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As a patient you can choose do do whatever you want. Nobody can force you to do anything. However, survival rates are based off of what the doctor recomends. If he recomends having chemo and or radiation I would do it. The reason being, even though during surgery they removed the tumor itself, microscopic cancer cells may have gotten transfered, by the scalpel, by the blood anything. And all it takes is one cell and then you are not cured. The chemo/radiation is like the "second wave" that makes sure there are no survivors (cancer cells) left.

I some cases, an Sentenal Node biospy is performed at the time of the lumpectomy to see if any cancer cells have migrated to any of the Lymph nodes one the side where the breast lump was discovered. If yes, then an Axial Node discection may be done with some chemotherapy and/or radiation. But it is a case by case judgement call on the part of the treating doctor and a decision made by the patient.

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Q: Can you have a lumpectomy and not receive chemo or radiation therapy?
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