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Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
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AskedPublicly Submitted Question
7/13/2018Hi I am male recent diagnosis of IDC. 7mm tumor. ER+ pr+ and her2 neg. low ki67
Had a lumpectomy and had a micro met of .6mm in the lymph node.
Oncotype score of 11.
My doctor says that onco in males lack research and the micromet in the node makes onco not relevant. Your thoughts on micromet and oncotype score? Would a positive node even if micromet make you disregard oncotype? Any view on oncotype for men?

How would you stage that diagnosis? 1b or 2a? Chemo or no?
RepliedJHU's Breast Center Reply
7/16/2018While we cannot give medical advice via the website, treatment for male breast cancer largely follows patterns that have been set for the management of female postmenopausal breast cancer, which includes consideration of the Oncotype DX score. The decision to use chemotherapy in male patients with early stage breast cancer involves the consideration of

many factors that traditionally rely heavily on tumor size and lymph node involvement and a limited set of biologic characteristics such as estrogen receptor and HER2 expression. According to AJCC, you are Stage IB.

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