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|Forum||Questions||Ask a Question|
|Questions to ask to ensure you are in good hands
Questions on what to ask to make sure your in good hands.
|Asked||Publicly Submitted Question|
|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.|
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