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Oncologist

Real-Life Activities

Real-Life Decision Making

Recently, Leslie was diagnosed with breast cancer. You tell her that the tumor was caught in the very early stages. You talk to Leslie about the small tumor in her breast and the ways it can be removed.

She has a choice between a mastectomy (the removal of the breast) or a lumpectomy (surgery to remove the tumor). She decides to have a lumpectomy.

"Then you have to make the decision of whether to offer radiation therapy in an early-stage breast cancer patient who has opted for breast conservation therapy," says Dr. Luci Chen.

You meet with the patient's family doctor, the radiologist and the pathologist. "In most cases, this is done by presenting the patient's history and physical exam findings at a conference, and discussing as a group the recommendations for therapy."

You could recommend radiation therapy treatment for the patient as an added precaution. The surgeon says that the lump has been successfully removed. He is annoyed that you seem to be questioning this fact. You also know that radiation can be an extremely painful and traumatic experience.

What do you do?

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