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Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
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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.

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