I am a premenopausal lady diagnosed recently with invasive ductal ca. surgery was done in which the breast was resected along with level one only lymph node. Since then I have completed 6 cycles of chemotherapy; the last was last wk. The margin was positive after surgery for which I was advised to go for radiotherapy. Since only level 1 LN were resected which revealed 3+, we are in the dilemma now between: Doing axillary radiation with 40% chance to have incapacitating lymphedema afterward; OR to ignore axillary radiation and doing only chest wall and supraclvicular radiation. The first is for the positive margin and the second is for those people who had more than 3 lymph nodes positive and already excised. In my case we don't know whether I have more than 3 or not. If yes, they were not excised.... the doctors said that this is a gray area. There's not enough information regarding the survival rate in my case (3 out of only 7 nodes without axillary radiation).

Any comment will be appreciated.