Confused on ILC DX
I have been diagnosed with ILC ER/PR+ HER neg.
I was looking around and I see some with same diagnoses and grade 1 that are stage IV node negative. How does this happen?
Thanks
Jan
Comments
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Hi, Jan ~ I had bookmarked this thread last night, hoping someone else would come along and answer it. But since no one has, I'll take a stab at your question and hope it will bump the thread for you for more input.
I think one of the ways it can happen is that occasionally women are not thoroughly or correctly dx'd from the get go. If you don't have an MRI, for example, it could be possible to have a lumpectomy and leave additional bc undetected. Something like that happened to me, but thank God, a new medical team caught the problem. And I think occasionally women are already Stage IV, but it's missed in the initial workup.
As far as the bc bypassing the nodes, I think either it was in a node that wasn't taken (sometimes we have more than one sentinel node), or it migrated via the bloodstream and totally bypassed the nodes.
That's the best I can do, so hopefully someone else will be along with more input. Deanna
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Hi Jan, Nothing to add to Deanna's thorough response. May all go well with your surgery tomorrow. Here's hoping for negative nodes, low Oncotype, and quick recovery. G.
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Thank you for your response.
I finished my surgery on Monday 9/20 with 5 nodes removed (including sentinel) and all negative.
Waiting on oncotype score.
Thanks again
Jan
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It could also just be how women input their status information, given the spaces available and the information they want to share. User error or perhaps incomplete updating of information with a change in stage. It's common with an early-stage diagnosis to go looking for people who perhaps had what we have but now are Stage IV. It's not that "simple," and the Stage IV women don't input their status information for our benefit - Stage IV trumps all of the other bits of information, so it's not important. I think if I were to find that I had mets, I'd just say, "Oh, crap," and update my stage status - I don't think I'd go back and update everything else. In addition, the approach is so different when it's Stage IV. They don't necessarily go back and take out more nodes - often removing nodes is for the purpose of staging, anyway, and certainly if you have mets, they know the stage, if that makes sense. So if you started with a small low-grade tumor and a clean SNB, but then at some point later mets were found, do you have new node information to post? It's not material at that point...
I think we tend to be so surprised by the initial diagnosis that we vow to learn everything we can to avoid another surprise, like mets. But to some extent, cancer is going to do what it's going to do, so all we can do is learn what treatments might best help us out and then go forth and live our lives...
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This can happen but statistically not common. Like someone mentioned it could get in through the bloodstream by passing nodes. There could have been a micro invasion that already left the node. I sure there are a bunch of other things too.
And just because a cancer cell does get into the blood stream it doesn''t mean it will grow in another part of the body. You body might say "hey this is a breast cell, it doesn't belong here" and get rid of it.
Don't expect the worst. Easy to do expect the worse when first diagnosed. I know I did. After surgery I actually ended up with a better diagnosis/prognosis than they thought.
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Hi Jan, It's good to hear that you are recovering well and that the nodes were negative. Rest up! G.
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