Surgery after path complete response
Has anyone with lymph node involvement reached pCR following neo-adjuvant chemo? If so, how does the surgeon decide how many lymph nodes to take? I know that I have one involved but until the surgery, I don't know how many others are/were infected. I know they'll want to remove the known node. Say I have three that are cancerous right now, they would want to remove all of those. But if the chemo works there won't be any cancer left in any of the nodes. Do they take a certain number to be on the safe side?
Also, I haven't met with a radiology oncologist yet. Is it common for those who have reached pCR to have radiation following surgery? I'm planning a bilateral mastectomy and the tumor is not close to my chest wall.
Thanks in advance!