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Radiation therapy: Large breast tumors and negative nodes

Women with large breast cancer tumors (5cm or larger) with negative lymph nodes do not seem likely to benefit from post mastectomy radiation. In the Journal of Clinical Oncology a study was conducted that concluded that the rate of local and regional recurrence is low in this group of cancer patients.

Physicians want to be aggressive but not give unwarranted radiation to patients. I had a lumpectomy for my breast cancer so that meant radiation was a definite for me. I also had a positive lymph node. Only one so there was a question whether my node area should be radiated due to the fact that it was usually done on lymph nodes that had three or more positive for cancer. I elected to go with the radiation to the axillary area. I guess I'm more afraid of cancer recurrence than radiation.

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