2nd Oncologist Advice

Went to Prince Court Medical Centre to meet Dr Azrif today.

Unexpectectly, he is a nice guy, and give me confidence to undergo my treatments with him.
He anwered all my doubts, like, some ppl says radiation will cause recurrent of cancer in another breast etc.
He also explained to me, about the radiation methods that I have learned online, 3D CRT, IMRT and IGRT.
IMRT - Low dose wave shoot into our body from every angle (front, side and back), and only high dose focus on the breast. Therefore, lung will also receive a lot low dose wave.
3D CRT - Low and high dose shoot front ftont and focus on the breast. Therefore, only the top layer of lung will receive the low dose and high dose wave.
IGRT - is type of technolgy that is also used in the above 2 methods.

According to him:
- Breast cancer can mainly categorized into 3 groups, i.e. ductal, lobular and misc. About 75% of breast cancer is ductal cancer, and 20% for lobular, and 5% for misc. Tubula, Mucinous, Papillar, Medullary are some of the rare type of breast cancer under misc category.
- My cancer type is rare type, and is not as dangerous as the ductal cancer, therefore he suggests me to undergo radiotherapy and hormone therapy only.
- Radiotherapy will last 4 weeks, 3 weeks for entire breast shooting and last week is boost shooting which focus on the lump area only.
- About 20% of young breast cancer patients that undergo radiotherapy will still have recurrent of cancer on the same breast, but it reduce to 10% only after boost shooting.
- He suggested 3D CRT for me, which he think this is best for me as it minimize the low dose wave to other organs in the body, especially the lung. Which indirectly to minimize the damage to the lung.
- Sample of side effects: Redness, peeling expecially underarm and breast, skin darker (temporary) and breast becomes firmer (permanent).
- Tamoxifen will cause irregular of menses cycles, or in worst case, will cause menopause.