reading about internal mammary nodes. Now very scared!

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bak94
bak94 Member Posts: 1,846
edited September 2017 in Stage III Breast Cancer

My breast mri after diagnoses by core biopsy showed enlarged nodes/masses in the internal mammry chain, largest one being 1 cm. I have been reading and this does not sound good at all. I am so scared to get my pet/ct scan, although it hasn't been scheduled yet. Anybody have positive internal mammary nodes? Is this stage 4 or 3? I am not dealing with this very well at all, can't stop crying. I am er pr - her2-.My breast tumor seems to be about 2.5, at least that is what the mri said. I am so scared.

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  • bak94
    bak94 Member Posts: 1,846
    edited April 2011

    I think I wasn't making sense. I found out I had breast cancer by core biopsy on April 5th. After the core biopsy I had a breast mri which showed enlarged nodes/mass in the internal mammary chain, largest one being 1 cm. Surgeon said don't worry about it yet, wait for the pet scan. I am terrified of what the pet scan is going to show, and I don't even have it scheduled yet. Waiting for approval from insurance.

  • clariceak
    clariceak Member Posts: 752
    edited April 2011

    I have a positive internal mammary node and am stage III. My pet scan was clean. So sorry you're going through this again. The problem with the internal mammary nodes is they are often inoperable so I received an extra blast if radiation in that area. I know it's hard, but don't spend too much time with dr. Google.

  • KerryMac
    KerryMac Member Posts: 3,529
    edited April 2011

    There is a woman who wrote a book i read when I was newly Dx, The Dieticians Breast Cancer Diet or something. I can't remember the title. Diane Dyer is her name. Anyhow, she was Dx in 1995 with 9 + nodes, and an positive internal mammory one. She is still doing well.

    I know it is a lot to take in and it is a scary, scary time. Just take things one step at a time, don't get too far ahead of yourself.And, yeah, stay off Dr Google.

  • wallan
    wallan Member Posts: 1,275
    edited April 2011

    Hey I just read this.

    HUGS to you. Breathe!

    Let us know how it turns out.

    Wendy  

  • jennyboog
    jennyboog Member Posts: 1,322
    edited April 2011

    I had internal nodes "hot spots", that's partly why I'm IIIC.  Chemo took care of them along with rads, my PET after chemo showed nothing in them & "residual" cancer in my LN that were taken.  It was very scary place for me also, tx might just take care of it all.  Hugs and prayers sweetie, we're here for you.

  • bak94
    bak94 Member Posts: 1,846
    edited April 2011

    Uggg. Got done with my second opinion appointment and they even saw something else on my breast mri-had no idea a breast mri has the ability to show so much. I feel doomed and my husband is getting mad at me for saying that, but they saw another suspicious spot in the medistal (sp?) area. They are not sure that it is cancer, said it could just be swollen nodes, but if it is cancer, that makes me stage 4:(  This totally sucks, news keeps getting worse for me. Still waiting for the pet scan to be scheduled to help with all of this unknown stuff. The oncologist I spoke with said even if it is cancer, it is still very treatable, that he has sent triple neg stage 4 mets into remission for long periods of time (did not give me the time frame) but said they are still in remission. Is he offering me false hope? Would they do that? Oh and after al lthat, they think my auxillary nodes might be clean. WTF?

  • JacquelineG
    JacquelineG Member Posts: 282
    edited April 2011

    I had a positive internal mammary node which was wiped out by chemo (had a PET after chemo and before rads). It freaked me out in the beginning but I keep hearing stories of people with positive IM nodes who are fine. Try not to worry. I also know of someone with positive infraclavicular nodes who has been fine (maybe 8-10 years out now?). Definitely don't Google. Those stats are all OLD!

    Jackie

  • pupfoster1
    pupfoster1 Member Posts: 1,484
    edited April 2011

    (((bkj66))),

    Yuck, I am sorry you are going through this!  Waiting is THE WORST!   Once you get a clearer picture you will be able to get a plan of action.

    Not sure where you are referring to with the medistal thing, but depending on the amount of lymph node involvement, and the size of your tumor you still could be stage III.  Even w/my high node count and more than one tumor (one being LARGE) they called mine "advanced LOCALIZED breast cancer" because it had not spread to further organs, bones, etc.

    So as the other VERY WISE ladies have said here, TRY to breath, stay as calm as possible, and wait until you get exact information.  I DO NOT recommend "Dr. Google" right now!  There are way too many variables at this point to self diagnosis yourself!  

    Take care,

    Sharon

  • Kathy044
    Kathy044 Member Posts: 433
    edited April 2011

    bkj a mediastinal mass showed up on my mri too, my bs didn't seem overly concerned. I did have a CT scan as followup and it turns out I have a foregut endoderm cyst, something I was likely born with, and nothing to do with lymph nodes at all.

    Just saying, not time to panic yet, this could be nothing.

  • KerryMac
    KerryMac Member Posts: 3,529
    edited April 2011

    Before my first Breast MRI I was warned that there would be all sorts of things showing up - they do show up everything! Everything that showed up on my good breast (there were 3 things that required further investigation) were B9.Hang in there!

  • jennyboog
    jennyboog Member Posts: 1,322
    edited April 2011

    I have a spot on my liver right now, they say isn't cancer but we're watching it....if we scaned everyone we'd find something, cyst, etc.  Chemo can take care of areas you didn't even know were there...that's what it's for.  There's a triple negative forum you might find some more info, I also go to the +5yr forum when I need some encouragement sometimes.  You're in the hardest place mentally right now,"the unknown", once you get a tx plan in place you'll feel in control again.  I was a total basket-case pre-chemo and once I started I felt like I was actually doing something to kill this sh%t!!  Hang in there and you come here anytime you need to...we understand.

  • Suze35
    Suze35 Member Posts: 1,045
    edited April 2011

    I just wanted to give you my support as a fellow Stage IIIc triple negative.  I started with a great response to chemo, but about a month before I was done, the cancer figured it out and started to spread like wildfire.  My post mastectomy path report was scary, and I had a PET to make sure I wasn't Stage IV.  We found 2 more infraclavicular nodes, but nothing else, so I went back and had those removed.  Two days after that surgery, I could feel a supraclavicular node - we don't know if it is surgical changes, or the cancer (didn't show up on the PET), but since I am starting radiation in less than a week, we are moving forward, and my RO is confident he can clean up anything there.  I'll be doing more chemo after the radiation in an effort to reduce my risk for distant mets.

    I do know that chemo and radiation can be very effective for TNs - don't let my story scare you, it is rare for that to happen.  My RO is going to be hitting my intramammary/medistinal area as well.  I'm sure your RO will do the same.

    Regarding TN and remission, yes, it can happen that once Stage IV, we can find the right maintenance drug that will keep us stable for long periods of time.  A good friend of mine is over 16 months out, and is only on Zometa for her TN bone mets.  She had a liver lesion, did 4 months of chemo, and it hasn't come back.  We don't have as many options as ER+ women, but there are many chemos that can be used.

    I totally get the "feeling doomed" feeling.  I told my husband I feel like I'm trying to catch a slippery fish with just my hands.  I can get a hold of it, but it squirts out down the river.  But my MO and my RO are both encouraging, and both have seen TN women Stage IIIc go on to live cancer free 5+ years.  As my RO said yesterday, you can not predict the course of the cancer.  Sometimes it likes to stay local.  Sometimes it does not.  For the sake of my 3 young kids, I am pushing forward as if mine is contained.

  • kimf
    kimf Member Posts: 334
    edited April 2011

    Adding to what everyone else has said...try to take deep breaths and hold on tight. I, too, had many positive nodes, including internal mammary nodes (3 that were removed positive but more that likely there were more) plus infraclavicular nodes. 15 positive out of 23 total that were removed in all. I am nearly 6 1/2 years out and doing great. Didn't have a PET scan until 2 years after dx. Did have a CT and bone scan prior to chemo, but no PET. Also had thyroid ca after breast and still am doing fine. You can have lots of positive nodes and still be stage III. The waiting is hard but try not to put the cart before the horse as the old saying goes. Easy for me to say now, I remember how the waiting is excruciating. But try! Cyber hugs to you! 

  • bak94
    bak94 Member Posts: 1,846
    edited April 2011

    Had my pet/ct and bone scan. Both were clear,yipeee! except the internal mammary nodes did show up on the pet, but no other nodes. The mediastinal thing is still in question, most of the docs that consulted don't think it is anything, one doc says one node looks slightly larger but it did not light up on pet scan. Most of the docs don't seem too concerned, but might do a ct or mri of just that area, as biopsies are hard to do of that area.

    So, the question is chemo before surgery or surgery before chemo? My onc. suggestion is surgery first. He then wants to give me ac (which i had 8 years ago) dripped in over 24 hours at a hospital, 6 rounds. He says this causes less toxicity to the heart that way and they monitor your heart the whole time. He said I have not reach my maximum life time dose of ac and thinks because it worked so well 8 years ago he wants to do it again. Then he wants to follow that with abraxane/car oh what is the name of that one? Carplatin? Thats not right! ANyways, it sounds like alot of chemo. What did you other triple negs get for chemo?

  • bak94
    bak94 Member Posts: 1,846
    edited April 2011

    Oh, Kimf, they were able to remove some of your internal mammary nodes? I need to ask my surgeon if he will try.

  • Madicyn
    Madicyn Member Posts: 20
    edited May 2011

    I had internal mammary nodes too and so am IIIc.  They cannot be removed surgically.  However, chemo took care of them for me and then rads to get rid of any microscopic cells hanging around.  The internal mammary nodes showed up on an MRI.  Because of that, the rad onc recommended rads. 

  • elmcity69
    elmcity69 Member Posts: 998
    edited May 2011

    bk, HOORAY on the clean :PET! celebrate, then celebrate some more.

    i'm not triple neg, so can't give any advice on the chemo, except: take it one day at a time, 5 minutes at a time - whatever gets you through. we're here to support, listen, etc.

    ps: kimf: your story is an inspiration. reminds me of the way HOPE comes along when we need it! congratulations on the 6 years...here's to many multiples of 6 more!

    xo

    ....

  • kimf
    kimf Member Posts: 334
    edited May 2011

    Hooray for clean PETs! Best news evah! Yes, my PS actually just happened upon those darn mammaries during reconstruction and yanked those suckers during surgery as they were in the way. He didn't know they were going to be positive, just took them out because he wanted the space they were using. Turns out all three were positive so my surgeon supposed that I would have had to have more based on the count I had elsewhere, but he said the chemo would get them, and it did. Had my surgeon and Onc known the extent of my node involvement prior to surgery, I would have had chemo before surgery and possibly after. As it was, I only had it after. They had no clue that I would have had so many positive nodes since none of them were palpable and I didn't have a PET. Every doc is different though.  Never heard of having AC twice, but if it were me, I'd go for it a second time if it were me :)

  • bak94
    bak94 Member Posts: 1,846
    edited May 2011

    Kimf, so did you have to do radiation after reconstruction? They have decided to do chemo on me first, I sart at the end of this week or beginning of next week. My nodes are not palaple either, and the pet did not show any other nodes positive.

  • kimf
    kimf Member Posts: 334
    edited May 2011

    Yes! I had surgery and recon together first, then chemo then radiation. Radiation is a must. Do it ALL. Whatever they can give you take it. I did 28 radiation sessions to 4 separate areas. Good luck with your chemo! You'll do great!

  • elmcity69
    elmcity69 Member Posts: 998
    edited May 2011

    i did surgery with recon first, then radiation. as kim said: take the whole shebang. radiation isn't as hard as chemo, i think, although the fatigue gets pronounced by the end, for most folks.

  • tangandchris
    tangandchris Member Posts: 1,855
    edited September 2014


    So, I just came across this post, this is an old one...so not sure if anyone will even respond.

    I finished chemo in June and my cancer was on my right side. As of July I have been dealing with a swelling on my left side and I now know it is my internal mammary lymph node area. I've had alot of infection on this side and I think the doctors think it is related to that, but the area is hard and seems at times to be bigger than at other times. I've had conflicting suggestions for biopsy to no lets just wait and see. I'm currently taking 1800 mg's of clindamyiacin to see if that clears any of the SE's, but so far nothing.

    IDK, I mostly don't think it is cancer, but am concerned that it is. Just hoped someone might see this who has dealt with this. Thanks.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited September 2014

    Tangandchris, could it be lymphedema?  If you've had a lot of infection there, it sounds like the lymphatic drainage is compromised.  I don't see in your signature line that you had rads, but if the internal mammary chain was radiated, their ability to do their job is probably reduced.  Best wishes--let us know how you're doing.

  • Rhatziyi
    Rhatziyi Member Posts: 1
    edited September 2017

    hi I was just wondering how you were doing. I have been just diagnosed with recurrent cancer with mets to the internal mammary node. Did you have a biopsy of this node. Dr is asking for this. I am very scared as I hear it is very painful and some doctors feel I think is unnecessary. If you could share your experience I would appreciate i

  • Moderators
    Moderators Member Posts: 25,912
    edited September 2017

    Hi Rhatziyi-

    We want to welcome you to BCO! We're sorry you find yourself here, but we hope you find this community to be a source of support. This is an older thread, so it's unlikely you'll get a response here. We encourage you to start a new thread, and since you've been diagnosed with a recurrence, that thread would be a good place to start: https://community.breastcancer.org/forum/106.

    The Mods

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