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|Forum||Questions||Ask a Question|
|Types and Stages of Breast Cancer
Questions about the different types and stages of breast cancer.
|Asked||Publicly Submitted Question|
|3/30/2012||Diagnosed with IDC, 95% ER/ 70% PR+, Her2 neg, two tumors close together, approximately 3 cm total, no obvious lymph node involvement on initial staging studies (MRI, PET-CT), but had Oncotyope of 25! Therefore, neoadjuvant chemo (TC X 6) started in October. BMX on 2/29/12. Path report showed residual tumors of 1.5 cm and 0.4 cm, BUT SURPRISE, 2/3 sentinel nodes were positive (0.2 cm and 0.25 cm involved). ALND done, 17 more nodes taken out, and those were negative. I am going to see a rad onc soon...I know I am in the gray area as far as receiving radiation. I started Tamoxifen this past week. Do you think I should have radiation, considering I didn't have a great response to chemo..(still had positive nodes after chemo and did not have complete pathological response of tumors). No LVI. Do you think I was treated aggressively enough with the TC??? Obviously, I have done everything I can to eradicate the localized disease in breast by having mastectomy....but I'm obviously concerned about those pos lymph nodes....despite chemo? Any further recommendations?|
|Replied||JHU's Breast Center Reply|
|3/30/2012||To really be able to answer these questions we would need to see you and review all of your records, and have your pathology re-reviewed with us too. that said, radiation and surgery are for local control. chemo and hormonal therapy are more for distant disease prevention.-- so preventing metastatic disease. Anticipate the radiation oncologist more than likely recommending radiation however based on tumor sizes in the breast as well as nodal involvement. the pathologist should be able to tell the radiation doctor also if there was any signs in other nodes of there previously being cancer cells in them that now are dead. horomonal therapy is really important.|
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