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Breast Cancer/treatment for stage II BC
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Question
Hi. I have two tumors, one just under 3cm, the other just under 2. The larger is a grade 3, 9/9 tumor, er 45%, pr 55%, the other is a grade II tumor that is more highly er/pr positive. Lympho vascular invasion was seen with both tumors. Luckily, I was node negative. I am 38 years old, BRCA neg.
One oncologist is recommending TAC, the other says that only AC is warranted. Which do you think is most appropriate? Also, both say I should not get radiation because I had a mascectmy. Do you agree?
Thanks!
Personally I would give post surgical radiation therapy, but I'm both an oncologist & a radiation therapist. In the US unfortunately there is a certain rivalry between these to specialists. I think you should have have both chemo therapy and (if possible) anti hormonal therapy (which also means neutralization of your ovaries). However in your question you use a lot of acronyms that Americans are very fond of but which drive the rest of us crazy! I'm a Swede, living in Sweden and English is not even my first language. Please write out those things in full. That makes it easier to answer. If you give me that information I'll be able to answer more fully!
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Answers by Expert:
Claes-Gustaf Nordquist, M.D.
Expertise
I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.
Experience
I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps.You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.
I also answer questions about
Oncology (General Cancer),
General History,
Military History,
Brain Tumors,
Colon Cancer
Education/Credentials
I'm a medical doctor and specialist in medical oncology and radiation therapy.
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