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Lawsonval View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Lawsonval Quote  Post ReplyReply Direct Link To This Post Posted: Jul 19 2019 at 12:23pm
Lumpectomy surgery is completed, 7 mm tumor, clear margins, no cancer in sentinel lymph nodes. So T1aN0, but aggressive, 8/9 . BUT when the doctor goes through the decision tree for TNBC, it says Consider Chemo, its in the grey area, its in the middle between NO Chemo and Yes Chemo.  I can't get in to see the medical oncologist for a month. Asked for second opinion, and will get a referral.  But how do people make this decision when you end up in the middle like this?
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Penny View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Penny Quote  Post ReplyReply Direct Link To This Post Posted: Jul 19 2019 at 12:33pm
Mine was the same... 6mm - and my uncle is a radiology oncologist - he said don't mess with it and do the chemo.  That was his guidance for me.  I was glad it was 6mm instead of 5.  NCCN says over 5 strongly consider chemo.  So, I am two years through this and lump/chemo/rad and reconstruction is complete.  And, I am feeling great!  I hope that helps you.
DX IDC, TNBC 12/7/16 (age 55), Stage 1a Grade 2, .6cm, 0/1 nodes, Lumpectomy & node dissection 12/22/16, BRCA1&2 negative 1/23/17 Chemo TC. Chemo completed 3/28/17. 30 RADs completed 6/6/17.

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mainsailset View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mainsailset Quote  Post ReplyReply Direct Link To This Post Posted: Jul 19 2019 at 7:10pm
Basically, after years of watching women post similar results, I've learned that the answer is 'go for it', don't hold back on treatment but stay aggressive. If you don't go the chemo route and you have a recurrence it will be that much harder to fight.
dx 7/08 TN 14x6.5x5.5 cm tumor

3 Lymph nodes involved, Taxol/Sunitab+AC, 5/09 dbl masectomy, path 2mm tumor removed, lymphs all clear, RAD 32 finished 9/11/09. 9/28 CT clear 10/18/10 CT clear
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AnneB View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote AnneB Quote  Post ReplyReply Direct Link To This Post Posted: Jul 22 2019 at 12:18am
Thank you for posting this.  <3
I'm curious - what made you decide on a bilateral mastectomy vs a lumpectomy?
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Lawsonval View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Lawsonval Quote  Post ReplyReply Direct Link To This Post Posted: Jul 28 2019 at 5:23pm
The nurse coordinator managed to get me moved up, so I now have visited radiation and medical oncologists. Radiation seems pretty clear.  Chemo still sounds pretty intense. Doc is recommending 4 doses, 3 weeks apart, of Cytoxan and Taxotere. Also found out that these are paired with steroids, which can raise your blood sugar, andI am a borderline type 2 diabetic. After seeing the statistics, where in 10 years, 15% will metastasize and die without chemo, while 10% still will with chemo, I really am struggling with this decision. Any other thoughts from the group?  Thanks for the help.
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