Sentinal Node Biopsy and Chemo. Port Place. in Same Surgery

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warriorprincess1
warriorprincess1 Member Posts: 12
edited December 2016 in IDC (Invasive Ductal Carcinoma)

Dear Group,

Has anyone had a surgery in which both procedures were conducted in one surgery? I go in tomorrow and wondered what recovery time and experience was like? I'm triple positive with a 3.41cm mass and am suspected to have Stage II and defintely Grade 2.

Thanks,

Warrior Princess

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  • SpecialK
    SpecialK Member Posts: 16,486
    edited December 2016

    If you are receiving neoadjuvent chemo it is beneficial to determine your nodal status prior to starting as it can inform your post-chemo surgical choices, and chemo and targeted therapy can muddy the nodal status waters. Port install and SNB can definitely be done in the same surgery and I would personally advise this to anyone doing neoadjuvent chemo. I was triple positive but had adjuvant chemo because I was treated before the FDA approval of Perjeta for early stagers. I do have a triple negative friend who did the port/SNB surgery before she started chemo and was relieved to know that she was node negative beforehand.

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  • warriorprincess1
    warriorprincess1 Member Posts: 12
    edited December 2016

    Thank you Special K!

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  • Sassa
    Sassa Member Posts: 1,588
    edited December 2016

    I had my modified radical mastectomy, SNB and port placement done in the same surgery. Because it was already known from the biopsy that I was ER/PR- and HER+, chemotherapy was a definitely going to be given no matter what the SNB showed.

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  • lintrollerderby
    lintrollerderby Member Posts: 483
    edited December 2016

    I had a re-excision of margins, sentinel node biopsy/disection with 3 nodes removed, and port placed in the same surgery. I had mine done at Moffitt in Tampa and the recovery wasn't bad--I love Moffitt and the team I had there. I'm petite, and the following week, I mentioned some heart palpitations to my surgeon and he said he needed to take me back into surgery because the catheter extending down from my port was "tickling" my heart because it was too long and he needed to go back in and shorten it. After that, no issues. I'm Triple Negative, so I knew that I'd be getting chemo regardless of the lymph node status. I'd had an FNA of a suspicious node the week before and knew it was probably fine, but definitely was worried they'd find something and I'd wake up to a complete node disection

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