Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Breast Cancer (Expert Forum)
Lymphatic invasive versus lymph node negative
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.
Lymphatic invasive versus lymph node negative
by timothius, Dec 14, 2001 12:00AM
My wife has recently been diagnosed with lymphatic invasive ductal breast cancer, but prior to this we were told that the cancer was lymph node negative (at least in the sentinile node that they used for the biopsy). Can both these things be true or does this mean that upon further investigation they have chnged the diagnosis. HELP!
Doctor's Answer
by CCF-RN,MSN-rf, Dec 17, 2001 12:00AM
Dear timothius: Are they describing the breast pathology? If so, the pathologist has probably described it as having angiolymphatic invasion. This is a pathological description that makes a cancer invasive (e.g. invasive ductal carcinoma). The lymph node pathology would reveal whether or not the lymph node has malignant cells in it. This is a separate pathology. So, if I understand your information correctly, yes, both of these statements could be true. I hope this helps clarify.
Member Comments (3)
by timothius, Dec 18, 2001 12:00AM
Thank you for your response. I guess what I really want is an honest answer about what my wife's long term prognosis is when she has angiolymphatic invasive tumor. Does the fact that the cancer was node negative not mean much in this case?
by isabel68, Dec 18, 2001 12:00AM
Timothius, your wife prognosis depends on a combination of factors such as tumor size, hormone receptor status, Her 2 neu status, etc. Angiolymphatic invasion means that the pathologist was able to see cancer cells in the middle of blood vessels. Chemotherapy is used to treat any cancer cells that may have left tumor to settle somewhere else. Please look at the big picture; the fact that your wife was node negative is a good thing but lymphatic invasion grants chemo and aggresive (aggressive) treatment. Be supportive and pro-active, educate yourself; there are plenty of books out there. I recommend Dr Susan Love Breast Book. Take care and good luck to you both!
