Ask an Expert: View a Question
 
 
 
 

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 443-997-8282. 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!.

ForumQuestionsAsk a Question
Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
1,357 This functionality is disabled from time to time due to volume.

AskedPublicly Submitted Question
8/19/2017My mother was diagnosed with triple negative breast cancer 6 month ago and she is 49. (the lump was 3cm) She went through lumpectomy with sentinel node biopsy and the surgeon took out 6 lymph nodes including the sentinel node. In the middle of the surgery they examined 2 lymph nodes including the sentinel node and it turned out to be cancer free so they didn't take out the rest of her lumph nodes. But when we got the results from pathology a few weeks after the surgery it was not what we expected. 4 out of 6 removed lymph nodes contained cancer cells but the sentinel node was free of cancer. The doctors told us that it could be taken care of during chemo and radiation therapy. But I'm still worried though she's half way through her radiation treatment and finished chemo. Was that a safe thing to do or they should have taken all her lymph nodes?
RepliedJHU's Breast Center Reply
8/22/2017There is some controversy to the therapeutic benefit of axillary nodal dissection. The impact of axillary nodal dissection on survival is not well established. Adjuvant chemotherapy is expected to positively impact survival. Management of axillary nodes has been evolving towards minimizing long term complications, without compromising outcome.

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.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.

 
 
 
 
 

© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.