Topic: Cancer in lymph nodes=Chemo??

Forum: Diagnosed and Waiting for Test Results — Share with and support others all waiting for test results from CAT scan, PET scan, Oncotype tests, Mammaprint, FISH, IHC, and other diagnostic tests.

Posted on: Mar 27, 2022 04:32PM

Posted on: Mar 27, 2022 04:32PM

startnew12212 wrote:

Hello

In 2020 I was diagnosed and went through it all! Now, a dear friend has been diagnosed and is waiting on her oncotype results. She had a lumpectomy and 2 lymph nodes removed. There was cancer in one. Her dr. is waiting on the oncotype results to determine if chemo is needed. I thought if cancer is in the lymph nodes, it is automatic chemo. Is this not correct? Did anyone have cancer in their lymph nodes and not have chemo? How is the cancer effectively removed and not spread then?

I am worried about my friend. Thank you.

Surgery 8/12/2020 Mastectomy; Mastectomy (Left); Prophylactic mastectomy; Prophylactic mastectomy (Right) Chemotherapy 9/30/2020 AC + T (Taxol) Dx IDC, Left, 4cm, Stage IB, Grade 2, ER+/PR+, HER2- Radiation Therapy Breast, Lymph nodes
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Mar 27, 2022 05:53PM hopeful82014 wrote:

Hi - I've sent you a message on this topic.

Dx IDC, HER2-
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Mar 27, 2022 07:06PM homemom wrote:

I'd like to know too. I know someone who was diagnosed a couple of years after me,had a couple nodes positive, but no chemo. I want to say it has something also to do with grade and size of tumor?

Dx 3/31/2014, IDC, 2cm, Stage IIB, Grade 1, 3/29 nodes, ER+/PR+, HER2- Surgery 4/15/2014 Lumpectomy; Lumpectomy (Left) Surgery 5/6/2014 Lymph node removal; Lymph node removal (Left): Underarm/Axillary; Mastectomy; Mastectomy (Left); Reconstruction (Left): Tissue Expander Chemotherapy 5/30/2014 AC Chemotherapy 7/25/2014 Taxol (paclitaxel) Radiation Therapy 10/16/2014 Hormonal Therapy 12/15/2014 Arimidex (anastrozole)
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Mar 27, 2022 07:23PM sarah_78 wrote:

I got the following for you from NCCN guidelines for BC:

It says the gene tests would show if chemotherapy has a benefit or not, probably your friend is waiting for the result of that test.

DIagnosed at 43, Hodgkin's Survivor (at 33) Chemotherapy 9/24/2021 Other Targeted Therapy 2/1/2022 Kadcyla (T-DM1, ado-trastuzumab) Targeted Therapy 3/1/2022 Kadcyla (T-DM1, ado-trastuzumab) Dx IDC/DCIS, Left, 5cm, Stage IIIA, Grade 3, 2/11 nodes, ER-/PR-, HER2+, IHC
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Mar 27, 2022 08:46PM alicebastable wrote:

I had a positive node and no chemo. I think if it's more than 3 nodes, chemo is automatically given. Anything lower gets the Oncotype run, and for people like me with a low enough score, it can mean no chemo. My oncologist was surprised that my score was low enough.

Ignore treatment info (below) which is a BCO glitch. Do not enter personal information on this site since they grossly mishandled a data breach.
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Mar 27, 2022 09:04PM hopeful82014 wrote:

I was stage IIA with positive nodes and a high-moderate Oncotype score. However, I'd also had a strong response to neoadjuvant letrozole. One MO strongly urged chemo (TCx4) and another said she thought I could go either way. I did not do chemo. I did do 5 years letrozole and am continuing on tamoxifen. So far, so good. Knock on wood.

Dx IDC, HER2-
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Mar 27, 2022 09:39PM - edited Mar 27, 2022 09:40PM by startnew12212

This Post was deleted by startnew12212.
Surgery 8/12/2020 Mastectomy; Mastectomy (Left); Prophylactic mastectomy; Prophylactic mastectomy (Right) Chemotherapy 9/30/2020 AC + T (Taxol) Dx IDC, Left, 4cm, Stage IB, Grade 2, ER+/PR+, HER2- Radiation Therapy Breast, Lymph nodes
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Mar 27, 2022 09:40PM startnew12212 wrote:

Thank you, everyone!

Surgery 8/12/2020 Mastectomy; Mastectomy (Left); Prophylactic mastectomy; Prophylactic mastectomy (Right) Chemotherapy 9/30/2020 AC + T (Taxol) Dx IDC, Left, 4cm, Stage IB, Grade 2, ER+/PR+, HER2- Radiation Therapy Breast, Lymph nodes

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