Would appreciate your input, thanks

Hi,
I just got my wire-guided excisional biopsy results. invasive adenocarcinoma tubular, 1.1cm, grade 1, excision margins clear, est pos+++, greater than 90% of invasive cells; prog. pos+++, approx. 10% of invasive tumor cells; HER/2 neg. Ductal and lobular carcinomas are in situ. All situated way back, by the chest wall.
I also have something showing in my opposite lung (noticed last Nov., with pneumonia, hasn't changed). May 5th, lung surgeon wants to do wedge resection, lobectomy if necessary. At the same time, breast surgeon will do a sentinel node biopsy.My questions are: 1) Since my breast tumour was so close to my chest wall, and my mother's breast cancer metastized to the bone, would a bone scan be a good idea at this point, to help determine txt? 2) If my lymph nodes are malignant, might that change txt for lung & breast, and might it perhaps make the lung procedure pointless (I'm dreading the lung operation because of my fibromyalgia & am trying to avoid it!!.); 3) Would it make sense to check out the lymph nodes first, even if it means 2 anesthetics?
Thanks so much.  All this is so overwhelming, not so much "just" the breast cancer, especially since it's "just" Stage 1, but the combination with the lung (never smoked) and fibromyalgia.

[PaulMD]

Hi there.

I think the reason why the thoracic surgeon wants to remove the lung lesion as well, is that they want to be sure that this is not a spread or metastasis from the breast lesion.  However, you could discuss with them some non invasive means to ascertain the nature of the lung lesion like doing a PET scan.  Doing a PET scan not only assess the lung lesion but also it will tell us if you have bone lesions as well (this is actually better than a bone scan).  As I see it, we could hit two birds with one stone and maybe, forego with the lung surgery (but you should discuss this with your doctors first).

Hope this helps.  Regards and God bless...