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Breast Cancer  (Expert Forum)
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Few nodes
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.

Few nodes

by wizard33, Mar 04, 2003 12:00AM
I had a level 2 ax disection after 2 surgeons could not find the sentinal node using radiation and tracer dye.  They were only able to find 4 nodes. They were 1.5 cm each but negative

tumor 2cm
er/pr -
proliferant markers
her2/neu -
poorly diff
Invasive ductal carcinoma

What impact do you see in only being able to find 4 nodes if any?  The surgeon stated that in the chunk they took they would expect 10-15 nodes.

Looking for what you would think that the treatment should be.

Thanks

by CCF-RN,MSN-rf, Mar 04, 2003 12:00AM
Dear Wizard33:  The number of lymph nodes does vary from person to person, although this number is small.  Since you have had a lymph node dissection,however, one would have to assume that your cancer is lymph node negative. As such, we would treat based on this information.  If you had a lumpectomy, we would do radiation therapy.  Depending on your age, chemotherapy may or may not be recommended.
Member Comments (2)

by wizard33, Mar 04, 2003 12:00AM
I had a mast and they are looking at AC followed by T. I am 33

My main concern is that the surgeons could not id the sentinal and am a little worried that they are "hiding" somewhere else.

Thanks for your response.
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