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|Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
|Asked||Publicly Submitted Question|
|5/17/2012||I have been dx with DCIS comedo solid and papillary subtypes nuclear grade 2-3/3 , several foci. Comedo necrosis and microcalcifications identified . Vascular or lymphatic invasion not identified . Focal stomal invasion canot be completely excluded on stereostatic biopsy. I am scheduled to have a lumpectomy on 5/30 with sential node biopsy. My question is that I was told that if sentinal node cannot be identified a level 1 and level 2 ancillary node dissection would be done . I am not in agreement with this approach what is your opinion ?|
|Replied||JHU's Breast Center Reply|
|5/17/2012||Consider getting a second opinion given that at this point this is DCIS which is noninvasive breast cancer. though comedo and there is mention that there might be a focal invasion spot it would be unusual for a focal invasive area to travel onto a lymph node. Additonally, if there was invasive disease and even if sentinel node was positive that no longer means an axillary node dissection as a result of the findings from the Z011 clinical trial. Instead of nodal removal radiation covers the field where the nodal basin is. this study was done to see if there was benefit in removing lots of nodes when sentinel is positive and lumpectomy followed by radiation is being done. they proved that it does not show survival benefit however does of course, due to axillary node dissection, increase the risk of lymphedema. you can come to us for this procedure if you wish. 443-287-2778.|
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