• margins

    Asked by minpincin on Wednesday, October 18, 2017


    after my lumpectomy and IORT my pathology came back with only 1mm (i think thats the size she said) clear margin so now dr says she can go back in and take out more tissue to obtain 2mm (again i think) or have a "radiation boost" of course i will be talking to my primary dr and a sit down with surgeon and radiologist but wanted some thoughts and possible questions i should be asking

    6 Answers from the Community

    6 answers
    • BarbarainBham's Avatar

      A radiation boost would definitely be easier for you than another surgery, but you should ask an oncologist how the radiation boost would affect your skin and also what's the chance of recurrence each way statistically.

      Remember that your oncologist is the specialist and expert on cancer, so unless you have other conflicting medical problems treated by your primary care doctor, the oncologist's opinion is the one to go by. Best wishes.

      about 1 year ago
    • msesq's Avatar

      I had a second lumpectomy and a radiation boost, I wanted to make sure all the cancer cells were gone.

      about 1 year ago
    • DoreenLouise's Avatar

      My margins were also not clear after a modified mastectomy, which is similar to a lumpectomy, but more tissue is removed than a lumpectomy.

      I had a re-excision, a second surgery to clear the margins on a Thursday and returned to work at a desk job the following Monday.

      Medical Guidelines are what the surgeon uses to determine if a re-excision is needed. The margins must be clear.

      Best wishes.

      about 1 year ago
    • banditwalker's Avatar

      Sounds like a talk with an oncologist is the best bet as #BarbarainBham suggested. You need to find out the long term results from either situation. I personally would also lean towards doing both. In the end, they can never be sure all the cancer cells are gone. Only the ones they detected. As in NED. No evidence of disease.

      about 1 year ago
    • BoiseB's Avatar

      If your Dr.s cannot answer your questions, you should get a second opinion, if only to ease your mind.

      about 1 year ago
    • cllinda's Avatar

      I had heard that it is over 50% of women who get a lumpectomy need to get a second one to get clear margins. I had a second one two weeks after the first. I was not given a choice about surgery or radiation. And I was in such a state of panic from the diagnosis, that I just went with what the doctor said.

      about 1 year ago

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