micro mets in one sentinal node

Options
tibet
tibet Member Posts: 545
edited June 2014 in Triple-Negative Breast Cancer

I had 1mm micro mets in one sentinal node and all other 21 nodes are clear as I had mastectomy and desection of nodes. Does any one know if that means it is almost like node negative? I read last year 07 San Antonio conference, saying that micro mets in one sentinal node is considered as node negative since there is no survival difference comparing to the node negative. However, I am still bothered by the fact that there is tiny little stuff in the one sentinal node.

· Share on FacebookShare on Twitter

Comments

  • Emily2008
    Emily2008 Member Posts: 605
    edited December 2008

    I think it depends on who you talk to.  Undecided

    My bs would say that you would be essentially node negative, and treat you as such, while my onc would say a pos. node is a pos. node, and treat you as such.

    No help, I know.  Yet another gray area in bc txt.

    · Share on FacebookShare on Twitter
  • KKing
    KKing Member Posts: 425
    edited December 2008

    I was positive for one node..micro as well.   I was still given chemo as it was considered invasive.

    Good luck

    Karen

    · Share on FacebookShare on Twitter
  • ravdeb
    ravdeb Member Posts: 3,116
    edited December 2008

    My surgeon had said he would not do anything if is was micro.

    You would get chemo anyway because of the triple neg since this is the only treatment there is (besides radiation).

     I would not be too concerned...easy for me to say..mine was clear. Sorry I'm not much help...

    · Share on FacebookShare on Twitter
  • Tamara67646
    Tamara67646 Member Posts: 293
    edited December 2008

    My experience has been the same as Emily's - some consider it node negative and follow those proctocals and others consider it node positive.  My medical oncologist considered it node positive and used the chemo protocal of 6 tx of TAC.  But, Oncotype DX was available to me because they considered me node negative. 

    I have taken the view that no cancer in the sentinel nodes would have been better but less cancer found is better than more found. Iit is what it is regardless of what stage you want to call it.

    I know - not much help

    Tamara

    · Share on FacebookShare on Twitter
  • EleanorJ
    EleanorJ Member Posts: 752
    edited December 2008

    I do have a micro met as well, mine is 2mm. I was told by my onc that 2mm is the small possible saize to be able to call it positive. Actually 1/3 pathology report say I have a positive node of 2 mm, the other 2 aren't mentionning it.

    · Share on FacebookShare on Twitter
  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited December 2008

    Hi there,

    If I were you, I'd insist on radiation at the very least. Triple neg is very aggressive, and even a micromet can start growing and cause a recurrence.

    Love,

    Annie

    · Share on FacebookShare on Twitter
  • tibet
    tibet Member Posts: 545
    edited December 2008

    Hi annie

    I had a full desection of all nodes after they found the micro mets of 1mm in the sentinal node and a mastectomy. All the nodes were clear so they told me I don't need radiation as there is no place to radiate. But I am on aggressive chemo, dense dose AC and Toxol plus carboplantin.

    · Share on FacebookShare on Twitter
  • joannnc
    joannnc Member Posts: 119
    edited December 2008

    I had micromets in one node out of 22.  This was AFTER 8 treatments of dose dense chemo.  So who knows - there may have been more nodes involved. 

     I had radiation since I had lumpectomy.

    I have over 5 1/2 years cancer free. 

    Love to All, JoAnn

    · Share on FacebookShare on Twitter
  • tibet
    tibet Member Posts: 545
    edited December 2008

    hi Joann

    Did they desect the node with micromets in or the radiation took care of it so that micromets node ws not removed?

    · Share on FacebookShare on Twitter

Categories