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Radiation Therapy
Questions about Radiation Therapy.
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AskedPublicly Submitted Question
01/02/2003I have been diagnosed with invasive DCIS and have had 3 excisions to get clear margins but the last one was only 2MM clear. Is that sufficient to proceed with Radiation or should I go in for another surgery for a clearer margin. My surgeon at this point recommends mescectomy but I do not want one. Please let me know your thoughts. Thanks
RepliedJHU's Breast Center Reply
01/07/2003hhhmm. This is a good case for a tumor board to review. If the center where you are receiving your care is accredited as a cancer center, then they have a tumor board for breast cancer at least weekly to have all the doctors meet and review cases for this specific purpose so ask about that. The radiation oncologist needs to advise you of his/her comfort level in proceeding with radiation. Usually 2 mms is sufficient but in some cases it is not. So meet with the radiation oncologist to discuss it and consider getting a second opinion from another surgical oncologist at another breast center before embarking on mastectomy.

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