I had a single mastectomy on Sept 4th for Invasive Ductal Carcinoma. After surgery, I was told that pathology showed I had clear margins with one cancerous node. I am ER+PR+ HER2-. My tumour was less than 1 cm, so am considered to be stage 2A (also classified as Luminal A). The surgeon told me that he got it all and I would only need to take an estrogen suppressant for 10 years with mammograms on the other breast every year. No chemo, no radiation. I was sent to a medical oncologist and she prescribed anastrozole and said that chemo would not make a big enough difference to my survival numbers to warrant it and would likely be detrimental to my body. So, no chemo. My age, 72, also played into her decision. Then I was sent to see a radiological oncologist and she says that because of the one cancerous node, I would need 16 sessions of radiation because there is a 30% chance of recurrence of the cancer without it. So, my dilemma- radiation as recommended by one doctor or no radiation as recommended by another? Has anyone else been given conflicting information like this? What should I do? Who do I listen to?
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