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Topic: Mets to mediastinum and hila

Forum: Stage IV/Metastatic Breast Cancer ONLY —

A place for those managing the ups & downs of a Stage IV/metastatic breast cancer diagnosis. Please respect that this forum is for Stage IV members only. There is a separate forum For Family and Caregivers of People with a STAGE IV Diagnosis.

Posted on: May 23, 2018 06:29PM

Lnf wrote:

I had a visit with my oncologists today. After 3 months on ibrance and letrozole I had stable breast tumor with shrinking lymph nodes. I also had a newly enlarged left hilar lymph node and two enlarged right hilar lymph nodes. Also numerous new and enlarging pulmonary nodules through both lungs now. My oncologist had asked me if I had smoked. Then he went on to mention possibility of lymphoma. When I mentioned the possibility of the nodes in the chest having a different hormone receptor, he didn't say much. I came home and I went online and was reading about breast metastasis to the hilar lymph nodes. I was unable to find much information. I will have another lung biopsy in about 3 weeks. The waiting is really hard to find out whether this is breast metastasis or possibly a different type of cancer. I was just wondering if there's anyone else out there who's had breast metastasis to the hilar lymph nodes.

Dx 2/5/2018, IDC, Right, 4cm, Stage IV, metastasized to lungs, Grade 2, ER+/PR+, HER2- (FISH)
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May 23, 2018 11:07PM Chowdog wrote:

Hi Lnf,

I have BC mets to one of mediastinum lymph nodes (15mm) and enlarged hilarity lymph nodes. I had bronchoscopy done and the doctor was able to get enough sample from the 15mm lymph node to confirm it was BC mets and hormone status.

Dx 6/2007, IDC, Right, 3cm, Stage IIA, Grade 2, 0/3 nodes, ER+/PR+, HER2- Surgery 7/1/2007 Mastectomy: Left, Right Chemotherapy 8/14/2007 AC + T (Taxol) Hormonal Therapy 1/9/2008 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone), Zoladex (goserelin) Hormonal Therapy 2/11/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone), Zoladex (goserelin) Dx 2/12/2018, IDC, Stage IV, metastasized to brain/bone/lungs, ER+/PR+, HER2- Radiation Therapy 3/18/2018 External: Brain Targeted Therapy 4/8/2018 Ibrance (palbociclib) Hormonal Therapy 4/8/2018 Femara (letrozole), Zoladex (goserelin)
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May 25, 2018 01:42AM Ashlyn wrote:

hi LNF

I had BC mets to these same regions. Diagnosed originally in 2012 stage 2B. Then July 2017 found out it was in a cluster of mediastinum nodes (subcarinal, under my trachea) and hilar nodes. MO also wondered if they were a lymphoma. bronchoscopy confirmed ER+ HER2- same as before. I had both areas radiated in Sept and they are back to normal size. On Ibrance and Letrozole since Oct. Lung mets stable after 3 months. Starting cycle 8 next week

DX 28 - stage 2B ; DX 34 - stage 4 (lung, mediastinal nodes) • PALB2+ A946-1038del (confirmed Apr '18) • RECQL variant (A503V) Dx 1/3/2012, DCIS/IDC, Left, 2cm, Stage IIB, Grade 3, 1/12 nodes, ER+/PR+, HER2- Surgery 2/8/2012 Lymph node removal: Left; Mastectomy: Left; Reconstruction (left) Chemotherapy 4/3/2012 AC + T (Taxol) Radiation Therapy 9/10/2012 Whole-breast: Breast, Lymph nodes Hormonal Therapy 11/2/2012 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy 5/20/2014 Zoladex (goserelin) Hormonal Therapy 9/1/2014 Femara (letrozole) Hormonal Therapy 3/1/2016 Aromasin (exemestane) Dx 7/10/2017, IDC, Left, Stage IV, metastasized to lungs/other, Grade 2, ER+/PR+, HER2- (FISH) Hormonal Therapy 7/12/2017 Zoladex (goserelin) Hormonal Therapy 9/14/2017 Femara (letrozole) Radiation Therapy 9/21/2017 External: Lymph nodes Targeted Therapy 10/15/2017 Ibrance (palbociclib) Hormonal Therapy 11/13/2018 Faslodex (fulvestrant)

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