Topic: How to tell if it is a new primary or local recurrence?

Forum: Second or Third Breast Cancer — For those confronting a new primary diagnosis or undergoing treatment.

Posted on: May 4, 2022 04:32PM - edited May 4, 2022 04:34PM by cathy67

Posted on: May 4, 2022 04:32PM - edited May 4, 2022 04:34PM by cathy67

cathy67 wrote:

Ladies,

My first diagnosis was in 2019, lumpectomy plus radiation, then hormone therapy without chemo. Now after 2 years 8 months disease free period, there is a 5mm suspicious nodule, I just got biopsy today.

I am studying how to handle this one if it turns out bad one again. It is 5x4x5mm on ultrasound, same side as last one, but not in surgery area, at least 6cm distance to the original site. If it is, is this a 2nd one, or a local recurrence? I must know it, cause I found NCCN guideline does not include this info, and local recurrence's recommendation will be mastectomy. But if it is a new primary, then 5mm won't need mastectomy, another concern is that, I heard radiation can only do once in life time? Is that the reason lumpectomy can not be done again? My cancer was on right side, I don't need to worry about damage to heart, and I did very well last time for radiation.

Any comments welcome! I still prefer lumpectomy otherwise I won't ask this question.

Anybody experienced two times cancers but still keep breast?

My appt with oncologist is May 13.

Thanks.

Cathy

Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/9/2019 Lumpectomy; Lumpectomy (Right); Lymph node removal Hormonal Therapy 11/19/2019 Arimidex (anastrozole) Radiation Therapy 11/26/2019 Whole breast: Breast, Lymph nodes
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May 10, 2022 02:44PM cathy67 wrote:

1982m,

I read the article you mentioned here, yes, it is key to tell whether it is another primary or true recurrence, if mine is another primary, I am okay to accept lumpectomy, with partial breast radiation, I think they can do partially for the new site only, at least like the boost radiation to the old site. Right now, I believe most of the recurrence will be small size, and early stage has long and long survival years, this question will be raised up more often.

Thanks.

Cathy

Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/9/2019 Lumpectomy; Lumpectomy (Right); Lymph node removal Hormonal Therapy 11/19/2019 Arimidex (anastrozole) Radiation Therapy 11/26/2019 Whole breast: Breast, Lymph nodes
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May 13, 2022 05:54AM cathy67 wrote:

Biopsy back normal, thanks for everybody's inputs!

Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/9/2019 Lumpectomy; Lumpectomy (Right); Lymph node removal Hormonal Therapy 11/19/2019 Arimidex (anastrozole) Radiation Therapy 11/26/2019 Whole breast: Breast, Lymph nodes

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