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|Forum||Questions||Ask a Question|
|Metastatic Breast Cancer
Questions about advanced metastatic breast cancer.
|Asked||Publicly Submitted Question|
|11/22/2005||Hi. I want to first take the time to thank you in advance for taking the time to answer my questions. I am a 66 year old woman with diabetes, hypertension, and emphysema that was diagnosed with ILBC in 12/04 with a tumor that was so big that they could not give me a correct size except that is was bigger than 5cm. I started neoadjuvant chemo in 3/05 until 08/05 and had a matectomy in 10/05. My path report reads as follows tumor size: 4cm, ILC and DCIS, Tubule formation: 3, Nuclear Pleomorphism: 3, Mitotic count: 1, grade 2, 7 points. Primary Tumor: pT2, pTis, Regional Lymph Nodes:pN2a, 8/9 nodes positive for cancer. What stage was I before I started chemo because one doctor told me stage 3 and another told me stage 4? What determines how many lymph nodes should be taken out? Do you think I have a high risk of recurrence even though I feel fine? What do you think my prognosis looks like along with all my other health problems? I am going to start radiation soon. Do you think that will help stop any further mets besides the axila? Thank You so much. This website is a godsend.|
|Replied||JHU's Breast Center Reply|
|11/23/2005||you started out as a stage 3b assuming there was no disease in other organ sites. it shrank the tumor down some but nodal involvement remained high,so they are still reading this probably as a stage 3a. there are three levels of nodes-- 1,2 and 3. usually levels 1 and 2 are taken when a positive node is identified. so ask about this. the # of nodes each of us has is different but on average there are 30+ - nodes in the armpit area. radiation will be needed for you of the chest area and armpit. recurrence rate is high for stage 3 due to nodal involvement so you will be closely monitored. find out if you are hormone receptor positive and/or her2neu +++ with the hope you can take hormonal therapy and/or herceptin.|
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