancer patients. Relatives of
breast
>cancer patients who
>carry these defective genes may be more likely to develop breast or ovarian
>cancer. Some defective
>genes are more common in certain ethnic groups. Tests are being developed
to
>determine who has
>the genetic defect long before any cancer appears. Refer to the PDQ
summaries on
>screening for
>breast cancer and prevention of breast cancer for more information.
>
>Hormonal contraceptives may be another factor to consider. Research
findings
>suggest a link
>between contraceptive use and a slightly increased risk of developing
breast
>cancer.
>
>A doctor should be seen if changes in the breasts are noticed. The doctor
may
>suggest that you have
>a mammogram. A mammogram is a special x-ray of the breast that may find
tumors
>that are too
>small to feel. If a lump in the breast is found, the doctor may need to cut
out a
>small piece of the
>lump and look at it under the microscope to see if there are any cancer
cells.
>This procedure is called
>a biopsy. Sometimes the biopsy is done by inserting a needle into the
breast and
>drawing out some
>of the tissue. If the biopsy shows that there is cancer, it is important
that
>certain tests (called estrogen
>and progesterone receptor tests) be done on the cancer cells.
>
>Estrogen and progesterone receptor tests may tell whether hormones affect
the way
>the cancer
>grows. They may also give information about the chances of the tumor coming
back
>(recurring). The
>results help a doctor decide whether to use hormone therapy to stop the
cancer
>from growing.
>Tissue from the tumor needs to be taken to the laboratory for estrogen and
>progesterone tests at the
>time of biopsy because it may be hard to get enough cancer cells later,
although
>newer techniques
>can be used on tissue that is not fresh.
>
>The chance of recovery (prognosis) and choice of treatment depend on the
stage of
>the cancer
>(whether it is just in the breast or has spread to other places in the
body), the
>type of breast cancer,
>certain characteristics of the cancer cells, and whether the cancer is
found in
>the other breast. A
>woman's age, weight, menopausal status (whether or not a woman is still
having
>menstrual periods),
>and general health can also affect the prognosis and choice of treatment.
>
>
>
>STAGE EXPLANATION
>
>
>Stages of breast cancer
>
>Once breast cancer has been found, more tests will be done to find out if
the
>cancer has spread from
>the breast to other parts of the body. This is called staging. To plan
treatment,
>a doctor needs to
>know the stage of the disease. The following stages are used for breast
cancer.
>
>
>Carcinoma in situ
>
>About 15%-20% of breast cancers are very early cancers. They are sometimes
called
>carcinoma in
>situ. There are two types of breast cancer in situ. One type is ductal
carcinoma
>in situ (DCIS; also
>known as intraductal carcinoma); the other type is lobular carcinoma in
situ
>(LCIS). LCIS is not
>cancer, but for the purpose of classifying the disease, it is called breast
>cancer in situ, carcinoma in
>situ, or stage 0 breast cancer. Sometimes LCIS is found when a biopsy is
done for
>another lump or
>abnormality found on the mammogram. Patients with this condition have a 25%
>chance of
>developing breast cancer in either breast in the next 25 years.
>
>
>Stage I
>
>The cancer is no larger than 2 centimeters (about 1 inch) and has not
spread
>outside the breast.
>
>
>Stage II
>
>Any of the following may be true:
>
>     The cancer is no larger than 2 centimeters but has spread to the lymph
>     nodes under the arm (the axillary lymph nodes).
>
>     The cancer is between 2 and 5 centimeters (from 1 to 2 inches). The
cancer
>     may or may not have spread to the lymph nodes under the arm.
>
>     The cancer is larger than 5 centimeters (larger than 2 inches) but has
>     not spread to the lymph nodes under the arm.
>
>
>Stage III
>
>Stage III is divided into stages IIIA and IIIB.
>
>Stage IIIA is defined by either of the following:
>
>     The cancer is smaller than 5 centimeters and has spread to the lymph
nodes
>     under the arm, and the lymph nodes are attached to each other or to
>     other structures.
>
>     The cancer is larger than 5 centimeters and has spread to the lymph
>     nodes under the arm.
>
>Stage IIIB is defined by either of the following:
>
>     The cancer has spread to tissues near the breast (skin or chest wall,
>     including the ribs and the muscles in the chest).
>
>     The cancer has spread to lymph nodes inside the chest wall along the
breast
>     bone.
>
>
>Stage IV
>
>The cancer has spread to other organs of the body, most often the bones,
lungs,
>liver, or brain. Or,
>tumor has spread locally to the skin and lymph nodes inside the neck, near
the
>collarbone.
>
>
>Inflammatory breast cancer
>
>Inflammatory breast cancer is a special class of breast cancer that is
rare. The
>breast looks as if it is
>inflamed because of its red appearance and warmth. The skin may show signs
of
>ridges and wheals
>or it may have a pitted appearance. Inflammatory breast cancer tends to
spread
>quickly.
>
>
>Recurrent
>
>Recurrent disease means that the cancer has come back (recurred) after it
has
>been treated. It may
>come back in the breast, in the soft tissues of the chest (the chest wall),
or in
>another part of the
>body.
>
>
>
>TREATMENT OPTION OVERVIEW
>
>
>How breast cancer is treated
>
>There are treatments for all patients with breast cancer. Four types of
treatment
>are used:
>
>     surgery (taking out the cancer in an operation)
>     radiation therapy (using high-dose x-rays to kill cancer cells)
>     chemotherapy (using drugs to kill cancer cells)
>     hormone therapy (using drugs that change the way hormones work or
taking out
>organs that
>     make hormones, such as the ovaries)
>
>Biological therapy (using the body's immune system to fight cancer), bone
marrow
>transplantation,
>and peripheral blood stem cell transplantation are being tested in clinical
>trials.
>
>Most patients with breast cancer have surgery to remove the cancer from the
>breast. Usually, some
>of the lymph nodes under the arm are also taken out and looked at under a
>microscope to see if
>there are any cancer cells.
>
>Different types of operations used:
>
>Surgery to conserve the breast:
>
>     Lumpectomy (sometimes called excisional biopsy or wide excision) is
the
>     removal of the lump in the breast and some of the tissue around it. It
is
>     usually followed by radiation therapy to the part of the breast that
>     remains. Most doctors also take out some of the lymph nodes under the
arm.
>
>     Partial or segmental mastectomy is the removal of the cancer as well
as some
>
>     of the breast tissue around the tumor and the lining over the chest
muscles
>     below the tumor. Usually some of the lymph nodes under the arm are
taken
>     out. In most cases, radiation therapy follows.
>
>Other types of surgery:
>
>     Total or simple mastectomy is the removal of the whole breast.
Sometimes
>     lymph nodes under the arm are also taken out.
>
>     Modified radical mastectomy is the removal of the breast, many of the
lymph
>     nodes under the arm, the lining over the chest muscles, and sometimes
part
>     of the chest wall muscles. This is the most common operation for
breast
>     cancer.
>
>     Radical mastectomy (also called the Halsted radical mastectomy) is the
>     removal of the breast, chest muscles, and all of the lymph nodes under
the
>     arm. For many years, this was the operation most used, but it is used
now
>     only when the tumor has spread to the chest muscles.
>
>Radiation therapy is the use of high-energy x-rays to kill cancer cells and
>shrink tumors. Radiation
>may come from a machine outside the body (external radiation therapy) or
from
>putting materials that
>produce radiation (radioisotopes) through thin plastic tubes into the area
where
>the cancer cells are
>found (internal radiation therapy).
>
>Chemotherapy is the use of drugs to kill cancer cells. Chemotherapy may be
taken
>by mouth or it
>may be put into the body by inserting a needle into a vein or muscle.
>Chemotherapy is called a
>systemic treatment because the drugs enter the bloodstream, travel through
the
>body, and can kill
>cancer cells outside the breast area.
>
>If tests show that the breast cancer cells have estrogen receptors and
>progesterone receptors,
>hormone therapy may be given. Hormone therapy is used to change the way
hormones
>in the body
>help cancers grow. This may be done by using drugs that change the way
hormones
>work or by
>surgery to take out organs that make hormones, such as the ovaries. Hormone
>therapy with
>tamoxifen is often given to patients with early stages of breast cancer.
Hormone
>therapy with
>tamoxifen or estrogens can act on cells all over the body and may increase
the
>chance of getting
>cancer of the uterus. A doctor should be seen for a pelvic examination
every
>year. Any vaginal
>bleeding, other than menstrual bleeding, should be reported to a doctor as
soon
>as possible.
>
>Even if the doctor removes all the cancer that can be seen at the time of
the
>operation, the patient
>may be given radiation therapy, chemotherapy, or hormone therapy after
surgery to
>try to kill any
>cancer cells that may be left. Therapy given after an operation when there
are no
>cancer cells that
>can be seen is called adjuvant therapy.
>
>Biological therapy tries to get the body to fight cancer. It uses materials
made
>by the body or made
>in a laboratory to boost, direct, or restore the body's natural defenses
against
>disease. Biological
>therapy is sometimes called biological response modifier (BRM) therapy or
>immunotherapy. This
>treatment is currently only being given in clinical trials.
>
>Bone marrow transplantation is a newer type of treatment that is being
studied in
>clinical trials.
>Sometimes breast cancer becomes resistant to treatment with radiation
therapy or
>chemotherapy.
>Very high doses of chemotherapy may then be used to treat the cancer.
Because the
>high doses of
>chemotherapy can destroy the bone marrow, marrow is taken from the bones
before
>treatment. The
>marrow is then frozen and the patient is given high-dose chemotherapy with
or
>without radiation
>therapy to treat the cancer. The marrow that was taken out is then thawed
and
>given back to the
>patient through a needle inserted into a vein to replace the marrow that
was
>destroyed. This type of
>transplant is called an autologous transplant. If the marrow that is given
is
>taken from another person,
>the transplant is called an allogeneic transplant.
>
>Another type of autologous transplant is called a peripheral blood stem
cell
>transplant. The patient's
>blood is passed through a machine that removes the stem cells (immature
cells
>from which all blood
>cells develop) and then returns the blood back to the patient. This
procedure is
>called leukapheresis
>and usually takes 3 or 4 hours to complete. The stem cells are treated with
drugs
>to kill any cancer
>cells and then frozen until they are transplanted back to the patient. This
>procedure may be done
>alone or with an autologous bone marrow transplant.
>
>A greater chance for recovery occurs if the doctor chooses a hospital that
does
>more than five bone
>marrow transplantations per year.
>
>
>Treatment by stage
>
>Treatment of breast cancer depends on the type and stage of the disease,
and the
>patient's age,
>menopausal status, and overall health.
>
>Standard treatment may be considered because of its effectiveness in
patients in
>past studies, or
>participation in a clinical trial may be considered. Not all patients are
cured
>with standard therapy
>and some standard treatments may have more side effects than are desired.
For
>these reasons,
>clinical trials are designed to find better ways to treat cancer patients
and are
>based on the most
>up-to-date information. Clinical trials are ongoing in most parts of the
country
>for all stages of breast
>cancer. To learn more about clinical trials, call the Cancer Information
Service
>at
>1-800-4-CANCER (1-800-422-6237); TTY at 1-800-332-8615.
>
>
>
>CARCINOMA IN SITU
>
>The treatment depends on whether the patient has ductal carcinoma in situ
(DCIS)
>or lobular
>carcinoma in situ (LCIS). Since it is difficult to distinguish between
these two
>types, it may be helpful
>to have a second opinion by having the patient's biopsy preparations
(slides)
>studied by pathologists
>at another hospital.
>
>If the patient has DCIS, treatment may be one of the following:
>
>     1. Surgery to remove the whole breast (total mastectomy).
>
>     2. Breast-conserving surgery with radiation therapy.
>
>     3. Clinical trial of surgery to remove only the cancer (lumpectomy)
followed
>by radiation
>     therapy with or without hormone therapy.
>
>Rarely, some of the lymph nodes under the arm may also be removed during
the
>above surgeries.
>
>If a patient has LCIS, the patient may have a higher risk of developing
invasive
>cancer in both
>breasts: about a 25% chance over 25 years. LCIS is not breast cancer, and
many
>women with
>LCIS never develop breast cancer. The treatment options for LCIS are varied
and
>quite
>controversial. Treatment may be one of the following:
>
>     1. Biopsy to diagnose the LCIS followed by regular examinations and
yearly
>mammograms to
>     find any changes as early as possible.
>
>     2. A large clinical trial is testing hormone therapy with the drug
tamoxifen
>to see whether it can
>     prevent cancer from occurring. The Cancer Information Service can be
called
>for more
>     information (1-800-4-CANCER).
>
>     3. Surgery to remove both breasts (total mastectomy).
>
>If a patient is going to have a mastectomy, breast reconstruction (making a
new
>breast mound) may
>be considered. It may be done at the time of the mastectomy or at some
future
>time. The breast may
>be made with the patient's own (non- breast) tissue or by using implants.
>Different types of implants
>can be used. The Food and Drug Administration (FDA) has announced that
breast
>implants filled
>with silicone gel may only be used in clinical trials. Saline-filled breast
>implants, which contain
>saltwater rather than silicone gel, may also be used. Before the decision
to get
>an implant is made,
>patients can call the FDA (1-800-532-4440) to obtain additional
information.
>Additional questions
>can then be discussed with a doctor.
>
>
>
>STAGE I BREAST CANCER
>
>Treatment may be one of the following:
>
>     1. Breast-conserving surgery to remove only the cancer and some
surrounding
>breast tissue
>     (lumpectomy) or to remove part of the breast (partial or segmental
>mastectomy); both are
>     followed by radiation therapy. Some of the lymph nodes under the arm
are
>also removed.
>     This treatment provides identical long-term cure rates as those from
>mastectomy. A doctor's
>     recommendation on which procedure to have is based on tumor size and
>location and its
>     appearance on mammogram.
>
>     2. Surgery to remove the whole breast (total mastectomy) or the whole
breast
>and the lining
>     over the chest muscles (modified radical mastectomy). Some of the
lymph
>nodes under the
>     arm are also taken out.
>
>Adjuvant therapy (given in addition to the treatments listed above):
>
>     1. Chemotherapy.
>
>     2. Hormone therapy.
>
>     3. Clinical trials of adjuvant chemotherapy in certain patients.
>
>     4. Clinical trials of no adjuvant therapy for patients with a good
chance of
>recovery
>     (prognosis).
>
>     5. Clinical trials of treatment to keep the ovaries from working.
>
>If a patient is going to have a mastectomy, breast reconstruction (making a
new
>breast mound) may
>be considered. It may be done at the time of the mastectomy or at some
future
>time. The breast may
>be made with the patient's own (non- breast) tissue or by using implants.
>Different types of implants
>can be used. The Food and Drug Administration (FDA) has announced that
breast
>implants filled
>with silicone gel may only be used in clinical trials. Saline-filled breast
>implants, which contain
>saltwater rather than silicone gel, may also be used. Before the decision
to get
>an implant is made,
>patients can call the FDA (1-800-532-4440) to obtain additional
information.
>Additional questions
>can then be discussed with a doctor.
>
>
>
>STAGE II BREAST CANCER
>
>Treatment may be one of the following:
>
>     1. Breast-conserving surgery to remove only the cancer and some
surrounding
>breast tissue
>     (lumpectomy) or to remove part of the breast (partial or segmental
>mastectomy); both are
>     followed by radiation therapy. Some of the lymph nodes under the arm
are
>also removed.
>     This treatment provides identical long-term cure rates as those from
>mastectomy. A doctor's
>     recommendation on which procedure to have is based on tumor size and
>location and its
>     appearance on mammogram.
>
>     2. Surgery to remove the whole breast (total mastectomy) or the whole
breast
>and the lining
>     over the chest muscles (modified radical mastectomy). Some of the
lymph
>nodes under the
>     arm are also taken out.
>
>Adjuvant therapy (given in addition to the treatments listed above):
>
>     1. Chemotherapy with or without hormonal therapy.
>
>     2. Hormone therapy.
>
>     3. Clinical trial of chemotherapy before surgery (neoadjuvant
therapy).
>
>     4. Clinical trials of high-dose chemotherapy with bone marrow
>transplantation for patients
>     with cancer in more than three lymph nodes.
>
>If a patient is going to have a mastectomy, breast reconstruction (making a
new
>breast mound) may
>be considered. It may be done at the time of the mastectomy or at some
future
>time. The breast may
>be made with the patient's own (non- breast) tissue or by using implants.
>Different types of implants
>can be used. The Food and Drug Administration (FDA) has announced that
breast
>implants filled
>with silicone gel may only be used in clinical trials. Saline-filled breast
>implants, which contain
>saltwater rather than silicone gel, may also be used. Before the decision
to get
>an implant is made,
>patients can call the FDA (1-800-532-4440) to obtain additional
information.
>Additional questions
>can then be discussed with a doctor.
>
>
>
>STAGE III BREAST CANCER
>
>Stage III breast cancer is further divided into stage IIIA (can be operated
on)
>and IIIB (biopsy is
>usually the only surgery performed).
>
>Stage IIIA cancer:
>
>     1. Treatment may be one of the following surgeries: Surgery to remove
the
>whole breast, the
>     lining over the chest muscles, and many of the lymph nodes (modified
radical
>mastectomy) or
>     the whole breast, the chest muscles, and all of the lymph nodes
(radical
>mastectomy).
>
>     2. Radiation therapy given after surgery.
>
>     3. Chemotherapy with or without hormone therapy given with surgery and
>radiation therapy.
>
>     4. Clinical trials are testing new chemotherapy with or without
hormonal
>drugs; they are also
>     testing chemotherapy before surgery (neoadjuvant therapy).
>
>     5. Clinical trials of high-dose chemotherapy with bone marrow or
peripheral
>stem cell
>     transplantation.
>
>Stage IIIB cancer:
>
>     Treatment will probably be biopsy followed by radiation therapy to the
>     breast and the lymph nodes. In some cases, a mastectomy may be done
>     following radiation therapy.
>          1. Chemotherapy to shrink the tumor, followed by surgery and/or
>radiation therapy.
>
>          2. Hormonal therapy followed by additional therapy.
>
>          3. Clinical trials are testing new chemotherapy drugs and
biological
>therapy, new drug
>          combinations, and new ways of giving chemotherapy.
>
>          4. Clinical trials of high-dose chemotherapy with bone marrow or
>peripheral stem cell
>          transplantation.
>
>
>
>STAGE IV BREAST CANCER
>
>The patient will probably have a biopsy and then be given one or more of
the
>following:
>
>     1. Radiation therapy or, in some cases, a mastectomy to reduce the
symptoms.
>
>     2. Hormonal therapy with or without surgery to remove the ovaries.
>
>     3. Chemotherapy.
>
>     4. Clinical trials are testing new chemotherapy and hormonal drugs and
new
>combinations of
>     drugs and biological therapy.
>
>     5. Clinical trials of high-dose chemotherapy with bone marrow or
peripheral
>stem cell
>     transplantation.
>
>
>
>INFLAMMATORY BREAST CANCER
>
>Treatment will probably be a combination of chemotherapy, hormonal therapy,
and
>radiation
>therapy, which may be combined with surgery to remove the breast. The
treatment
>is usually similar
>to that for stage IIIB or IV breast cancer.
>
>
>
>RECURRENT BREAST CANCER
>
>Breast cancer that comes back (recurs) can often be treated, but usually
cannot
>be cured when it
>recurs in another part of the body. Some patients with recurrence in the
breast
>can be cured,
>however. The choice of treatment depends on hormone receptor levels, the
kind of
>treatment the
>patient had before, the length of time from first treatment to when the
cancer
>came back, where the
>cancer recurred, whether the patient still has menstrual periods, and other
>factors.
>
>Treatment may be one of the following:
>
>     1. Hormonal therapy with or without surgery to remove the ovaries.
>
>     2. For the small group of patients whose cancer has come back only in
one
>place, surgery
>     and/or radiation therapy.
>
>     3. Radiation therapy to help relieve pain due to the spread of the
cancer to
>the bones and
>     other places.
>
>     4. Chemotherapy.
>
>     5. Clinical trials of new chemotherapy drugs, new hormonal drugs,
biological
>therapy, or bone
>     marrow or peripheral stem cell transplantation.
>
>
>
>TO LEARN MORE
>
>TO LEARN MORE..... CALL 1-800-4-CANCER
>
>To learn more about breast cancer, call the National Cancer Institute's
Cancer
>Information Service
>at 1-800-4-CANCER (1-800-422-6237); TTY at 1-800-332-8615. By dialing this
>toll-free
>number, you can speak with a trained information specialist who can answer
your
>questions.
>
>The Cancer Information Service also has booklets about cancer that are
available
>to the public and
>can be sent on request. The following booklet about breast cancer may be
helpful:
>
>     What You Need To Know About Breast Cancer
>
>The following general booklets on questions related to cancer may also be
>helpful:
>
>     What You Need To Know About Cancer
>     Chemotherapy and You: A Guide to Self-Help During Treatment
>     Radiation Therapy and You: A Guide to Self-Help During Treatment
>     Eating Hints for Cancer Patients
>     Taking Time: Support for People with Cancer and the People Who Care
About
>          Them
>     What Are Clinical Trials All About?
>     Advanced Cancer: Living Each Day
>     When Cancer Recurs: Meeting the Challenge Again
>     Research Report: Bone Marrow Transplantation
>
>There are many other places where people can get material and information
about
>cancer treatment
>and services. The social service office at a hospital can be checked for
local
>and national agencies
>that can help with getting information about finances, getting to and from
>treatment, getting care at
>home, and dealing with problems.
>
>For more information from the National Cancer Institute, please write to
this
>address:
>
>     National Cancer Institute
>     Office of Cancer Communications
>     31 Center Drive, MSC 2580
>     Bethesda, MD 20892-2580
>
>
>Joicy Becker-Richards wrote:
>
>> Hi, Liz,
>> Don't know Judy's particular case, but do know that sometimes the
>> differences are based on the individual case -- sometimes on the
>> protocols of particular drs. and hospitals. For example, not everyplace
>> does core biopsies (there's some diagreement on their effectiveness.) I
>> had a needle biopsy to rule out cysts, but no core biopsy. Then I had 2
>> surgeries -- the first was a surgical biopsy, which would have been a
>> lumpectomy if they could have gotten it all. Regardless, they would have
>> done a 2nd ancillary surgery for the lymph nodes if they determined it
>> was cancer. (In my case, they took the nodes when they did the
>> mastectomy). Hope that's helpful. Hang in there, ok, and don't overdo
>> it! Love, Joicy
>>
>> Elizabeth Patterson wrote:
>> >
>> > Hi Judy,
>> > I just read your post to Joicy. I have a question. If there was no
cancer
>> > in the lymph nodes why are you taking chemo? I had a lumpectomy in July
and
>> > my lymph nodes were free of cancer, too. I am taking 7 weeks of
radiation
>> > therapy, but I am not having chemo. Opinions differ I guess, but my
>> > radiation therapist said that the statistical survival difference in my
>> > case is not significant enough to justify the chemo. He does feel it is
>> > worth it to take tamoxifen, however. I think I would discuss this with
the
>> > oncologist. Also, why did they have to do two surgeries. They took out
the
>> > surrounding tissue and the lymph nodes at the same time they took the
lump
>> > when I had mine done. Had you had a biopsy (needle core) before your
>> > surgery? That is how they determined my lump was malignant so I had the
>> > whole surgery at one time.
>> >
>> > I am sure there are oncologists who would encourage me to have chemo,
but
>> > based on the reports I received and the opinions of a couple of my
doctors,
>> > I will choose not to have chemo unless, down the line somewhere another
>> > lump develops. I don't want any more treatment than is necessary. By
the
>> > way, radiation does not make you lose your hair.
>> >
>> > Liz P.
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