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Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
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AskedPublicly Submitted Question
9/8/2017I am having such a hard time deciding between a re-excission and mastectomy. About 2 weeks ago I had about 1/4 of my breast removed and path report says 2 foci of idc (less than 1mm each)is at the inked anterior margin (measuring approx 2.0 cm from inferior border of anterior skin).Extensive lymphatic invasion and high ki 67 score (45%) I had so much breast removed because tumer was 2.5cm and also I had multifocal (under 1.0) high nuclear grade dcis. I've been reading that the recurrance rate is very high with positive margins in a lumpectomy? I just dont want to go through this again some day and wonder if a mastectomy would make sure all cancer in breast is gone, rather than taking a chance that a re-excission might leave behind cancer? How can a surgeon even find such small 1mm cancers or what if they remove the wrong section since they did do tissue reshaping? Also surgeon said he would have to remove some skin since so close. I did ask surgeon if maybe a mri would be needed first and he said no, but if he couldnt get it all with the re-excission he would then do mastectomy. I was told i would for sure need chemo and think all this will delay treatment. Sorry for so many question but, Please any opinions/knowledge would be appreciated as I am so confused and scared.
RepliedJHU's Breast Center Reply
9/8/2017Seriously consider mastectomy with reconstruction. if you want to come our way just call 443-997-1513. worth traveling for.

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