I have decided upon recommendation of my radiologist to have radiation therapy. This cannot be done until my reconstruction is done because I cannot have surgery until 1 year after radiation is complete. So the plan is to finish with my implant surgery and then have radiation for 6 weeks. If I need chemo (I find out in May) then the plan will be surgery, chemo for a few months??, and then radiation. This could be drug out for a long time but I feel like I need to do everything possible from keeping this cancer from coming back.
Here are the reasons why radiation is beneficial to me. 1-I am young and so they always are more aggressive with the treatment. 2-When they did the mastectomy, they took out all the breast tissue up to the chest wall. The tissue went to the lab and the margin of healthy tissue was very small. This means that the cancer was close to my chest wall and although they think they got all of the cancer it is too close for comfort. 3-Chemo is not as effective at the surgery site because of the healing and poorer blood supply to the area. So even if I need chemo, radiation is better for the chest wall and for preventing it from coming back underneath my implants or in the chest wall.
Of course there are side effects to the radiation but they are not that bad and very localized. I will have to go for 6 weeks Monday-Friday BUT I will only be there for about 15 min. max each day. Not so bad huh. Sounds much better than having CANCER again.