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Family Support
Questions about breast cancer & family support.
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2/25/2011My mom just had a breast tumor removed, along with 4 lymph nodes. The lymph nodes were all negative. With the tests done on the tumor once removed, it was shown to have "feelers" or "fingers" The Dr. likes to remove an area of at least 1cm beyond the tumor, and figures she only got about 1/3 of that amount in one area. She is suggesting my healthy 81 year old mother have another surgery to remove a larger area, because she doesn't want to regret not getting what she wanted in the first place "5 years down the road". We are looking for other opinions of whether this is necessary. We will be consulting with a radiologist for a 2nd opinion, but just wondering if there is any other expertise out there for us.
RepliedJHU's Breast Center Reply
2/25/2011First, great to hear that despite her senior age she is healthy! rare these days as you know. From a margin perspective, there are 6 margins. the mimimum amount of clear margin needed is 2mm. yes, a tiny amount. how wide a margin is needed to be for someone over age 70 is dependent on several factors today. one being estrogen receptor status. am hoping it is ER positive. You won't be seeing a radiologist but instead a radiation oncologist to determine 2 things-- is he/she satisfied with the margins are they currently are?; does she need radiation if her tumor has clearl margins and is ER positive. you are welcome to bring her our way too if we can help you further.

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