The radiation oncologist entered our room in a medical halo, looking very uncomfortable and much like an image of Frankenstein. He was healing after suffering an injury to his neck in a swimming pool two weeks ago. "How are you doing?" he asked with genuine care and concern. "Well, obviously, better than you at this point," I replied as I internally scolded myself for complaining about the rough nights sleeping in a recliner the past 6 weeks. He smiled and said, "Yeah, maybe so." Then we got down to business. He reminded me that before surgery, we had discussed the possibility of doing radiation. He had laid out some clear signs that it would be necessary. Buella (the cancer) had spread to the nodes (CHECK) Tumor is greater than 2 cm (CHECK) There are cancer cells in the Lymphovascular system (CHECK) There are unclean or close margins from tumor edges to chest wall (<1 mm CHECK) You are premenopausal (CHECK) Each component increases the odds of lo...
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