Radiation or mastectomy

He said "Now you can have either radiation or a mastectomy." He said this sort of like you'd might say you can go park your car here or there. And I thought well why would I want a mastectomy if I've already had the lumpectomy. And I think he meant if you want a mastectomy then we won't do radiation there, go right to chemo. I didn't question it and I guess I should have. And he said "We are going to give Tamoxifen and you won't have chemotherapy because the tumor was especially attractive to estrogen." This Tamoxifen is sort like a chemotherapy that you take orally, I guess. I don't understand it

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