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Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
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AskedPublicly Submitted Question
4/13/2018Had a lumpectomy with SNB on 04/9. Removed two lymph nodes and removed 3cm breast tissue. Results - both lymph nodes were + with more breast tissue needing to be removed due to cancer +. Doc recommends going back in and removing more breast tissue on the superior and lateral margins with the removal of the axillary lymph nodes. Question is would it be beneficial to do a complete mastectomy or to proceed with the docs recommendation in hopes he get all the cancer this time.
Any advice?
RepliedJHU's Breast Center Reply
4/16/2018This depends on your personal choice and the amount of tissue you have to successfully get clear margins from the cancer excision. Some women do not want to lose their entire breast if they can help it, others would rather remove it all because they believe it gives them some peace of mind. Even with a mastectomy, we sometimes see margins that are not clear because the cancer was so close to the skin, so it's hard to tell what is ideal. The key goal is that we want to have the tumor out with clear margins for all 6 margins, and the breast cosmetically still looking good.

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