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Second Surgery Optimal? Stage 1 With Precancerous Cells In Margins? They Are Prescribing A Lot More Treatments.

A MyBCTeam Member asked a question 💭
Minot, ND

Lumpectomy for stage 1. Recommended radiation. Now a second surgery plus radiation, chemo, and hormones. I have CKD and family history of heart attacks. Tumor on left side. Lymph nodes are clear. They got all of the tumor. I am 67.

November 23, 2024
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A MyBCTeam Member

Decisions are very hard and especially because there isn't much time to make them. Good luck in whatever you decide to do. If you feel content, then you made the right decision for you.🥰

November 24, 2024
A MyBCTeam Member

My Stage 1 tumor was removed with clear margins. Oncotype score was low so no chemo. Nodes were also clear. BUT, the pathology on the 2 sections of DCIS were NOT clear. I discussed with breast surgeon. We decided MRI was necessary. Boy, oh boy, I am so glad we did the MRI. The breast was full of the DCIS. Single masectomy in October. I didn't want any of the DCIS hanging around. And now, no radiation required either!

November 23, 2024
A MyBCTeam Member

I had lumpectomy stage 1a at first idc grade 3. Clear margins. Only few cancer cells found in Sentinel Lymphnode . Onco score 40 so added chemo prior to radiation. My advice is to go to the best drs and hospital possible. I'm fortunate I have one of the best in the region. I chose to drive an hour or so opposed to treatment 20 mins away. Go over every med report with drs.

November 24, 2024
A MyBCTeam Member

I had a lumpectomy and radiation with early stage cancer but I had clear margins after surgery. The decision is always up to you. Gather all of your information and then make the best decision you can. That the best we can ever do. ☃️

November 23, 2024
A MyBCTeam Member

For stage 1 breast cancer, treatment typically includes surgery, such as a lumpectomy, followed by radiation to reduce the risk of recurrence. If precancerous cells are found in the margins, a second surgery might be recommended to ensure all abnormal cells are removed. Additional treatments like chemotherapy, hormonal Show Full Answer

For stage 1 breast cancer, treatment typically includes surgery, such as a lumpectomy, followed by radiation to reduce the risk of recurrence. If precancerous cells are found in the margins, a second surgery might be recommended to ensure all abnormal cells are removed. Additional treatments like chemotherapy, hormonal therapy, and targeted therapy may be considered based on individual factors, including age, overall health, and specific cancer characteristics.

Given your chronic kidney disease (CKD) and family history of heart attacks, it's crucial to discuss the potential risks and benefits of each treatment option with your healthcare team. They can tailor a plan that considers your overall health and specific needs.

Key points:
- Stage 1 breast cancer: Early-stage, often treated with surgery and radiation.
- Second surgery: May be needed if precancerous cells are found in margins.
- Additional treatments: Chemotherapy, hormonal therapy, and targeted therapy may be recommended.
- Health considerations: CKD and heart disease history should be factored into treatment decisions.

Always consult with your oncologist to determine the best course of action for your specific situation.

November 23, 2024

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