Question on having Massectomy before chemo
I had a person just tell me if you have a Massectomy, breast cancer can not come back anywhere else in your body.Is this true. I had a lumpectomy and am suppose to start chemo and radiation. If this is true I would like to have a Massectomy first. Does anyone know if that is true?
Comments
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Nope, not true. If your cancer was invasive, cancer cells could have broken off from the lump and traveled through either the lymph system or bloodstream. Once circulating throughout your body, they can make a new home in a number of places. One purpose of chemo is to destroy cancer cells as they circulate around, looking for a new home.
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Not true
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Lots of people are very misinformed about breast cancer. Mastectomy (mx) does not prevent the spread or the recurrence of breast cancer. After an mx cancer can even recur in the breast area because it is impossible to remove all the breast tissue. If your lumpectomy was successful and you got clean margins, you're ready for chemo, which is a systemic treatment that will hopefully kill any escaped cancer cells. Good luck to you.
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I would still have chemo to make sure all cancer cells were killed. I just wondered if it would keep it from coming back in the future. I am triple negative but only 1 cancer cell was found in one lymph node.
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Mastectomy is a risk-reducer, not a risk-eliminator, when it comes to local recurrence. For those with Stage I and II, lumpectomy + radiation provides the same overall long-term disease-free survival rates as mastectomy.
Chemotherapy is meant to mop up any stray cancer cells left in your system, but even then, it's not a guarantee. That is why you'll women on these boards (including myself) who have had a local recurrence even after chemo and, for some, after chemo and mastectomy.
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I am one of the many women who have had dbl mastectomy and then had recurrance. Each cancer is so unique. Because I have the brca 2 gene a masectomy was highly recomended. Listen to your treatment team, do your research and make the best decision for you.
Wishing you peace
Mary
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I have had a mastectomy and lumpectomy. Followed by chemotherapy. Planned for 12 treatments at weekly intervals. After 3 of these I had tingling in feet, informed oncologist, next treatment adjusted, followed by more tingling and numbness, red patches. I looked up on this symptom and found that this is neuropathy, nerve damage, can be ongoing and can be permanent. Spoke to oncologist again, and decided to curtail all further treatment.. More than 6 weeks now, and more side affects ongoing. I have peeling skin and sore feet, pain in knees legs and hips, and difficulty sleeping. Feeling let down by oncologist, as I would have liked to be fully informed of what tingling in feet meant before treatment, not have to find out by searching the web. I feel poorly served by the medical team, as I gained the impression that I should just follow directions, and not question those. The information given is very bare, and should indicate exactly what the side effect is, and the likely outcomes.
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jemever: I feel badly that your oncology team - doctors, nurses, etc. - didn't do a very good job at clinical education before you started treatment or in following up on the neuropathy. Your symptoms are concerning. I suggest you get in touch with one of the discussion boards members, Zoziana, either by private message or search her posts using "Search by member name" on the Search tab on the Discussion Boards member. She experienced one of the rarer neuropathy effects that can occur. If it is at all possible for you, I'd also try to find another oncologist. It is possible for them to resume your chemo and/or reduce your dosage to help with the neuropathy.
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