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AskedPublicly Submitted Question
7/30/ sister had breast cancer stage 2 in 2002. It was treated then by a mastectomy then by chemotheray and medicines for 5 years. In november 2011, a lump was discoveredto be a malignant "lobulaire et canalaire carcinome grade 3"!! The doctor removed the lump in april 2012, did radiotheray in june 2012 and now he is insisting of doing radiotherapy! Please tell me if it is dangereous, will it be well cured? May it recur for the third time? Is chemotherapy effective at this point?
Thank you a lot!!!
RepliedJHU's Breast Center Reply
7/30/2012It sounds like she is in another country which makes it a little tricky to figure out how best to help you. however if a woman has had mastectomy of one breast in the past and then later was diagnosed with breast cancer in the other breast treated with lumpectomy and radiation, then there is a specific regimen for radiation therapy that would have been carried out. if breast cancer occurs again in the breast that was already radiated, it depends on how much of the breast was radiated and what the dosages of the radiation was to determine if more radiation can be done. Here in the states, when a lumpectomy is performed followed by radiation to the breast to prevent recurrence and the breast still develops breast cancer again, the breast cannot be re-radiated; instead a mastectomy is then needed. it is unclear if this is your sister's case or not as it was difficult to follow the information. sorry. the need for chemo is unrelated to radiation therapy or even the type of surgery performed. chemo is based on the size of the invasive tumor, the prognostic factors (both hormone receptors and HER2 receptor), her age and health status, what treatments she has received before for chemo, and some other factors. meeting with a medical oncologist is important to determine next steps.

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