Here's the thing:

If you have 4 positive nodes - seems you get radiation therapy - even after a mastectomy. No positive nodes - no radiation therapy. Pretty Simple.

But, what if you have 1 to 3 positive nodes? What's a girl to do?
Well, seems the experts don't know what to do with you.

"There is insufficient evidence to make recommendations or suggestions for the routine use of PMRT in patients with T1/2 tumors with one to three positive nodes."

Is it me, or is that a crock?

So here I am with possibly 2 or 3 positive nodes (don't know which since the pathologist did such a crappy job writing the path report) and I don't know whether to get radiation therapy or not. I don't want it if I don't need it. It damages your body, and cancer patients go through enough damage as it is with the surgeries and chemo; but if I do need it - if I'm one of the people it will help - then I want it. And I want it now, before I get breast reconstruction - it's the main reason why we delayed reconstruction in the first place and I certainly don't want a recurrance in a few years, after the reconstruction, only to have my new breasts destroyed. That is unacceptable.