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|Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
|Asked||Publicly Submitted Question|
|10/13/2003||I was 30 years old at time of lumpectomy. Had 2 tumors in right breast both positive and 1 palpable node taken out and tested positive. They never went back and took out any more nodes to check. I am er/pr positive, HER2/nu +3 and grade III tumors. largest being 2.5 cm. I had 4 rounds of A/C and 4 rounds of Taxotere. then 33 radiation treatments to four areas of right breast and node area. I was premenapausal before chemo, stopped menstrating during taxatere and started up again after radiation. I have been fighting with insurance to get ovaries out to stop estrogen production and am not on tamoxafin yet. I am wondering if it was ok to not check any other nodes. What is my recurrance risk with er/pr and Her2 status?|
|Replied||JHU's Breast Center Reply|
|10/17/2003||the standard of care is that if the sentinel node is positive to take additional nodes-- either level 1 or level 1 and 2 nodal area. this is needed for staging and determining your subsequent treatment. consider getting a second opinion about this formally.it probably would not have changed the chemo regimen but may have changed the radiation treatment if 4 nodes or more were positive, warranting usually radiation to the axillary field as well.|
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