Axillary lymphnode and mastectomy tissue discrepancies
Please I've run out of thought and ideas and feel the need to be guided by the thought and ideas of others.
April last year I noticed a lump in my breast, consulted a doctor, a biopsy was done and after the test I was diagnosed with invasive ductal carcinoma (although no lymphovascular invasion was seen) later on I underwent radical mastectomy on the affected breast(right side); after my surgery I started chemotherapy (while waiting for the result of the mastectomy breast tissue sent for investigation) and I have been on Chemotherapy since then.
Last month I noticed a lymphnode in my armpit, spoke to the doctor about it and he said the lymphnode has to be biopsied, an axillary lymphnode excisional biopsy was done and the tissue sent to the lab.
Moving forward, my mastectomy tissue result was finally ready after months of recuts and repeated checks at about the same time the axillary lymphnode tissue result got ready for collection as well, so I picked both results but the varying reports have got me more worried.
The result of the mastectomy tissue reports:
-benign epithelial cells
-no malignant cell seen
-unremarkable resection margins
- mastectomy specimen :no residual cancer seen.
Axillary lymphnode result:
-malignant epithelial cells
-multiple mitotic figures (5-10/ 10hpf)
-no extracapsular tissue involvement
-positive axillary lymph node (metastatic lymphadenopathy of right breast cancer primary).
The more I look at the results, the more confuse I become...
Would I be needing radiotherapy? (considering the affected lymphnode)
Why does the mastectomy result show no residual cancer? (whereas that was the primary cause)
NB: I didn't do immunohistochemistry (it was not requested)
My next appointment is next week.