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Surgical excision with clear margins is very desirable, but it is usually

more complex than that. You have to consider how speculated or diffuse the

tumor is, degree of confidence in the diagnosis, the likelihood of present

or future metastasis, its type and grade, past treatments, the success of

current treatment, intended future treatments, whether any possibly

cancerous lymphatic channels would be cross-cut, the stains that would be

used to determine if the margins are clear, if the tumor could be invaded

during the surgery, seeding, rapid growth from inflammation during repair,

the feasibility of doing one of several types of available ablations, the

location of the lesion, the appearance of the skin over the tumor,

infection, the risk (or lack of risk) in postponing the decision, and, of

course, psychological sequelae (e.g., a grossly misshapen breast in a

younger woman).

As to the latter, I know of a young woman who committed suicide after a

temporary colostomy. I know of two young women who stopped all their cancer

treatments when their bodies began to look like war zones after multiple

surgeries. None of this is cut and dry. You know a surgeon is going to

recommend surgery far more often than a non-surgeon. It gets more

interesting when the surgeon leaves the surgical option to you - it usually

means that he or she would personally have second thoughts on the necessity

or importance of the procedure. I should probably spend more time covering

this topic in our retreat program. Thanks for bringing it up.

I can't count the times that a woman had a breast lumpectomy and then was

told they would have to go back in to remove more tissue or have a

mastectomy as the margins weren't clear. That " going back in " can be a very

messy process that can produce a most unwanted appearance. We live in a

very impatient culture. We are impatient and our healthcare providers can

become very inappropriately impatient. We always want to act in a timely

manner, but fast decisions are usually bad decisions.

_____

From: [mailto: ] On

Behalf Of Leonard

Sent: Wednesday, March 30, 2011 8:35 AM

Subject: [ ] Re: surgery (was Dr. ' program for those

looking for)

robyn howell <robynehowell@...> wrote:

<< In my opinion if someone can have a tumor removed by surgery without a

lot of damage and they have clear margins do that, then do alternative

cancer methods>>

I strongly agree.

Leonard

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You're up against it, tough decisions to be made but I really admire

the way you've done your homework. My prayers are with you.

Natural health

Through Natural means

Is a Divine Right.

Bell Buckle, Tn.

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