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|Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
|Asked||Publicly Submitted Question|
|2/26/2011||Please help, I have to make very hard decision. On 2008 breast biopsy shows benign fibroadenomas. But I found the lump on June 2010 and get exisional biopsy on 1/24/11. They found invasive mucinous carcinoma with micropapillary pattern on my left breast with size of 3.2 x 2.5 x 1.5 cm. Margins positive laterallity. Histologic grade: grade 3 (8-9 points)- Grand/tubule differentialtion: 3 (10% tubules)- Nuclear pleomorphism: 3- Mitotic Count: 2. Estrogen receptors: score = 100% (positive)Progesterone receptors: score = 100% (positive)HER2NEU: score 1+ (negative). They also found three tiny abnormal spots on my right breast by MRI, following by ultrasound. They believe that all of that are benign. I have to choice: do lumpectomy or a double mastectomy. Please help I think about a double mastectomy even though I know the risk of recurrence is not quite different.|
|Replied||JHU's Breast Center Reply|
|2/26/2011||The mission is clear margins. lumpectomy with radiation is equal to mastectomy from a survival perspective. There is a higher recurrence rate locally within the breast tissue of course if lumpectomy is done (10-15% risk) however even if it recurs in the breast survival rate remains equal as if you had originally done mastectomy. The size of the tumor is generous. not sure of amount of breast volume you have. If you are well endowed then cosmetic results may look okay with lumpectomy. if not that large breasted than mastectomy with reconstruction may serve you better. for women without a breast cancer gene, risk of breast cancer in general in the opposite breast is about 5%. some women opt to do bilateral mastectomies to avoid mammograms and to dramatically reduce risk of local recurrence in the future. it is a personal choice decision. you are welcome to come to us to think this through more. 443-287-2778. if looking at mastectomy it should be skin sparing mastectomy with immediate reconstruction.|
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