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Refusing Treatment for Breast Cancer

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When and why to refuse treatment for breast cancer

Most women diagnosed with breast cancer are willing to do whatever they can to try and beat this disease, regardless of how far it may have progressed. But for some women, the choice of what to do about breast cancer is not so easy. Some women choose not to accept treatment for breast cancer, either because they want to wait for a while to see what happens, or because they decide to accept their fate and let nature take its course.

Refusing treatment for early stage cancer
Breast cancer caught in stages one or two can be cured approximately 90% of the time, through a combination of treatments that may include chemotherapy, lumpectomy or mastectomy, radiation and hormone therapy. This is a medical road well traveled, and most women are happy to accept the guidance of medical professionals at this point. When treatment is refused in the early stages, it is usually for one of two reasons – either because the woman in question has a religious objection to accepting medical treatment, or because she wants to wait and see how the disease progresses before deciding what to do.

Because five year survival rates are over 80% for stage one breast cancer, a woman may decide to put off treatment until at least stage two, if she is not suffering and if her tumor is not of a particularly aggressive type. Age could also be a factor here – if a woman is over the age of 70 or 80, she may feel there is no urgency to treat a condition that they may not outlive anyway. Some women with early stage breast cancer prefer to take time to research alternative treatments for breast cancer rather than traveling down that familiar medical road immediately. In a small percentage of cases, breast cancer will go into remission for no discernable reason, so this may provide hope for some women in the early stages of the disease.

Refusing treatment for later stage cancer
Stage 3 breast cancer is broken down into three different stages, labeled A,B and C. It is at the second of these stages, 3B, that five-year survival traits drop below 50% for the first time. At this point, a woman’s reasons for refusing treatment are likely to be based on the fact that even if normal medical protocols are followed, the chances of beating the disease are not favorable.

One of the biggest factors that will lead to women refusing treatment at this stage is fear of the side effects associated with the medical procedures normally used to treat breast cancer. Chemotherapy and radiation cause a series of potentially debilitating side effects that include nausea, fatigue, hair loss and a persistent feeling of sickness. These symptoms can often be quite severe, and both of these cancer treatments have become quite notorious based on the frequent severity of the side effects they cause.

Mastectomies are a standard recommendation for stage three cancers, and many women have an understandable reluctance to take such a drastic step. It is well-known that medical professionals were somewhat “mastectomy-happy” in the past when it came to treating breast cancer, and this has perhaps left a legacy of suspicion about the medical profession and its continued reliance on “cutting, burning and poisoning” as the normal methods for fighting this deadly disease. African-American women in particular appear to have a lot of skepticism towards the medical community, as 25% diagnosed with stage 3 breast cancer refuse these conventional treatments.

The point is that while there is some hope for a cure once things reach stage 3, many women feel that the amount of physical and emotional suffering they will have to go through if they accept conventional treatment are just not worth the effort. From a psychological standpoint, it can also be incredibly stressful dealing with the fear and uncertainty that accompanies this stage, and many women may experience a sense of relief when they decide to simply accept their fate rather than wage a fight that may be in vain.

A family affair
Of course, the decision to forego (or perhaps end) breast cancer treatment obviously affects not just individuals, but entire families. In some cases, family members may actually see the decision not to accept treatment as a kind of rejection, as a sign that the wife, mother, daughter or sister they love so much is not willing to put up a fight to try and stay with them. In other instances, however, refusal of treatment may be a relief for family members, who will not have to deal with so much uncertainty while watching someone they care about suffer from a combination of the ravages of cancer and the sometimes-overwhelming side effects of conventional breast cancer treatment.

A matter of dignity
Beyond the physical suffering associated with “cutting, burning and poisoning,” for many women it all comes down to a matter of self-control and dignity. Passing away peacefully at home or in hospice, medicated for pain and surrounded by loved ones and compassionate caregivers, is an alternative that appeals to a lot of women who don’t want to spend their last months or years as a medical specimen being passed from doctor to doctor. For many woman, a dignified death is preferable to a life filled with uncertainty that has most all of its quality.

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