neo adjuvent chemo and SNB

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rozem
rozem Member Posts: 1,375
edited June 2014 in HER2+ (Positive) Breast Cancer

hi all

This is a question to all you ladies that have had neo adj chemo.  I just had surgery yesterday and they tell me all my sentinal nodes were clear so they did not have to remove any axillary nodes.  I am happy about that as i know there are risks of lymphedema etc with removing all lymphs.  My only concern is that i hear the false-negative rate is 5-10% - so for 5-10% of patients even if the SNB is clear they still had infected axillary nodes.This concerns me as i already did my chemo - I am doing rads thoiugh

thanks so much - this place is so helpful!

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  • ReadingMama
    ReadingMama Member Posts: 573
    edited January 2012

    Interesting.  I don't have an answer, but my BS had told me with neo adj chemo (which I had) means you have to have the ALND because, assuming the chemo works, they can't tell is the nodes had cancer in them or not.  In my case, I had a positive node biopsy before chemo, so she told me I would definatley get ALND.

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