Dr. Andrew Chellakumar Fenn
Radiation Oncology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My mother recently underwent an operation for her breast tumor. We have done the histopathology test. It says that she is having invasive ductal carcinoma grade 3 and the surgical margin is free. Now, one doctor has suggested chemotherapy as the next treatment option and another one has suggested radiation. Now, we are confused about her treatment. Which will be best for her? Kindly help.
Thank you.
Hi,
Welcome to icliniq.com.
My answer may put you into further confusion. I do not know what was discussed with you prior to surgery. It appears that she has undergone only a lumpectomy of the breast and the entire breast tissue was not removed. I may be wrong as I have not seen the patient, but based on the reports that you have attached (attachments removed to protect the patient’s identity), it seems so. Also, the axillary nodes were not removed. Hence, this is not a complete surgery. She requires a completion mastectomy (breast removal) with axillary nodal dissection (removal of axillary nodes) followed by chemotherapy and radiation. If she does not wish to remove the remaining breast tissue (for cosmetic reasons), then chemotherapy and radiation can be given but her survival may be compromised, as the axillary nodes will not be removed. I hope my answer has clarified your query to some extent.
If you have any further questions or concerns, please feel free to ask.
Thank you.
Treatment plan
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Radiation Oncology
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