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A MyBCTeam Subscriber asked a question πŸ’­
August 5
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A MyBCTeam Member

The above AI answer is pretty good, but it neglected to mention that for many cancers you can avoid radiation and/or chemo if you have a mastectomy since it is way less likely there are still active cancer cells hanging around in your chest after a mastectomy as opposed to a lumpectomy.

August 7
MyBCTeam

That's a really important question, and it's completely understandable to want to keep things as simple as possible. A lumpectomy alone β€” without any follow-up treatment β€” is generally not the recommended approach, and here's why it matters.

After a lumpectomy, there's always a chance that some cancer cells remain, even if Show Full Answer

That's a really important question, and it's completely understandable to want to keep things as simple as possible. A lumpectomy alone β€” without any follow-up treatment β€” is generally not the recommended approach, and here's why it matters.

After a lumpectomy, there's always a chance that some cancer cells remain, even if they can't be seen on imaging. Follow-up treatments are designed to address exactly that. Here's what is typically recommended after a lumpectomy and why:

- Radiation therapy β€” This is standard after a lumpectomy to destroy any remaining cancer cells and reduce the risk of the cancer coming back
- Hormone therapy β€” If your cancer is hormone receptor-positive, this can further lower the chance of recurrence
- Chemotherapy or targeted therapy β€” Depending on your tumor's characteristics, these may also be recommended

Skipping follow-up treatment could increase the risk of the cancer returning. That said, there are some exceptions β€” certain older patients with small, hormone receptor-positive tumors and no lymph node involvement may be able to skip radiation.

The best path forward is a conversation with your care team, who can weigh the risks and benefits based on your specific situation.

August 5

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