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Topic: Negative sentinel node biopsy

Forum: Lymphedema — Risks, tips for prevention, and info about products that can address the symptoms of lymphedema.

Posted on: Nov 6, 2019 09:18AM

BennyV wrote:

Jus had surgery yesterday and instead of doing Axillary lymph node dissection I requested to get a sentinel node biopsy anyway thankfully it came out negative... So my question is if it can me out negative do I still have to do radiation after this... Didn’t see my doctor afterwards Bc she was scheduled for another surgery after mine.. can someone hel

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Nov 6, 2019 10:17AM Spoonie77 wrote:

I'm not what your actual dx is/will be after pathology. Wishing you a quick healing!

As to your RADs question, even though for me my nodes came back negative, I still needed 4 weeks of Radiation. Everyone's case is different though, so I'm not sure what you will need of course, but it's still likely that some sort of RADs will be needed. At least that seems to be what is the usual protocol for IDC.

Oncologists have explained it to me that surgery treats you in the specific location, radiation treats you for generalized local spread, and endocrine therapy is the systemic treatment body wide.

Was there talk of RADs for you prior to your surgery? IMO if there was, I would think that would still be on the table.

Can you call your nurse navigator with your questions?

"Spoonie" who entered BC World @ 41. DXd w/MS & Thyroid Cancer @42. Treatment: LX/SLNB/RADs. Plan A: 5mg Tamox = 0 QOL. Plan B: OS/AI = Rare allergy to OS meds. Plan C: Only option left,  Diet & Exercise. PS: Not a dr, just a Googler. Dx 7/20/2018, IDC, Left, 3cm, Stage IIA, Grade 2, 0/3 nodes, ER+/PR+, HER2- (FISH) Dx 8/30/2018, DCIS, Left, 1cm, Stage 0, Grade 2 Surgery 8/30/2018 Lumpectomy: Left; Lymph node removal: Left, Sentinel Radiation Therapy 10/1/2018 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy 3/30/2019 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy 7/2/2019 Zoladex (goserelin)
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Nov 6, 2019 10:25AM - edited Nov 6, 2019 10:34AM by BennyV

Yes there was talk about radiation in the beg after surgery but I feel like 6 wks is extreme.. The plan was chemo for 5 months Axillary lymph node dissection after chemo the radiation for 6 wks everyday... But instead I did the chemo and a sentinel node biopsy was done..Hope they reduce the 6 wk radiation part since the biopsy came out negative.. thank you for replying back

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Nov 6, 2019 10:30AM Ingerp wrote:

The total amount of radiation is standard and typically administered over 20 days or 33 days. I had 20 days in 2016 when it was just DCIS but 33, which is recommended after chemo because the skin doesn't hold up as well. The 33 days is a bit less each time.

Dx 3/11/2016, DCIS, Left, 6cm+, Stage 0, Grade 3, ER-/PR- Surgery 3/23/2016 Lumpectomy Surgery 4/20/2016 Lumpectomy: Left Radiation Therapy 5/18/2016 Whole-breast: Breast Dx 3/2/2018, IDC, Right, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2+ (FISH) Surgery 3/13/2018 Lumpectomy: Right; Lymph node removal: Sentinel Targeted Therapy 5/18/2018 Herceptin (trastuzumab) Chemotherapy 5/18/2018 Taxol (paclitaxel) Radiation Therapy 8/20/2018 Whole-breast: Breast
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Nov 6, 2019 10:33AM BennyV wrote:

Thank you for replying bac

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Nov 6, 2019 12:38PM ItsHandled444 wrote:

Did you have a lumpectomy? I had no lymph node involvement and still needed 6 weeks of radiation and 5 years of Anastrozol, I am thinking this is common after a lumpectomy but everyone is different. Wishing you a quick recovery from your surgery!
Hugs!

Dx 12/26/2018, DCIS/IDC, Right, <1cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2- Surgery 2/27/2019 Lumpectomy: Right; Lymph node removal: Sentinel, Underarm/Axillary Radiation Therapy 4/15/2019 Whole-breast: Breast Hormonal Therapy 6/17/2019 Arimidex (anastrozole) Surgery Lumpectomy: Right; Lymph node removal: Right, Sentinel, Underarm/Axillary
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Nov 6, 2019 03:19PM - edited Nov 6, 2019 03:20PM by BennyV

No I didn't have a lumpectomy... the cancer was in the Axillary (armpit) only.. The doctors wanted to do an Axillary lymph nodes dissection..But ask the doctor if they can do a sentinel node biopsy which came it negative 🙏🏼 If it was positive then they where going to do the whole Axillary lymph nodes dissections.And Thank you 🙏🏼

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