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Intramammary Node vs. Sentinel Node, course of therapy and prognosis
My mom had a mastectomy on her Right breast last week and I am a bit confused by the findings. It was a 1cm mass, grade 3 tumor and they took 16 lymph nodes for dissection. The sentinel node and all but 1 lymph node came back with no cancer cells. There was an intramammary lymph node in the general location of the tumor that came back showing some cancer cells. I am trying to figure out what this means in terms of her treatment that will be needed (ie: chemo regimen) and her overall prognosis (ie: are folks able to survive this and live for a long time afterwards? how long?). While I know that biopsies aren't supposed to spread cancer cells, her biopsy caused a very large hematoma which lasted for 10 days until the mastectormy. I am hoping that (maybe) the intramammary node was positive for cancer because it picked up cells from the hematoma as a result of the biopsy and that the mastectomy effectively got rid of all cancer. (her bone scan and CT scan came back clean). My questions are:
1.) how do you interpret the finding of the lymph node situation as described above? (ie: i know there is about 5% false negative for sentinel node and about 20% incidence of a postive intramammary node)
2.) what chemo regimen will they likely prescribe (length and type?)
3.) how hopeful can our family be at this point that mom will be around for the next 5, 10, 15 ,20 years to see the grandkids grow up?
Sorry for all the questions, but as you can see, I have been Googling like crazy for the last 2 weeks and not sleeping much. Thanks and God Bless. This is a great website.
1.) how do you interpret the finding of the lymph node situation as described above? (ie: i know there is about 5% false negative for sentinel node and about 20% incidence of a postive intramammary node)
2.) what chemo regimen will they likely prescribe (length and type?)
3.) how hopeful can our family be at this point that mom will be around for the next 5, 10, 15 ,20 years to see the grandkids grow up?
Sorry for all the questions, but as you can see, I have been Googling like crazy for the last 2 weeks and not sleeping much. Thanks and God Bless. This is a great website.
Let's use this thread to stay connected. Boninclyde, I'm glad you set the date. You will make it through the surgery I have no doubt. I'm praying for your anxiety and Ziggy's rapid heartbeat. I don't want to make you more anxious by bringing it up all the time, so please let us know when you want to talk about it. Or, let us know if it's ok if we keep asking you about it. I know you want this and have thoroughly research your options to make sure you're doing the right thing. It is going to be ok!
My mammo is scheduled for Oct. 18.I always schedule it well in advance so I can pick my time. I forgot to ask if Dr. Anderson would be around to read the mammo so I don't have to go through the mess I had the last 2 times. I suppose I should call back and check. I feel good about the mammo, knowing there's a very good chance that everything will be ok, but I'm always anxious to get the results.
Ziggy, I pray that your appointment goes as well as it did the last time. Let us know when the appointment is.
My mammo is scheduled for Oct. 18.I always schedule it well in advance so I can pick my time. I forgot to ask if Dr. Anderson would be around to read the mammo so I don't have to go through the mess I had the last 2 times. I suppose I should call back and check. I feel good about the mammo, knowing there's a very good chance that everything will be ok, but I'm always anxious to get the results.
Ziggy, I pray that your appointment goes as well as it did the last time. Let us know when the appointment is.
Ok we'll use this thread. Sounds great.
I have set a date but I feel like I am being so selfish. If something were to happen my kids may hate me for not being there for them. Probaly goes back to my own childhood. I am sorry I can't explain it. All I can say is I just fell like they would fall apart without me. Or maybe have a party. No just kidding. Anyway like I said I can't help but feeling selfish all because I want a boob.
I do hope ziggy's heart gets regulated. Ziggy's not that old I dont' believe.
And Montana, I hope the best for you on your next mamo. The day before my surgery. Once again we find ourselves on this journey together. Take care. I'll keep you posted.
I have set a date but I feel like I am being so selfish. If something were to happen my kids may hate me for not being there for them. Probaly goes back to my own childhood. I am sorry I can't explain it. All I can say is I just fell like they would fall apart without me. Or maybe have a party. No just kidding. Anyway like I said I can't help but feeling selfish all because I want a boob.
I do hope ziggy's heart gets regulated. Ziggy's not that old I dont' believe.
And Montana, I hope the best for you on your next mamo. The day before my surgery. Once again we find ourselves on this journey together. Take care. I'll keep you posted.
Do you know how long it takes to recover from this kind of reconstruction? I know it will be hard for you to not be available for your girls while you recover, but that's temporary. I know you worry about something happening to you, but that's highly unlikely. Is it selfish to want to feel normal? I don't think so. I'm sure your girls want you to be happy. If they know this is important to you, I think they will feel it's important and want you to do this.
Thanks for your good wishes, too.
Thanks for your good wishes, too.
boninclyde-did I miss something???What surgery??Is this your reconstruction??I am glad that we switched to this thread because I was so confused by all of the postings on the other thread! You are not being selfish for wanting this surgery. We are entitled to feel good about ourselves and if this is what you need, I so DO IT!!!
My cardiologist feels that my rapid heartrate is all anxiety related. I have not been able to do a regular stress test because I get too nervous before I have to get on the stupid treadmill!!! He gave me a scrip for 5 xanax so I could try it to see if it would calm me down enough for the test. I think that I am going to save them to take before my mammo-which I have to schedule for October.
I cannot believe that we are all on the same schedules...it is a little weird. I sometimes think about some of the others that I remember from last year, Under Forty Pam and Avid Hiker. Have you seen any posts from them? There was another woman, I think she had a name referring to being a grandmother. Do you remember her?
Montana-Like you I will request an appointment on the day when the radiologist who spotted my DCIS is working. I agree that having the same person look makes a difference. I get nervous just writing about this. Sorry to be such a baby!
My cardiologist feels that my rapid heartrate is all anxiety related. I have not been able to do a regular stress test because I get too nervous before I have to get on the stupid treadmill!!! He gave me a scrip for 5 xanax so I could try it to see if it would calm me down enough for the test. I think that I am going to save them to take before my mammo-which I have to schedule for October.
I cannot believe that we are all on the same schedules...it is a little weird. I sometimes think about some of the others that I remember from last year, Under Forty Pam and Avid Hiker. Have you seen any posts from them? There was another woman, I think she had a name referring to being a grandmother. Do you remember her?
Montana-Like you I will request an appointment on the day when the radiologist who spotted my DCIS is working. I agree that having the same person look makes a difference. I get nervous just writing about this. Sorry to be such a baby!
Today I rescheduled my mammo for Oct. 17 due to a conflict on the 18th. I asked if Dr. Anderson would be reading mammos that day and they couldn't tell me, but they did say they would make a note saying I requested he read mine. We'll see...
I wish we'd hear from the other gals, too. I think they come back on occasion, but I don't have the same connection with them that I have with you two.
I wish we'd hear from the other gals, too. I think they come back on occasion, but I don't have the same connection with them that I have with you two.
I to tried to keep up on the other thread but couldn't. They got a really good support system going on over there and thats important. As far as UFP and AH they post on the breastcancer.org forum. Doing well. They don't post often. Good to see them doing well and moving on. Me and grandma (her name was naim, we keep in touch for quite some time through e-mail. I have Mitro valve prolaspe and anxiety. When my heart acts up I don't really know if it is MVP or anxiety. Guess it don't matter I just take a pill and wait for it to pass. Montana and I was talking about my reconstruction surgery. I know I can do this. Like you I am a baby. A much, much bigger baby. I'll be glad when all this is behind me. I had a death in the family. She has been fighting pancreatis and ovarian cancr for 27 months and lost her battle Thursday evening.
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