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
Survivorship Care Issues
Questions surrounding survivorship and life after cancer.
871 Ask a Question

AskedPublicly Submitted Question
8/19/2017Hello. My mother was diagnosed with triple negative ductal carcinoma at the age of 49. The lump was 3cm. She went through lumpectomy.(clear margins) The surgeon took 6 lumph nodes out to have them checked for cancer cells. The sentinel node was cancer free but 4 others contained cancer cells. And the rest of the lymph nodes remained unchecked and not removed. The doctors said it is somethong that can be taken care of with radiation therapy. She recieved 4 rounds of adriamaycin and endoxan and 4 rounds of taxol (she developed hand and foot syndrom with taxotere so they changed it to taxol). Then 30 radiation treatments. She just finished her radiation therapy. Here are my questions...1) I'm still worried about all the other unchecked lymph nodes! Was that the right decision not to take them all out?? 2)What are her chances of having a recurrence? 3)She suffers from leg pains since her radiation that worsens at night (but she feels a bit better after starting calcium D pills). It feels like the pain after a long exercise. The doctors said it is because of chemo side effects. But could this be the result of a metastasis?
Sorry for the long question!
RepliedJHU's Breast Center Reply
8/22/2017The impact of axillary nodal dissection on survival is not well established. The management of axillary nodes has been evolving towards minimizing long term complications, without compromising outcome. Adjuvant chemotherapy is expected to positively impact survival. TNBC has a much better response to conventional chemotherapy than other breast cancer subtypes. TNBC characteristically has a high recurrence rate, which drops down sharply after five years. Peripheral nerve damage is common with chemotherapy, and can cause numbness, tingling and pain that can persist for years after chemotherapy ends.

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.