We are 226,651 members in 82 forums discussing 158,896 topics.

Help with Abbreviations

Topic: Surgeon conflicting each other???

Forum: High Risk for Breast Cancer — Due to family history, genetics, or other factors.

Posted on: Feb 27, 2008 06:07PM

Carly68 wrote:

My mom due for surgery 3/7/08........Now the surgeon says that she will not be duing sental nodes just a modified radical mastecomy with aixilery nodes ,,,,but my mom is triple negative and invasive ductal 2cm....she says if she finds postive nodes thanfurther treament will  be nessacery......but if not than she will be recomending further treament......our seocund opion is saying they want to look at the nodes (sentnels)......but they want to set appointment for April........what ....i cant seem to convince(surgeon 1) the to get to the sentals......any comments for this are sentanels really that imprtant than the others?

Dx 2/5/2008, IDC, 2cm, Stage II, 0/12 nodes, ER-/PR-, HER2-
Log in to post a reply

Page 1 of 1 (1 results)

Posts 1 (1 total)

Log in to post a reply

Feb 27, 2008 07:21PM - edited Feb 27, 2008 07:22PM by leaf

I've never had invasive, so I can't comment from personal experience.

In other medical issues, I've had 5 different specialists disagree with each other, giving opinions 180 degrees apart. It makes it very hard to choose which is the best decision for you.

From what I can read in Dr. Susan Love's book, sentinal node biopsy is most appropriate when the tumor is unicentric, less than 5 centimeters, no previous chemotherapy or radiation, no large resection in the upper outer quadrant (more than 6cm), and no palpable nodes. She recommends asking the surgeon what percentage of the time the surgeon has been able to finde the sentinal node, and says it should be at least 85% (she says in experienced hands its 90-95%.)

From what I understand, the SNB is to save the risk of doing further axillary dissection, and having an increased risk of lymphedema.

I hope others with more experience will correct and add to my comments.

This must be a very hard time for you. Best wishes in coming to a decision for this.

Classic LCIS.If knowledge can create problems, it is not through ignorance that we can solve them- Isaac Asimov Dx 12/8/2005, LCIS, ER+/PR- Surgery 1/24/2006 Lumpectomy: Left Hormonal Therapy 7/15/2006 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)

Page 1 of 1 (1 results)