Unfortunatelly, they would not know, in your case, if chemo worked. You would have to get chemo BEFORE your mastectomy, so called neoadjuvant therapy http://www.cmaj.ca/cgi/data/158/3/DC1/2. They would then do some kind of imaging (sono, ultra, MIR, etc.) before, during and after chemo, to see if the tumor is SHRINKING. People usually FEEL the tumor shrinking! Since you had mast., nobody can tell. This is called adjuvant therapy. The type of chemo depends on the doctor, "staging", e.g. pathology, node involvement, perceived danger and YOU PUSHING FOR BEST CARE!!!! Make sure your doctor knows about TNBC. http://www.cmaj.ca/cgi/content/full/158/3/DC1 Standard care in the States is dense dose AC + T, every two weeks. Some docs give only FEC +T (or D), every three weeks, if no node involvement. What I have heard from people, the "staging" is only for statistics in next 10-20 years, there is really no advantage for us at this time, as everybody is getting very similar treatment, regardless of pathology (EST+/- PRG +/-).
This is in .pdf file, so I cannot post any of that!
