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AskedPublicly Submitted Question
1/2/2018A friend of mine is 29 years old and just diagnosed with Triple Negative (receptors Triple Negative), Invasive Ductal Carcinoma Grade 3, Stage 1

- Felt a lump in September 2017, doc gave option to biopsy or wait to see if grew
- December she could feel it became larger and went back in, they did an ultrasound and appeared clear, but the inside was black
- They then performed a Needle biopsy on December 11th confirmed cancer -- lump is in left breast at 2 o'clock near surface and is size of a "kidney bean size"
- They did an MRI and did not see anything more
- She is waiting on results of BRCA gene
- She is also in the process of deciding on mastectomy
- She is is very hesitant of chemo and wants to avoid if at all possible, but all info she gets points to chemo as a requirement with this type of cancer

Questions:

- Should she request a Pet Scan? Does everyone get a Pet Scan? If so, when do they typically do that?

- If confirmed it has not spread and not in lymph nodes, have you seen success with doing a lumpectomy only and NO chemo with Triple Negative?

- Have you seen success with lumpectomy & chemo and then waiting to see before moving directly to a mastectomy?

Family history - grandmother on fathers side had breast cancer (not sure of type, but had breast removed)

Thank you very much for any support you can offer!
RepliedJHU's Breast Center Reply
1/2/2018She needs to know that if she does a mastectomy that doesn't influence the need for chemo at all. surgery is local treatment. chemo is systemic treatment. so stage 1 is good news, however she should anticipate chemo discussion happening. PETs not needed unless tumor is large and/or nodes are involved.

she should plan to do well with lumpectomy, chemo and radiation.

Family history not compelling to assume genetic mutation is cause.

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