Post-mastectomy radiation after pathologic complete response ?
Hi everyone - I'm trying to choose whether to have PMRT. I am in a grey area. I was node positive (probably 2 nodes), but had complete pathological response to chemo. Surgery found no cancer in breast or nodes. No one knows whether PMRT helps or harms patients like me.
The guidelines go back and forth, but PMRT is the default for now. There is a big randomized study which hasn't reported yet. I've seen two radiation oncologists who gave a "weak" recommendation for PMRT, and say it wouldn't be crazy to omit it.
Has anyone here found themself in a similar dilemma? If so, what was your thought process and choice?
Please give me your thoughts, anyone who can! Any dialog will help. I am really at a standstill in this decision!