Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.
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We hope you find the information helpful!
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Questions to ask to ensure you are in good hands Questions on what to ask to make sure your in good hands. |
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| 1/2/2012 | 49 yr old female, right breast DCIS with MRI detected clinical T1bNOMO, ER/PR positive, hER 2 neu negative, grade 2 IDC which is thought to be multifocal. Scheduled for lumpectomy and sentinel node biopsy. Surgeon has recommended breast lift/reduction left breast and right breast cosmetic surgery prior to radiation for best results. 2nd surgery is scheduled 3 weeks after lumpectomy. Is ok to put off radiation (or chemo if needed) for second surgery. | ||
| Replied | JHU's Breast Center Reply | ||
| 1/2/2012 | Delaying radiation to get clear margins is standard of care. radiation commonly done 4-6 weeks post op anyway. Bigger question relates to comment of multifocal cancer. really important that all DCIS is surgically removed. MRI doesn't show extent of DCIS very well; its best at showing invasive tumors. so again, key is clear margins. then onto radiation. | ||
Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

