Hello, I am a 43 year old female, had Stage 3, poorly differentiated ductal carcinoma, ER- neg PR- neg and Her2-/neu +1 ( triple negative ) 4 of 18 lymph nodes positive including sentinel largest lymph 1.2 cm and breast tumor 6.5 cm. I just finished 4 A/C, 1- Taxotere and 6 - Taxol. I had a skin sparing modified mastectomy in April 2007, my surgeon put my saline implant back in. During chemo the implant ruptured and I have a slow leak. My concern is starting 36 radiation treatments with a ruptured implant and is there a possibility for infection or complication ? Should I have another surgery and remove the implant at which time should I replace it with a new saline implant ? Can I have radiation after reconstruction and if so, how will it effect the new implant ? How long should I wait after surgery to begin radiation ? My radiologist is pushing me to start immediately, I'm concerned about all the side effects.
Thank you in advance.