negative nodes ending up with Mets - numbers?
Comments
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Have any of you seen the following web site? It's interesting to see what happens when you make changes even with the size of the tumor. This is one of my favorite sites.
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ReneeS - I'm new to this site and appreciate all the info that I have rec'd from everyone in just afew short days. Thx for the web site it was helpful. I found another good site that provides adjuvant therapy effectiveness scores. It is : adjuvant!online
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Renee, that's an interesting calculator. It only stages me as IIa, but my onc staged me at IIIa. I wonder why the difference?
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JanMarch - this was discussed on another thread called "Tumour location! and mets". Here's a link to that thread (I'll also bump it up):
http://community.breastcancer.org/forum/105/topic/736258?page=1
Here's a link to a page here at bc.org that shows you the location of all nodes:
http://www.breastcancer.org/pictures/breast_anatomy/axillary_lymph_nodes.jsp
Here's a link showing the quadrants of the breast:
http://training.seer.cancer.gov/breast/anatomy/quadrants.html
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Nancy - it is tumor size. If I change my tumor size to 5cm, but leave everything else the same, it stages me at IIb too. I thought anything over 5cm with node involvement put you into Stage 3...? Or any size lump with more than 3 nodes was Stage 3 also.
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Thanks, Swimangel! That's very helpful.
I've often wondered (not obsessed about, but just wondered) about my sentinel node biopsy. I got one injection at the top the nipple, instead of the usual 4, and my tumor was located at the 6:00 position way down at the base of my breast (about as far from the nipple as you can get). Only one node turned blue and it was clear so no more were removed. Do y'all think that is enough? I think I'd feel better if the surgeon had removed a few more, even if they weren't sentinel nodes. Also, with the position of the tumor I'm not confident that the one injection in the aereola would necessarily highlight the correct nodes. Not trying to look for a problem, but it's been nagging at me.
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Jan we have the same dx and the same location..I did the cancermath chart and just by putting where my tumor was close to the chest wall even though no nodes were involved it put me at stag 3!....If I leave the info out about the chestwall it puts me at stage 1!........Not sure which to believe now......
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Kerry, your info is what my onc used. Based on the four nodes, he put me at IIIa. But the pathology report said my tumor was 1.5 – 2 cm, and even with four positive nodes, that comes out to IIa with this calculator. Well, anyway, I'm glad I was treated as a IIIa...got the sink thrown at it, lol.
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I am Stage IIIb but came out a stage II on the calculator. Has anyone here been anything else? I know with the way it is set up it does not include multi focal girls like me.
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Jan--I heard sometimes they do the whole dose of blue dye or iodine as one shot rather than 4. I wouldn't worry--I doubt they skimped on it. Also I would be happy that they didn't take a lot of nodes. I wouldn't worry about it--as someone said "don't borrow trouble".
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The adjuvant therapy selected may be expected to extend that expectancy by 0.7 years, or 247 days.
WHAT??? Really?
How can that be right? I just put in Tamoxifen because that is what my oncologist is recommending. I am going to ask her if taking Tamoxifen for 5 years really only adds this much benefit!
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Allie - I'm not trying to borrow trouble. I'm asking a question - how is that borrowing trouble? I'm certainly not wishing for a worse-case scenario! But being diagnosed with BC at the age of 41 has scared the bejeebers out of me, even if I am "only" Stage I. Sorry to come off sounding harsh, but it's frustrating to ask questions on a support board only to be told I'm borrowing trouble, and to be made to feel that my fears are unfounded. When it comes to cancer I don't think any question is unwarranted.
Edited to say that again, sorry for jumping on you, but I'm having a bad day. I have nobody to talk to about any of this as I personally don't know one person who has had BC (except my grandmother, and she sadly died from it, which probably contributes alot to my fear).
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JanMarch, you chose a relatively aggressive surgical option for your stage, so that tells me you want to be pro-active, and the fact that you are on this thread tells me that you may be concerned that you haven't done enough.
The best place to address those concerns is with your surgeon and/or your oncologist if you have one, and if you don't, maybe a second opinion type consultation with one would help ease your fears. Every potential treatment has risks as well as benefits, and in your situation, the risks may well outweigh any potential benefit, but no one on this board can make that decision for you. You have to make it in conjunction with your doctors.
I don't think Allie was trying to denegrate your fears, I think that she was trying to reassure you.
A year ago, if I coughed, my first thought was always "Is it mets?" The fact that wind was blowing pollen into my throat was way down on my list of possible causes. At this point, I'm pretty confident that the tickle in my throat on a high pollen day is not a big deal. Time helps, and it will help you too. In the meantime, if you need more detailed answers, ask the doctors who can provide them. I hope they can give you the confidence you need to really enjoy the rest of your (hopefully very long) life.
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You're right, I'm sure that wasn't Allie's intention at all. Like I said I'm having a bad day, which I won't go into here. I do plan on asking my doctors my questions at my next appt. Sorry to have offended anyone.
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Alright...I went to the calculator put in my info..it was bang on T3,N0,Mx0 - Stage 2B.
28% chance of dying from BC in 15 years....Why do these calculators NOT take in the fact of one who did Herceptin or rads?!!!!!!!!!!!!!!
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Jan I'm sorry your having a bad day. I was diagnosed at 30 ..its been almost 2 years I'm still scared..things get better. If you need to chat or vent you can PM me when ever..talking things out help especially with someone who has gone down the road already.
Be Well.
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Hi jan, I have the same dx as you...I too did the radical thing.....I had bilat masts with innediate TRAM recons.......I did not do chemo and have been second guessing my doctors decision ever since.......I just talked to Kim, my onc nurse, and she was so helpful...I too am having a bad sad day and it is hard when you have those days and then get to thinking about recurrence and our chances of survival...I call these days my really bad morbid days, cause I feel really bad and all I do is think morbid thoughts.......I PM'd you, jan..............
Lexis, so sorry...You are way too young to have to be dealing with this crap!.......
Can I just this much.....CANCER SUCKS AND I HATE IT!......
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LLove
Now cut that in 1/2 with Herceptin and then another possibly 30% for Zometa and all the other good things you have done.
Go back to the Her2 review, you will be ok!
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LOL!.. Back to Herceptin 101..I go!
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Oh no Jan--sorry! That was not my intention at all. In fact, I got that response from someone else when I was first dx'd b/c I questioned (and re-questioned) everything. I was also dx'd early--at 42 with no family history so believe me, I was (am) trying to understand where the heck this came from and how best to treat it.
I did ask my onc about the internal nodes and whether they should have been checked. She said knowing my surgeon, he had probably scanned them before going to the sentinel node. I haven't asked him yet but will.
Keep asking whatever makes you feel better (of drs also). You have to live with your decisions so need to feel comfortable with them...
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Docs don't scan internal nodes as they are under the breast bone and not accessible. They are hard to biopsy for that reason, too. I had a bunch scooped out with my breast that had micromets. I want to know what they're going to do about it as my tumour was at 6 o'clock VERY low on my breast against the chest wall, which is probably why it was missed on yearly mammos until my nipple started bleeding, which, apparently, had nothing to do with my tumour. Go figure. There are intra mammary nodes as well, very confusing. I'm pretty sure with how low my tumour was (bra line) that mine drained into my chest nodes and not through my armpit nodes.
I finally see an onc tomorrow for the FIRST time. I hope she is up on her info and I know I can't dump all these questions on her....can I?
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Yes Barbe - you CAN ask your onc all these questions - and you SHOULD! Since it's your very first visit, the onc should spend quite a while with you. Good luck and let us know what happens!
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Lexi, you should use the conditional outcome program and type in that you are two years out (and also look at your stats for cancer, not overall risk of death). When i put in my stats as if newly diagnosed, I get a 20% chance of dying of cancer. But now that I am almost 5 years out, the chart says I have an 8% chance of dying of breast cancer. Woo-hoo! The farther you've come, the farther you've come.
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Now Member, we know that stat will change as soon as you are 5 years out and actually go higher! Try it on the chart, someone explained it to me months ago and I can't remember the logic. Maybe as we get older our risks rises anyway?
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I just did the calculator and something is off. I had no node involvement and a 2.6 cm tumor. Stage IIa, the calculator calls me Stage IIb. Also, how do you deal with the histological question, it was invasive ductal, but described as having tubular and cribiform patterns, and mentions schirrious--so which one do I choose? Very different outcomes depending on which I choose. It was actually two tumors near each other and the pathologist measured them as one, based on ultrasound, both were smaller than 2cm, so onc said think of yourself as Stage1. I'm confused
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MOTC...I will re try. I never thought in a gazillion years I'd be happy about getting older!.. Too funny!
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Oh my tumor was positioned around 11:30 Upper/Outer , Right breast...so what does that mean?
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Oh joy...I entered my age now (32) it only made a 1% difference...lol
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Nancy..it stages me at IIa and I'm a II. You're right though. with 4+ nodes you should be at least a III,
Sounds like the site has a few glitches.
What's with the map. I'm too tired to read all about it. Okay, I'll save it for later.
Barbe.....Glad you're finally seeing an onco.
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My tumor was located in the lower inner quandrant and before I saw the surgeon I saw a study that showed that women with cancer in this area die twice as fast as those with upper outer quandrant areas because the internal mammary chains are not tested for mets. I asked my surgeon if he would take some of these for sampling and he said "it isn't the standard." Also, he informed me that I would need a thoracic surgeon to crack my sternum to get at them and for a stage I it was far too invasive a procedure to do. The onc agreed. However, when I went for the BRCA testing at the Cleveland Clinic the genetic dr I saw informed me that the Clinic is actually doing research on this right now. So, here I am loaded with knowledge that could prolong my life and I can't find a dr. to listen. I have not had any scans done to get a baseline (mets or not) so I am- in my mind falsely staged at I. If I step out of my Community Care Hospital for treatment than I will be paying out of pocket expenses that I cannot afford. I too HATE insurance companies. Is there anyone in the Cleveland Ohioarea who has an onc/surgeon that listens?
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