It can seem a bit confusing, when as you say the bc has been fully removed so to speak, however, radiotherapy & tamoxifen do significantly reduce the risk of recurrance, which is why it is recommended for you.
Like you, I had clear margins & my husband asked the surgeon why rads was necessary as the bc had been fully removed. We were advised that rads reduces the risk of recurrance by 60% & it helps to ensure that any remaining cells get zapped, so there is less risk of it causing a problem later. Tamoxifen, then reduces the recurrance risk even further & is important for prevention of hormone sensitive bc recurrance..
TBH, I would find dealing with any recurrance, together with the more complex treatment involved, far more difficult if I had not completed the treatment plan.
If you haven't already, it might be an idea to discuss this further with your team, so that you're clear about any choices you make, alternatively, you could post in the 'ask our nurses' board of forum.
Wishing you the very best with it all.
hopeful, the chemo is because your tumour is/was grade 3. This usually requires chemo whatever other treatment is necessary. And the fact that you are so young also makes a difference.
What exactly is zolodex???
I have IDC, stage 1, grade 3, ER and PR positive, lumpectomy, 1.8 cm tumor removed with clear margins and no lymph node involvement, I am 30 yrs old. I've been told from the start I would 100% need radiation. I see a radiation speicialist on Monday, When my surgeon told me about my results she said the medical oncologist would still be recommending chemo and then tamoxifen.......... I understand the radiation and tamoxifen, but chemo.....?
I think I am going to get the injections too. Going to see the oncology nurse next Tuesday. They expected Tamoxifen to stop my periods but it hasn't. I don't understand this bit of the treatment and they keep talking in euphemisms "we need to switch you off". Hopefully get some facts next week.
I met with the oncologist yesterday and have been advised to take Zoladex injections as part of my treatment plan. This will be combined with Tamoxifen to treat my ER positive cancer. I was aware of the radio and tamoxifen but didn't expect the Zoladex. They advised this because of my age (28). I did a little research last night and my breast care nurse also explained menopausal symptons. Anyone any experience of this???. I have a few days to make my mind up as to whether to take it but its a no brainer if it will help prevent reoccurence.
So far I have had surgery to remove the tumour and awaiting radiotherapy next month. I was diagnosed with IDC, stage 2, grade 2.