 | Definition: Chemotherapy VS Radiotherapy |
|
|
My mother has been diagnosed with a LCIS tumor and a DCIS comedo-type
tumor. They took both out but now the doctor was to take the entire
breast out (fair enough, for what I've read) AND six weeks of
chemotherapy. For what I've found out about DCIS treatment, it requires
radiotherapy and not chemo. Any reason why her doctor might have chosen
chemotherapy? Any chemotherapy sort of involves poisons by definition.
---------------------
-Radiotherapy is localized treatment, chemotherapy is systemic
treatment. Radiotherapy is generally not indicated after a mastectomy
because there's really nothing left to irradiate. With a lumpectomy (which is what your mother was originally scheduled to receive)
irradiating the surgical area to kill any remaining cancer cells is
standard procedure. I'm just guessing here, but if the surgeon didn't get clear margins
when removing the tumors (a clear margin is an area of cancer-free
breast tissue surrounding the tumor and a good indicator that all
localized tumor tissue has been removed) then the next logical step
would be a mastectomy; and since in most cases there's really nothing
to irradiate after a mastectomy it's generally not offered as an
option. If your mother's oncologist is recommending chemotherapy it's because
one or more of the characteristics of your mother's disease indicate
chemotherapy - that could be tumor size, tumor type, evidence of local
or distance metastasis, axillary or other lymph node involvement or
something else. -RT won't be needed although no clear margins were achieved?!
Normally this is an indication to re-operation but after mastectomy its
usually up to radiotherapy to clean up the mess..
The lymph nodes are by definition not involved in in-situ cancer, so I
see no reason for prescribing chemo. Other indicators for chemo (with
invasive ductal ca) are premenopausal age and lack of hormone receptors
in the tumor.
Perhaps the onc does not place much faith in that pathologists report?
Or he knows about mets that he has not mentioned.
See what another onc says, and if he comes to the same conclusion ask
him to explain the reasons for chemo more clearly..
|
 |
|
| |