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Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
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AskedPublicly Submitted Question
7/9/2017My 82 yr mother just underwent (L) lumpectomy for invasive ductal ca-stage 2, with Lymph nodes negative. FISH report shows Positive for HER2 oncogene amplification & Positive for chromosome 17 polyosmy. The surgeon specifically told us that due to her age, he would only do lumpectomy, no radiation or chemo. Oncology Dr. just told us that she needs chemo & radiation due to the findings. Wants PET Scan Cardio workup, & port placed. My question is, how appropriate is that for an 82 year old woman. In addition, she just lost her husband of 66 years from Alzheimers. We are going for another opinion. What are her chances if she does NOTHING else? Could she outlive this diagnosis with lumpectomy only? What would her quality of like be with the treatments? Would you recommend further treatment for her at this age? Her weight is 118 lbs., & otherwise, she is active for her age with no other health complaints. She is grieving the loss of her husband, & now this. We would appreciate any suggestions on how to move forward. In addition to my mother, I have two sisters who have had double mastectomies, & 1 first cousin recently diagnosed with invasive ductal. We have tested negative for the BRCA gene. Just a very strong family history of breast cancer.
RepliedJHU's Breast Center Reply
7/9/2017Good to get a second opinion as planned. Bring her to us if you can. 443-997-1513. She needs to participate in the decision making and not be forced to do anything. Her overall health, how aggressive the cancer cells are, and most importantly what her ER receptor results were weigh heavily here for any potential treatment recommendations. let our experts get their arms around her, and you too. you and your sisters have lost their dad recently. this is a lot for all of you to bear. though you didn't test positive for a gene, there still are genes out there we don't have a way of testing for or identifying yet too. tell the scheduler when you call that Lillie referred you through Ask an Expert. it is worth traveling for.

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