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Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
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AskedPublicly Submitted Question
9/9/201750 years old IDC in left breast with cribiform pattern, DCIS present, no necrosis, about 1cm, "likely stage 1" and "likely not in lymphnodes" ER+ PR+ HER2-
Surgeon recommends lumpectomy with sentinel lymph node biopsy which is scheduled for Sept 20. Suggesting radiation & tamoxifen after that. She thinks I probably won't need chemo.
Wondering if you agree about probably no chemo. Also, I'd prefer the lumpectomy anyway but she says mastectomy doesn't improve chances of cancer not returning, why?
[thank you for this website to ask a question!!]
RepliedJHU's Breast Center Reply
9/9/2017you need oncotypeDX test done to determine if chemo is needed. the person to determine this BTW should be a breast medical oncologist and not a surgeon. Doing mastectomy doesn't increase survival. surgery is local therapy. mastectomy reduces risk of local recurrence only. no need to do a big surgery when you don't have to.

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