My situation was cancer found in 5 of 8 nodes taken at the time of my mastectomy. I then had 18 weeks of chemo and 25 radiotherapy sessions. I was told and have read the research to support that radiation to the axilla is just as effective as axillary clearance in as far as chance of recurrence etc. But having just radiation rather than axillary clearance and radiotherapy reduces your chance of lymphoedema significantly. I was happy that this was the best way to treat my situation. Radiation was also easier than another surgery and recovery and did not delay my chemo start.
It is very hard when we have to make these types of decisions but I felt confident that my surgeon was recommending the treatment that would give me the best chance of a disease free future and give me a better quality of life. Good luck with whatever you decide to do. Take care. Deanne xxx