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|Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
|Asked||Publicly Submitted Question|
|04/15/2004||I am 45 years old, felt a lump had a mamo, showed a 3cm mass, surgeon tried to needle asp., then ultra sound guided asp.then core needle bx. path came back, PD Ductal Carcinoma Grade III, went to another surgeon recommended, he suggested lumpectomy with senintel node bx prior to lumpectomy the same day, he took out the first node the dye went to,only 1. Just received the path this was from a bigger hospital, evaluated by two different pathologists, one margin cancer was within a fraction of the margin, the senitel node was negative, also the diagnosis was changed to medullary carcinoma so please advise. I know they will want to do more surgery due to the margin not clear enough, Do you suggest wide excision or simple mastectomy? Please advise.|
|Replied||JHU's Breast Center Reply|
|04/16/2004||The surgical oncologist taking care of you needs to evaluate, based on this margin, if it is feasible to do a re-excision based on the amount of tissue he thinks needs to be taken vs the cosmetic result (breast volume compared to amount of tissue taken so far and still needs to be taken to achieve clear margins.) So ask him. Lumpectomy with radiation is equal to mastectomy for survival. Consider being seen by a medical oncologist also who specializes in breast cancer so that adjuvant therapy decisions can be thoughtfully made.|
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