So many lymph nodes
Comments
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Terry, I had 7 nodes as well. My tumor shrank a lot during neo-adjuvant, the nodes? Not so much.
I drove myself nuts for a while with the stats and what-ifs. Then I somehow gave it up. I am almost 2 years out. I take my femara, eat sensibly, go to the gym and try to laugh every day. So far, it is working. If the cancer comes back, it comes back. I refuse to let the possibility ruin today.
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Remember, there is no rhyme or reason to who will progress or not. I know some ladies who were diagnosed DCIS, Stage 0, who progressed and are sadly no longer with us. There is no magic 8 ball to tell what our future will be. Being stage 3 and/or having positive nodes makes the odds higher but they are still just odds. I was diagnosed with Triple Neg Inflammatory BC with a 40% survival rate past 5 years and yet I'm STILL here annoying people on this board who hate my guts and wish I'd just give in to the odds already. ROFMLAO! I'm just too ornery to give them that pleasure.
The best we can do is hang onto hope, our faith in G-d, and determine to live each day as it comes. -
By the way, is that AryaS for Arya Stark? I love Game of Thrones too!
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Terry--I had 10 of 16 nodes after neoadjuvant chemo. Same thing--my tumor shrank but did not go away, and maybe some nodes got better but obviously some did not. I was shocked because no one had told me from my MRI at diagnostic that my armpit looked like a clump of spaghetti with all the lit up lymph nodes! Anyway, I'm doing great, back to my very busy life (even busier), able to do everything I want, one year out of treatment and approaching 2 years from diagnosis in August. Dealing with the knowledge of my node status and all of the statistics does get easier as time passes.
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Thank you all so much for the response. I really needed it. From some of your diagnosis and post I wonder why my doctors haven't brought up ovary removal. I'm 54 and was still premenopausal before the chemo. My onc suggests beginning tamoxifen along with the radiation and possibly changing the tamoxifen in a couple years. I'm anxious to get back to somewhat normal life. I have 4 and 5 yr old horses that need to be ridden, 4 dogs that need constant attention, a new found cat that had to be added to the mix. Not to mention the husband, 20 yr old daughter and 17 yr old son. God Bless you all so glad you're here.
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Yes, it's for Arya Stark. I had been listening to GAme of Thrones on Audiobook. I joined here before diagnosis thinking I wouldn't be here long because how could *I* have breast cancer. I gave myself what I thought was a silly name.
Well I have it alright. Yikes.
Good thing Arya is so awesome. -
I love that you chose a powerful name Arya. Someone on these boards said something about "speak it into existence", and so maybe you've applied some power to yourself this way!
I try to believe that since my case was so serious--positive nodes and all that--that I am more serious about kicking *ss and taking names
regarding my ongoing treatment. I say ongoing, because I think diet, exercise, supplements along with tamoxifen and later, femara, plus attitude, are as important as the conventional tx of chemo, surgery, rads, etc.
I wonder at times if I had a dx that was less scary--in situ instead of invasive, or micro-instead of centimeters and positive nodes--I would have just had surgery to remove and then not paid so close attention to all of this, not cared about research, not gone to a NO, not cared about second opinions, etc.
Perhaps a more serious dx makes us more careful and could protect us in the end. It merits consideration, anyway, and it comforts me.
Hugs,
Claire
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Hello AryaS,
I have been where you are, dear. Lots of nodes being positive it not a good thing to hear. (22/29). You will make it through this. Its been three years for me and I am not looking back. I posted the following a while back. It might give you some comfort.
Since June of 2010 when I was diagnosed with stage 3C breast cancer I have cried maybe, 5 times.
1) When I found out.
2) When I had to tell my sons, ages 16 and 20 at the time.
3) When I had to ask my husband to help me bath during chemo.
4) When I had my mastectomy, and had an accident in the bed from the dopiness of the pain pills I was on.
5) My 50th birthday.With that being said, I have awaken every morning thanking God to have been able to wake up.
Pushing myself though each day, no matter how difficult.
Enjoying every moment I am able to spend with my family. We actually spend more time together now than we ever have before.I have seen my oldest son graduate from college and my youngest graduate from high school.
I have so many more things to look forward to.
We have planned a wonderful trip coming up this spring that will give us all great memories to cherish for years to come.
When I go to sleep every night, I thank God for that one extra day he has given me.I look at each day with so much promise.
Don't let this horrible disease define you.
Live your lives, ladies!!!
That was the beginninging of this year, we just got back from our trip. Everyone had a wonderful time and we have lots of memories. You will get there also.
Love and Blessings
Sharon
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I had an 8 cm tumor that put me into stage 3 before surgery. My breast surgeon was so sure that I was stage 4 that she would not operate without a PET scan and my skin was suspicious for skin mets so I also had a skin biopsy prior to surgery. I had 9 positive lymph nodes and my surgeon told me I had the best possible results because the tumor was removed and then I had chemotherapy to take care of the remaining cancer cells. I am 3 years out and though I know that it could return, I do not wake up in the morning thinking about it. Each time I went for chemotherapy, I thought how wonderful that I could still halt this disease and that it was not stage 4.
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I am focusing on great attitudes like yours.
My mantra is "Chemo is Medicine".
I've been repeating this frequently.
Thanks for helping me through this. -
Thank you Mary and everyone else. Mary, I'm waiting for radiation and have a bottle of tamoxifen here. I went through chemo menopause and am showing post. I just wondered whether you took that or one of the after menopause drugs. I believe the plan is to use the tamoxifen until all signs of estrogen are gone. I have horrible hot flashes (actually my worst side effect of the whole mess up til now) and am just not looking froward to even more of that.
Also how do you get your diagnosis to show at page bottom? I made it public but still not there.
Hope you're having a beautiful day.
Terry -
Never mind the last question. It just miraculously showed up.
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I see that it did! To your other question, I did not take Tamoxifen. I am taking Femara. I was 49 at diagnosis, and the chemo through me into menopause on the 2nd treatment. The first couple of months on Femara, I was very stiff particularly when getting up from sitting for a while, but now that has all gone away. I did not and have not had any hot flashes, which is weird. The dr. sent me home with a prescription for Tamoxifen and one for Femara. He gave me a blood test for Estradiol, and then called me when it showed that it was low enough to take Femara. I don't know if it's really quite clear yet whether Tamoxifen and then an AI like Femara or only Femara is best. My onc was talking out loud when making that decision.
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It drives me crazy that the docs/surgeons don't prepare patients by telling them their initial pathology will change after surgery. It makes sense that they really don't know much until they remove the tumor and nodes and analyze them. I too was shocked by the amount of positive nodes I had--13/15, and yes anything over 10 is staged as 3C.
Hang in there and take one step at a time. You can get through this and we'll be glad to help.
Sharon -
Arya, I too went into surgery thinking I was stage 1, came out 3c. bummer. 17 nodes positive.Here I am almost 3 years later, hard to believe. I have had several people tell me stories about others with lots of nodes: My friend met a lady who had 28 pos over 10 years ago and is fine today, my onc has a patient that had 19, tens years ago, my BS had a patient who had 24 or more and that again was 10 years ago. I think I have read somewhere on this site that after a few years we all even out. The nodes did their job!! They caught the beast before it went further. Will it come back? none of us knows. But I can tell you that I cried and was telling my husband where to bury me, nowadays I don't come on these boards often because I am out living. I bought 2 horses and started and am finishing a degree. I don't think about bc that much anymore, I do have my dark moments and freak about every little ache but be POSITIVE!!! Come here often, these gals are the best and there are many inspirational stories. I am so glad to be here to share my story and inspire someone else like I was inspired after my dx. HANG IN THERE GIRL IT DOES GET BETTER!!! HUGS...
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Oh how I can feel for you my dear friend.. I am going on4 years. I was told I had 1 maybe 2 pos. nodes, pre surgery... Well, 10/17 one being over 2cm .. Shocker!! I had a 4 year old and an 8 year old at the time. I really thought I would not see them grow up but, I am!! I will never forget what my BS said to me the day after surgery she walked in and gave me the news regarding all the nodes, she did not expect it either. I said, I want to live, am I going to die? I am so scared! She looked at me and said, you r not going to die you r going to live!! Yes you have a big uphill battle and I did as you do too but, you r going to make it and live!!!!
I am living, most days are so busy and filled with life, I forget I had it! And then there are the days the fear comes and it does come... It also leaves, I pray a lot, and I love my kids with more love then I can even put into words!! I appreciate every good thing in my life and I thank God for my husband who is always there to tell me I am not going anywhere!!!! I pray for my sisters on this forum, are nodes did there job!!! Chemo killed thoughs stray cells and rads was insurance!!! I did take out my ovaries because I was so highly ER pos.. It's been hard but, I have no regrets. .. Tamox is my constant companion and I praise God each time I take the pill!! None of us no why . So don't ask why... Just, dance in this storm? Dance laugh and love the people that love you!! You will be ok.. I promise!! Hi to Sharon, miss you love!!!!
May God keep you all safe and peaceful as you walk through this hard but, doable journey!!!
All my love Sisters!! Stay strong!!!!!
Steph -
I had 18/22 positive lymph nodes and I am very scared about this. I had surgery 2 wks. ago and will see my surgeon this wed. Would love to hear from other people who had many nodes removed and see how you are doing.
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Thanks so much to all of you as well. I am 43 with a family history, but not the gene. I was diagnosed on 5/13 and had surgery on 5/17!! Surgeon found sentinel and one other definitely positive, and was shocked to find out I had a total of 8 positive. I am also triple positive (and I'm sick and tired of hearing "well, it's better than triple negative!" ) Meeting with oncologist tomorrow - I have many more questions after reading your posts. Thank you!!
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Hi Arya,
I had 2/3s of my nodes positive at first diagnosis, wth a very aggressive and huge tumor (9cm, hiding in dense breast tissue, never seen on mammogram) and then zero of the 24 nodes removed were positive after chemo. It was a miracle for me. Right now I am a "NED" (no evidence of disease) and sure hoping for the best.
Hang in there!
Faithfulheart, I love your "dancing through the storm" phrase. That describes life on this crazy roller coaster for so many of us. -
I had 16 positive out of 18 nodes, with exracapsular extension.
I also had an early stage another primary (colon) at the same time.
Since surgery was before chemo, I was obsessing whether chemo was successful.... (No tumor left to observe any shrinkage ...). Living in constant worry, especially that I also had a few tiny (to tiny to diagnose via biopsy) lung nodules.
Finally, 2 weeks ago I underwent an open lung surgery to remove those nodules and know for sure...
Yesterday I was told : no cancer found! Best news ever!
That means: chemo and rads were successful!
I guess having lots of positive nodes wasn't necessarily a bad thing. It didn't leave me any choice but to accept a full, aggressive treatment. And this tx worked!
I'm here, doing great, ready to move on!
So, please, don't focus on the number of positive nodes! Use this energy to enjoy "your good days", finding a positive ways to deal with treatment SE, (walking, healthy eating), pampering yourself.
Your mind and body will thank you for it! -
Maggo9, can you explain about your lung surgery? On my CT scan it showed 2 tiny nodules on my left lung. I had a lung scope done and all came back ok. Said they were too tiny to biospy. MyBC is in my right breast. I am 3 wks. out from a bilateral mastectomy, and will be having chemo and most likely rads. I also had lots of positive lymph nodes. Needless to say, I am very scared and upset. I am hoping the chemo will get rid of the nodules if they are cancerous. Trying to stay positive!!!!!
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Sharon1953,
I had a couple of 2mm & 3mm nodules in upper lobe of right lung (BC also in right side) on my diagnostic ct scan last year in May. My BS and onc didn't seem concerned at all, so it was left to be.
I had right MX and colon resection (had another primary at the same time) on June 27/2012, then chemo for bc and rads; no further tx for colon.
My colon surgeon is doing the actual "follow up scans", therefore I had another ct scan in December. That report didn't comment on the nodules in upper lobe (were they gone or really not worth mentioning? - I don't know), but there was a few new tiny nodules in lower love, described as "most likely inflamatory/infectious".
Due to a lot of anxiety, I convinced my onc to refer me to a lung specialist for consultation. I went prepared: I collected all my images from May and Dec scans on CDs and asked the lung dr to compare them. He did say that they are probably b9, but couldn't be sure with my cancer history.
I was told that those nodules were to tiny to biopsy, also to tiny for PET to give a reliable reading.
He didn't think there was anything to do other then scanning every 4-6 months and watching for any changes in size.
So we agreed to do another CT scan in April, which came back "no evidence of metastatic disease", but the nodules were still there... The good thing was that they didn't grow, but that could also be an effect of Tamoxifen stopping cells from dividing (my BC was 100%ER/PR+). There was also another 5mm nodule (new) in middle lobe.
Dr agreed to refer me to a thoracic surgeon for consultation. I was lucky to meet a very compassionate surgeon, who understood my anxiety and logic in finding out whatever it is early, regardless of how invasive this procedure would be.
He explained that he would have to deflate the lung and "feel it" with his hands to find any suspicious areas.
The surgery took about 3 hr, they removed about 8-10 wedges, (including lymph node biopsies and old looking scars - anything that was different from a healthy looking lung tissue); during the surgery they found another nodule in upper lung, that they didn't see on a ct scan...(I wonder if it is the same from May scan, that mysteriously didn't show in Dec and April?).
The pathology report confirmed that there was no metastatic carcinoma or any other malignancy present in all those samples.
It was a very drastic way to find out, as recovery is very painful. But I call it a "happy pain".
Most of those "changes" were "inactive already" inflammation caused by pneumonia, which I never knew I had! (As far as I'm aware - I never had pneumonia).
Plus there were some granulomas. Everything b9!
I'm just 16 days out of surgery and doing pretty well. I'm still unable to walk longer distances, lift anything... But the pain is more manageable. Also my lung X-ray looks great!
If I can give you any advice it would be: NOT TO PANIC AND WORRY in advance.
Ask for another scan after you complete your tx and go from there. You have to be firm with your dr about it, as some of them don't want to do any follow up scans. Lung malignancies tend to double in size within 1-6 months (average is 4 months). Make sure that you indicate to your radiology dept to compare images to any previous scans you had. If you will be using different hospital/ imaging centre, please, bring them cd with your previous images. They can upload it before doing the scan and radiologist will be able to look for any changes.
I'm sorry for a such a long post! But I tried to include all details. I know how important it is for me to learn from other sisters experience.
Maggs -
Thanks so much for this info!!!!
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I have some small lung nodules too. They were not concerned but want to recheck in six months. They said it looked like my lung may be recovering from and infection. I wonder if they will show after I complete chemo.
As far as healing from surgery. Thing are a lot better. I have been going to weekly PT and doing a lot of drainage massage. Also, the steroids from chemo seem to be helping my arm recover. -
I only had the first layer of nodes removed..12 in all....my BS said that everyone has different amounts of nodes in each layer and we have 3 layers......so if your BS took all your nodes out that would be why so many......I dont think we every loose some of the fear of recurrence, but if you check the 5 year out thread there are lots of gals who hd many, many nodes and are going strong 5 and 10 and more years later....there is hope.... all the best to you....
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My surgeon said he did not take all my nodes. These were under my arm in the shape of a triangle. So maybe he only took nodes in level 1. Is that a good thing? I guess I need to ask more ? when I see him next. Some times I get so rattled that I forget to ask impt. ? I know going into surgery, we knew of several that were swollen from the scans, but not 18. That has left me scared. I see that you have tissue expanders in also and went through rads. How did that affect your reconstruction. I've heard that the rads tightens the skin?????
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Sharon, I was told that everyone has a different # of lymph nodes.
I thought they would remove more during my surgery. But they only removed everything that was suspicious from all 3 levels (18 in total, including 6 nodes from level 3). Later, when radiation was planned, they made sure that it covers the entire area, including collarbone area (below and above) - so if there was any residual cells left there after surgery (and chemo), rads should take care of them.
Anyway, you can request your surgical report along with pathology report and you will know exactly what was done and how.
I used to stress terribly over the number of positive nodes, but not anymore.
It is really a tumor biology that is more important. Plus cancer can travel to other parts without going through the nodes, so sometimes people with a negative node status have reoccurrences sooner then those with many + nodes.
I think it is important to educate ourselves about every possible tool that maybe helpful in reducing this risk. Plus making sure that whatever we do doesn't contradict or lowers efficacy of traditional therapies.
Non of us can predict what's in our future, but no sense of wasting time to worry in advance about cancer coming back or spreading. It may never came back!
But if it does - I don't want to look back with regret that I have wasted all the "good" years by being miserable and worried, instead making the best of it! -
Aryas, How many lung nodules did you have? I know you said there were not concerned about them. I have two very small ones that showed on my CT scan in April. My BS would not do surgery until I had it checked by an MO. They kept saying they were 95% sure it wasn't anything, but he wanted to be 100% sure. So, I had a lung scope and all tests came back negative. I am getting ready to under go chemo and my MO wants to do another CT scan Mon. to recheck the nodules. It has only been 2 mos. Isn't that a little early to recheck? I just want to get started with chemo, and if it is something, the chemo will kill it!!!!!!
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Sharon, malignant lung nodules usually grow fast. An average doubling time is 4 months, but it could be anywhere from 1-6 months. So even after only 2 months they should be able to notice whether there is any change in size, especially now - before tx.
They are most likely b9, but it makes sense to keep an eye on them. How big are they? -
I don't know the exact size. The lung dr. said they were too small to biospy without possible puncturing my lung. That is why they went with the lung scope. Trying to stay positive!!!! Thanks so much for your input!!!!!!!
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