The Danish study - showed some survivor benefit for pre-meno women with 3 or fewer nodes. However, the average number of nodes removed was 7! So some women were maybe 2/2 positive, maybe 3 of 7 positive. So - one might surmise that there was disease in other nodes that was never detected hence the survivor benefit. The other study was Canadian - it was smaller, average nodes removed was 11.
So in my case - the possible benefit is not so clear. I had clear margins, good testing of nodes (of course it doesn't include the nodes up by my neck, sternum), but there was no visible reason to be suspicious. After chemo & with Tamoxifan - the benefit to radiation might not be worth the short/long term risks.
Apparently, I am a little unusual having grade 1, pre-menopausal and some of the other 'good' indicators, but none the less, I want to point out that in some particular situations a rad onc might NOT recommend rads.
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