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Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
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AskedPublicly Submitted Question
10/25/2004i had a lumpectomy two weeks ago and the prelim report was that there was no evidence of malignancy present. there were two sentinel lymph nodes removed. one showed no tumor. my question if the counts there are associated with the lymph nodes. 300 and 9000(this was sent to pathology). i don't know what to make of this. should i be concerned? is radiation or chemo still a possibility?
RepliedJHU's Breast Center Reply
10/25/2004The need for radiation is based on the tumor diameter (taking the measurement of the tumor removed at time of biopsy and at time of lumpectomy) and the degree of clear margin achieved, and whether lymph nodes are involved. even with negative nodes, radiation is usually still recommended when cancer cells are present on biopsy, even if no residual cancer was found at time of lumpectomy.

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