High lymph node involvement - very worried :(
Hi All
Hope you are all well. My mother was diagnosed with stage 3c breast cancer 6 months ago. Doc suggested that she undergoes chemotherapy first followed by a mx and full lymph node clearance. Mum had 4 rounds of tax and 4 rounds of fec-t. We really hoped that the chemo would shrink the tumour and kill any of the cancerous cells in the lymph nodes but this was not the case .. Mum has her mx 2 weeks ago and the result from her operation stated that her tumour was 6cm! and 26/27 were positive. This was so hard to take in.. I felt like the chemo had nothing and now wished they operated as soon as she was diagnosed instead of waiting 6 months and starting the chemo first. Mum will now need another ct scan to check if the cancer has spread. Her initial scan showed some small marks on her lungs but the docs said that it was nothing to worry about but not the doc is saying that another scan is required to see if those marks have enlarged and if they have then it may well mean that the cancer has spread.. I have not stopped crying since I have heard. I try to be very strong in front of my mum. She is mentally very strong but it hurts me to thing she has to go through all this. I could really do with some positive words because I am finding it so hard. I really need my mum.. she is my everything.. I fear the worst
Thank you reading..
Comments
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P.s I am so sorry about the typos.. just feel so upset -
how lucky your mum has a daughter who loves her so much, the problem is you are lacking information.....how big was the tumour pre chemo? Was the tumour removed solid ir honeycomby (indicating chemo had attacked it) what kind of tumour is it? This is the scary stage where no one has explained the pathology report and what it means to you......
The doctors are being cautious in re scanning her lungs it doesnt mean something us wrong, I had a scan a few months ago for bone mets but it was nothing.
Can you call the doctor to ask about the report? Cancer is so scary and incomplete info the worst........ Hope you get some answers soon
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Hi... Thank you so much for your reply..The doc estimated the tumour to be approximately 10cm.. but she said that they cant be certain. Mum has a very aggressive form of BC called micropapillary. From my understanding it grows like a web and has many tiny tumours as opposed to one big tumour.
The oncologist always seems to be in a rush which we completely understand because he has many patients to see but he always leaves us confused and lost.. there is so much more we would want to know and ask..
Am I right in thinking that a high number of positive nodes means that the disease has spread or has a higher chance of spreading.....the worry of it all is making me feel so sick.. my mum is mentally very strong but it still hurts to see mum in this way.. I cant believe that after such a strong dose of chemo the cancerous cells are still there.. feel so angry and upset at the thought
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Mum is grade 2.. 26 out of 27 nodes positive after chemo.. micropapillary BC.. Reading the above diagnosis is so scary...
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there are conflicting opinions on the significance of on lymph nodes to be honest, the fact your Mum had one without cancer is good. If your Oncologist is not taking the time to explain things properly can you get a second opinion? Also the measurement makes more sense now as it means the area affected by the tiny tumours ot one separate tumour, but i am no medic, so I strongly recommend you get a second opinion, maybe one with a special interest in micropapillary bc
Chemo rarely kills all cancer, no matter what type of cancer, so this in itself is not unusual
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This link might help, you may need to copy and paste
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my best friends mom had an identical diagnoses to your mom 15 years ago, she's still here today.
I've had three bone scans and two mri scans since feb to check various things, they are super cautious. Everytime I have one I'm at near breaking point as I worry about changes to my body so I get your concerns.
Stay strong for your mom and remember this is about her and she will be scared and looking to you to be strong and to reassure her. My mom has been very tramatised by my ordel to the point where I can't tell her things as she panics and all it does it make me worry - when you go through this you need solid support and unwavering positivity from all around you. Sorry to be straight talking but it's so fearful facing this that you've got to be controlled, calm and positive for your mom and scream and cry to your friends behind her back. My husband had been this Rock and it's stopped me from going over the edge!
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Pease try to get mom a second opinion. A Dr who does not answer questions and take the time w/her is useless. I really think women need to expose these types. Also ask if you all can see a BC counsellor to talk about all your concerns. Are other family members aware of these latest findings.I am praying for you and mom. Big hug coming your way.
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I had all 21 nodes positive. That was over 11 years ago. It is not the end of the world to have a high number of positive nodes. I remember one lady saying she had 50! As far as the doc, I wouldn't let him out of the room without answering all of your questions and concerns.
{{{hugs}}}
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Thank you so much ladies...Were your lymph nodes still positive after chemo or before?
x
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I did 4 DD A/C neoadjuvant (before surgery) to get the IBC to form a 'lump' (IBC forms as a 'nest' or 'bands'). UMX 2 weeks after last A/C. 19 nodes were removed and all were positive. 3 weeks later, I started 12 weekly Taxol. 25 rads a week later.
What my Drs wanted, for me, was to get margins and shrink so surgery could get it out rather than trying to 'kill it all' before surgery. Then after surgery, 'hit' any thing that might still be there with 12 weekly Taxol as a 'back up' before rads.
So in my case - I did neoadjuvant, surgery with still positive, then adjuvant. It worked for me - still NED (No Evidence of Disease) as far as I know today.
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Zafxxx, it's fairly common for the chemo to have little visible effect to tumors. But it may have done damage to smaller clumps of cancer cells that may have been lurking in the bloodstream, looking for a place to metastasize. And that's the really important reason to do chemo, to kill cancer cells that have already left the breast and local nodes.
I also had chemo prior to surgery and there was a little shrinkage but the nodes were still positive when I had surgery. So far, I am doing OK. As others have said, your role is to stay strong for your mom, and be there to support her. It helps a lot to have your questions written down in advance, and if you're there with her doctor take notes on what he says and the answers to your questions. My husband did that for me, and then we could talk about it afterward to make sense of it all. It's hard to comprehend everything when you're getting upsetting news.
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Thank you all.. your messages have really helped.. I often try to discuss the issues with my friends and the response I often get is "oh my god" "I am so sorry" " well hope is all you have now" ... I know they are trying to help but honestly these words make me worry..I have also noticed that extended family members have not bothered as much as I thought they would. Mum would always visit them if there was a problem but it is such a shame that people have just turned their back for whatever valid reason they have..
I try to be strong for mum and never show her my fears.. This site has really helped me for those times when I sit alone at night wondering what will happen.. I was so used to turning to mum for every problem that i had and this has come as a shock as I cant ever disclose my fears to her...
Thank you all for your response.. I appreciate it so so much x x x
p.s did any of you make any changes to your diet?
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What type of cancer is your Mom - IDC, ILC,IBC? They present differently and have different prognosis and treatment plans. (With IBC adjuvant chemo is a 'given' to get it to where the Surgeon has a chance of getting it as it does not form as a 'lump' but rather as a 'nest' or 'bands'. ). What is her ER/PR and HER2 status? Again important in the TX regimine.
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Zafxxx, I did not really change my diet after BC. I had a good diet before, with plenty of vegetables, so I don't think diet had much to do with my cancer. I did switch to organic milk, since I do have a fair amount of dairy in my diet. I think a lot of people change their diet because it's something they have control over, in a situation where everything feels out of control. It's not necessarily the answer.
Let your mom figure out if she wants to change things, and don't try to push things or new ideas about diet on her. Help her find information, but support her choices.
I also had nodules on my lungs that were watched for several years, but whatever they were, they eventually went away on their own, so they were clearly not cancer. There's a heightened awareness to all kinds of things which people have been walking around with for years, so not everything on a scan means anything serious.
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Thank you xMet the oncologist today.. he looked concerned and confused why the chemo had very little effect.. he is now sending mum for a whole body scan... He didn't want to say but it was quite obvious that he thinks that the cancer has spread... reason being all the lymph nodes still had cancer
This is a really testing time
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