Guide :

Contradictory treatment options

I first posted on one of the forums in February 2009. I am from the UK and had been to hospital to have a breast lump examined. On my initial visit, I had a mammograms with various views taken and an ultrasound. I did not have a biopsy. On a subsequent visit, I had a manual examination. A year later in January 2010, I had a repeat mammogram, but no ultrasound. I was then officially discharged from their system and told not to come back until I was fifty. I was 43. I was told I had fibrocystic condition and that the other breast would start to mirror the right breast. The lump in the right br

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Suggested Questions And Answer :

Breast Cancer

Statastics are helpful in  comparing treatment options, but each case is very different and it is hard to find a lot of specific information that fits one's own characteristics closely.  It is also hard to find many studies dealing with stage one cancers.  Have you been tested for the Her2 oncogene?  Has anyone suggested an Oncotype DX test?  (It checks 21 genes and determines a risk of recurrance score and provides some insight into your specific case as compared to their database.)  I have found good information on What you say above is good:  stage 1, good boundaries (margins), no positive lymph nodes, and estrogen positive.  Other factors, such as Her2 positive status or having the BRCA genes can dramatically change what treatment you choose.   Often, with a lumpectomy, radiation is recommended.  If you are at higher risk for recurrance, chemotherapy may be indicated.  If you are Her2 positive, Herceptin will be considered.  Some of the treatments are unpleasant, but they are temporary and when you have stage 1 cancer, you are looking long-term and hoping for a cure.  If cancer comes back, it is most often a metastasis and stage 4.  That's why you want to beat it now. I am 48, had a stage one, .5cm tumor, ER/PR+, Her2 positive, clean lymph nodes and margins after a mastectomy a little over a year ago.  I took chemo (taxotere, carboplatin and Herceptin) 4 of 6 rounds due to severe and lasting side effects, Herceptin for a year (1 more dose to go!) and tamoxifen that /I will take for 5 years.  I am going to my surgeon in Dec. to have a preventative mastectomy on my other breast and then will consider that I have done all that I can.  I spent a lot of time researching and discussing treatment options with my doctors and trying to discern the best way to go.  I was surprised to see how much leeway that I as the patient was given.  I could have said that I want no adjunctive treatment and the docs would have been uneasy, but even that was one of the options on the table.  When my Oncotype score came back as a 31 (30-40% chance of recurrance) I knew that I needed to take chemo. Please stay in touch and we will support you all we can as you explore treatments and then implement your plans.  I am thinking of you.
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Does radiation aftter lumpectomy changes the landscape of future treatment options?

I know there are many women who have had Radiation and reconstruction as well. There is of course always the matter of healing that may be compromised. If I were you I would search for a Plastic Surgeon and have a consult regarding the possibilities in the future before beginning Radiation.  you might also post your concerns on the Expert Forum "Reconstructive Surgery" where a plastic Surgeon answers questions and concerns.   Good Luck ......
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options available

You can write in the comment right below mine in the same thread, that is easier. I am sorry but I am not familiar with the procedures in the UK. There are other options now... Research other places and find one that will take her. Ask the social worker in the current hospital about the procedures about issuing treatment, about getting a second opinion. Have you contacted any support organizations?
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Treatment options for adult ADD

I know there are behavioral treatments for children, so there must be ones for adults. See what you can find on the internet.
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