Angiogenesis vs. Lymphovascular Invasion

shlee

I was treated with bilateral mastectomy for 1.2 cm tumor and it went very well. I had no positive nodes. HOWEVER, I have become very concerned after doing research on breast cancer. I have heard that even if there are negative nodes, there can be lymphovascular invasion which could mean metastatic disease. I have had no tests other than chest XRay to determine whether I have metastatic disease. On original ultrasound it says "hypoechoic region with some evidence of central blood flow." 

This is sort of a technical medical question but if any of you can help calm my fears or let me know what i am dealing with i would greatly appreciate it. I am very confused because i have read that for a tumor to become invasive (and if it is bigger than a pinhead) that it experiences angiogenesis, its own blood supply. I have also read that angiogenesis has something to do with lymphovascular invasion. I am confused by this and am very worried that "central blood flow" from the original ultrasound could mean that i have lymphovascular invasion which could mean even though it is not in my lymph nodes it could have bypassed my lymph nodes and gone somewhere else in my body. But if every tumor bigger than a pinhead has to form its own blood supply, then is this what central blood flow refers to. To add to this, the original place i had the ultrasound is really crappy and bad so maybe they dont know what they are talking about, but i am scared. No one from the new doctors office at top cancer center has told me anything about lymphovascular invasion and didnt mention anything after surgery. Would this be something they would have told me. 

I am so distressed about this and have to wait until after thanksgiving to know of the pathology report where it would tell me. I don't have any symptoms, but i have lost a lot of weight over the past 2 years. People always remark how i look "too thin" or "really thin" and i am even the same size as my 20 yr old daughter. I HAVE really been trying to lose weight (i was about 20 pounds overweight before) due to another health scare a 2 yrs ago which is better now. I just decided i wanted to be healthy after that. I eat mostly fruits/vegetables/soups/yogurts/cereal, walk everyday, exercise every morning. I was able to become size 2/4/6 at 5'7, but I am now fearful that maybe i really shouldn't have gotten such good results with my diet and that it was the breast cancer all along. 

Anyway, I am just very scared. It all seems so unknown and i am just not confident in the fact that i will survive this. I read all these horrible statistics on the internet that 1/2 patients develop mets during their lifetime and eventually pass from breast cancer. I am not sure whether this is true, but i have definitely known more women that have died from this than have survived. I just want to be here for another 20 or 30 years for my kids. Something will eventually take me i know, but i jsut want this time.

Anyway, if anyone can help me answer these fears, i would be so thankful to them. Thank you and happy Thanksgiving!