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Lumpectomy with Sentinel Node Biopsy Questions about Lumpectomy with Sentinel Node Biopsy. |
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| Asked | Publicly Submitted Question | ||
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| 9/27/2011 | Age 51. Was diagnosed about 3 wks before this b-day. Had SNB/NL/Lumpectomy on 8/23/2011. Tumor size 0.5 cm, ER PR+, Her2- and neg nodes (7 removed) Stage 1, Grade 1. Oncologist recommended radiation followed by 2 yrs of tamoxifen and then 3 yrs of arimidex. Perimenopausal now. Had BRCA test done because my Mom and sister had post menopausal breast cancer. Oncologist expects my results to be negative. He did not recommend any PET scans or tumor markers because of "early small cancer." Does this sound reasonable? Also loved your book "Stealing Second Base." Just a bit nervous not having any scans but I did have an MRI prior to surgery after my MIBB. | ||
| Replied | JHU's Breast Center Reply | ||
| 9/28/2011 | Thank you for turning to the Johns Hopkins Breast Center. With breast cancer as you describe, early stage-congratulations by the way!, we do not follow patients with CAT or PET scans, according to NCCN (National Comprehensive Cancer Network) guidelines. If patients present with a complaint that might indicate spread or metastasis of her cancer, we would then follow up with a scan for that reason. Recommendation is for vigilance-self breast awareness, yearly clinical breast exams and mammograms. Hope this helps, and best wishes! | ||
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