Can you please give me a second opinion on breast cancer treatment?
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According to your report (attachment removed to protect patient's identity), post-mastectomy status is as follows:
I would suggest the following treatment plan:
Thank you for the response.
We consulted with the local doctors and they are advising to take radiation therapy. Kindly tell me if it is required as the patient has already done total axillary node dissection. Can you tell me why doctors are still suggesting radiation and also if we can take high-dose Vitamin C in IV during the course of radiation therapy?
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As we are skipping chemotherapy and also because it is a multicentric tumor (two tumors are resected at 1 o' and 11 o' clock position), radiation therapy is required.
We have two options: either go for chemotherapy and avoid radiation or go for radiation therapy along with endocrine therapy.
I would suggest you to go for the second option because it is easier and better. And also as far as you are concerned, the prosigna test suggests no many benefits for chemotherapy.
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