Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.
If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-778-2778. It is possible to get an appointment for a second opinion within a few days of contacting us.
We hope you find the information helpful!
|Forum||Questions||Ask a Question|
|Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
|Asked||Publicly Submitted Question|
|2/2/2012||I am a 35 year old female and i had lumpectomy done five days ago and my surgeon also did a sentinel lymph node biosy (SLNB)during the same surgery. At my post surgery appointment my doctor told me that the "procedure failed". They were not able to find any lymph nodes and the pathology report indicates that it was just fibrocystic breast tissue. My oncologist is suggesting i should now go for axillary lymph node dissection, but the surgeon's opinion differ and she thinks SLNB can still be done. Can i still go for SLNB or is the lymph node system near the tumor are disturbed? I have a 3yr old & I am really lost what to do next and what type of surgery i should go for. your opinion will be highly appreciated.|
|Replied||JHU's Breast Center Reply|
|2/2/2012||The breast is still there to be injected to see if the lymphatic mapping would work if repeated, perhaps using a different method than before. if blue dye used then inquire about using radioactive isotope and vice versa. It sure would be better then defaulting to an ax dissection. Also request that your case be presented at weekly breast cancer tumor board for a team discussion regarding what is the chance you have a positive node. if low chance then the radiation oncologist may even possible recommend doing no sentinel node repeat and instead letting her radiate the area when breast is radiated.|
Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.