Anyone sorry they did radiation instead of mastectomy?

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Hello Ladies, I was diagnosed with stage two invasive ductal carcinoma, I had a lumpectomy in August 2013, I am finishing my 16 round of chemo this coming Monday. Since I had a lumpectomy, the standard of care is radiation after chemo. My concern is radiation can cause problems if my cancer ever comes back (I'm soon to be 40 years old and plan on having another 40 or 50 years to go) and I need mastectomy with reconstruction.   Also, chances are something will pop up on an MRI or  mammogram and I will need biopsies in the future. I have to young children (almost four and 15 months) and cancer takes up too much time. Any advice???

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  • encyclias
    encyclias Member Posts: 302
    edited January 2014

    Has your doctor actually said you will need radiation in addition to the chemo?  Do you have an appointment with an RO scheduled?

    Good luck whichever way it goes, Joan-Helena.

    Carol


  • Joan-Helena
    Joan-Helena Member Posts: 4
    edited January 2014

    My breast surgeon and oncologist both said radiation after chemo since I just had a lumpectomy to prevent local re-occurrence or I could have mastectomy and will not need radiation then. I have not seen an RO. I've heard from a few women they were sorry they had radiation treatment and wished they had opted for mastectomy with reconstruction instead. 

  • PRB1956
    PRB1956 Member Posts: 444
    edited January 2014

    I have struggled with this for 3 months.  While I don't need chemo because of my low oncotype score, I am facing radiation or mastectomy.   

    Radiation scares me so much, but then there can be complications from a mastectomy too (especially if you do reconstruction).  If you have a recurrence after the mastectomy, the radiation will be going straight into your chest wall.  Not good.

    So, the RO said I had 3 months to decide for radiation.  My 3 months are up, and I am scheduled for a simulation tomorrow.  I'm going to see how I feel after the simulation.  If I can't do it, then I'm all set for a mastectomy at the end of February.

    In my heart I know mastectomy is the probably the best, but the reality of another surgery... and the aftermath of the daily reminder of cancer and only having one breast is more than my little brain can handle.  So the question becomes...10-20 years of being a uni boob, or take the chance that it won't recur and live a fairly 'normal' life.

    I've read and read and read about this.  It's all a crap shoot. Some people sail through rads, others .. not so much.  One thing that eases my mind is that you can still have a mastectomy after a recurrence...and I just read this again last night, the survival is the same no matter which choice you make.

    What a tough decision I know...but I've been so stressed out these past few months trying to decide, that I've come to the conclusion that  anything is better than the stress I've been feeling these past few months!  Maybe I'll have a recurrence, but hopefully it won't be for many years...and I'll deal with it then.  

    One last thing.. I have mild lymphedema from my axillary node surgery (the sentinel node dye didn't work).  I wish I knew which procedure would be the 'easiest' on my lymph system.  Again.. no one knows because everyone is different.  

    Good luck.  I'm at a place where I feel that no matter which option I choose, it will be ok.  At least for awhile...and I need some peaceful 'awhile' time.

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited January 2014

    As you'll see from my signature I started radiation and then quit. Was not sure about it like you and should never have started it. After that I went ahead and had a double mastectomy and reconstruction which just felt "right" to me.

    If cancer ever comes back I have been assured by the RO that I can then have radiation at that point.

    Jenn

  • Joan-Helena
    Joan-Helena Member Posts: 4
    edited January 2014

    Good Luck tomorrow PRB! If you don't like the radiation, can you just take tamoxifen and skip surgery?

  • Joan-Helena
    Joan-Helena Member Posts: 4
    edited January 2014

    Jenn, do you mind if I ask why you stopped radiation. I feel so torn between radiation and mastectomy. 

  • desalonde
    desalonde Member Posts: 41
    edited January 2014

    I am on radiation day 13 tomorrow and I have really struggled with anxiety about potential side effects early and much later.

    My Rad Onc was ready to refer me to psychiatry he was so unable to cope with my questions and my requests to consider alternative dose schedules ( rationale suggestions I got from reading the medical literature and talking to other rad onc's) but I had the lumpectomy and I was 8 weeks post op with no other option it seemed to me without raising my risk of recurrence despite treatment by delaying a decision

    I do believe that radiation will reduce my risk of recurrence. There was no guarantee if I had elected mastectomy that I would not need radiation as one of the margins was close to but not invading into skin laterally ( near axillary side of rt breast). Mastectomy with reconstructions involves cutting into the pectoral muscle at a minimum and placing a foreign object which may need to replaced in time and the process takes months.

    Radiation damages healthy as well as tumor cells and tissues other than breast tissue and there is scatter radiation beyond the direct radiation field ( verified that by persisting asking RO questions which he reluctantly answered honestly after glossing over the details in the initial consult). Radiation side effects may be delayed years and then emerge. Yes, I am scared of the radiation I am getting.

    But no matter the choice,it's a devil's bargain we are asked to make when we get this diagnosis because the treatments all have impacts on our quality of life and health in and if themselves. Everyone must make the choice they feel is better ( or less bad) for themselves. It's hard no doubt.

    I am curious why those who started rads stopped it. And what did you do instead  and why?

    One of my biggest regrets in the SNB.... I think it was un- necessary since treatment for me would have been the same and that procedure left me with numbness along the upper back half of my arm and is irritated by the radiation. Anyone else have that problem?

  • Tarot
    Tarot Member Posts: 41
    edited January 2014

    I have three weeks to decide....I lean one way, then the other. I hate the idea of losing the feeling in my breast with a mastectomy...but I don't like the way it looks after the lumpectomy. Then there is the timing issue, and the surgery issue, the wanting to get on with my life issue...it is just so difficult. 

  • PRB1956
    PRB1956 Member Posts: 444
    edited January 2014

    I totally agree.  I am 12 weeks out from my surgery and am starting rads next week.  I think.   I also have a mastectomy scheduled for Feb. 17th.   If I can get the courage to do the rads, then no surgery...but it's been such a difficult decision for me.  I am scared to death of radiation, but then I try to tell myself that thousands of women do it every year and they seem to be ok.  The survival stats seem to say we'll be ok too.  

    I am worried that I have waited too long to do rads since they say 6-8 weeks is best, but hey it is what it is...and I have to move forward.  I was all set to do the mastectomy,  but once I set up the surgery, I was seriously sick to my stomach.  If it does recur, do I want rads to my chest wall? 

    These last few months have been hell from the stress, and I can't really go on like this....so I am moving forward and will see if I can handle the rads.

  • Holeinone
    Holeinone Member Posts: 2,478
    edited January 2014

    hi all, 

    These are difficult decisions for sure...I thought I'd chime in. Today was radiation # 22, I have 11 more to go. If I would of had knowledge that I had so many lymph nodes with cancer, I might have chose a mastectomy, but probably not. 

    No crystal ball in this horrific disease, the reconstruction with mastectomy sounds difficult & painful. I am optimistic that lumpy, chemo, rads & AI are right for me..

    Good luck to you all...

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