Scared....one more node found positive after chemo
I went back to have another post-chemo ultrasound today which was done by a very experienced radiologist. Devastatingly, She found another node, which is right next to the one proven positive before chemo, also has thickening cortex (she said both nodes show less thickening compared to pre-chemo ultrasound) . Both nodes are very tiny and very close to each other. I have no idea how this happens -before chemo all scans proved just one node positive, now after 5-month of chemo I might have 2+ nodes positive?
Now my thinking is the 2nd positive node was there already from the beginning but it was just too tiny to be detected by inexperienced radiologist and scans. I am also worried that these two nodes are actually "clumped" together which indicate worse prognosis.
I really need some hope now. All replies are appreciated!
Comments
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I did neoadjuvant chemo (4 DD A/C) and had 19 positive nodes at UMX. I then did adjuvant 12 weekly Taxol. The idea (according to my Dr) was to shrink the IBC with A/C and get good margins so that surgery had a chance of 'getting it out' during surgery. Then to do adjuvant 12 weekly Taxol to 'get' any cells that had 'escaped' during surgery. That is not what is usually done when neoadjuvant chemo is done butt makes a lot of sense to me. Worked for me - 7+ yrs NED with IBC.
Don't have a clue about what your options would be having done 2 different neoadjuvant chemo.
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I am expecting to join the stage 3 club after surgery.
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Hi there - I know it's scary; but look a little further on this forum and you will find threads with many of us who had positive nodes post chemo. I was told there was nothing abnormal left on ultrasound (v experienced consultant) - and it turned out I had 5 with gross disease. It's a big thing to get your head round - but there are many survivor stories here. Strongly HR+ cancer very rarely gets to PCR with neo-adjuvant chemo, hormonals are a major part of the treatment. I know you're young, but ask questions about the relevance of ovarian surpression in your case, in addition to anti ER drugs. You are still engaged in the battle against this, you have other tools. Breathe - its hard, but you get used to it. Read the threads with other long term survivors in the stage 3 forum for comfort. x
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Thank you Tectonicshift and SSinUK, I will stay strong. I am on lupron so hopefully I can have some protection between chemo and surgery.
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Ultrasound failed me......I was told I had no cancer in my breast and my nodes looked fine.......actually had a 6cm tumor and at least 17 nodes positive.....not trying to scare you....but sometimes our cancer just doesn't "show up"......I did Lupron too during chemo to keep things in check.....
I will be out 13 years next month.......hang in there.....lots of us out there way worse than your stats and doing well. As already stated you have some real positives with high ER% and low KI67. Hang on to that....in the end it is the biology of your cancer that is key.
Fists UP!
Jacqueline
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Oh, stephilosphy00...a LOT of us have been in similar circumstances to where you are right now.
In October 2011, everyone thought my "lump" was the size of a tic-tac, no big deal, pop it out and all will be OK. Then the lumpectomy and sentinel node biopsy showed cancer in the sentinel node (a boatload of it--the lymph node was so chock-full of cancer that it couldn't absorb any of the tracer OR blue dye). Then the pathology report showed six positive nodes. Then the skin biopsy revealed tumor in the skin, so a mastectomy was needed. My hopes just kept getting crushed over and over again. It was a difficult time.
But like many, many others here, I took my medicine, endured the rodeo, and I'm still kicking. Don't let stage numbers define you. Your team will guide you through this with all the current treatments available and you'll keep putting one foot in front of the other, every day. One day at a time.
No one knows what the future holds, but your new news doesn't portend doom, not by a long shot. Gentle hugs.
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Thank you YATCOMW and sbelizabeth for giving me hope!!!!
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steph-I am going to echo Yatcomw and selizabeth here--I had nothing show up on annual mammograms although it could be easily felt. 'No bigger than a dime" they told me from the ultrasound results. "Early stage, no nodes probably." Turned out to be around 8 cm, nobody knows for sure because it took three surgeries to get it all. Then I had a sentinel node with a 2 cm tumor wrapped around it-- then I had four other positive nodes. Then whoops--your Ki 67 is astronomically high--75%. Ok, now we think you are her2 positive--no wait a minute, maybe not.
I well remember those times you are now going through. Be hopeful, and remember--I would gladly trade you my stats for yours!
Gentle hugs, Weesa
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Same here. After biopsy, ultrasound, and MRI, I was told no lymph involvment, stage 1, grade 1 IDC. Yeah, not so fast...after BMX, 11 positive lymph nodes, grade 3, stage IIIC. Scans did NOT accurately predict my LN involvment. Original diagnosis was a little over two years ago. I am just taking arimidex with zoladex shots now and I am feeling pretty good.
Point is scans are not always that reliable. You probably had that little lymph node there and it just wasn't seen. Keep your chin up, the anti hormone therapy is what is really going to kick the cancers butt.
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Yeah, I had a huge cluster of positive lymph nodes (2 huge ones for sure) before chemo. After chemo and surgery, it turned out that there were 9 positive ones still. It's just hard to tell because they're so small ahead of time. I agree with the other poster, your stats look great!
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Thank you each one of you for sharing your journeys! I won't let those fear ruin my life. I know even end up being restaged to stage 3 is not a death sentence!
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Stage III is definitely no death sentence and I echo the good advice you are receiving here.
Good luck with your surgery.
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Just saw the update from the radiologist. She actually found a 4x4mm irregular small mass "in the immediate vicinity of this biopsy-proven metastatic lymph node". I am more confused now. Does anyone know what it can be? Thanks!
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Ask your doctor if it means the same as extra-capsular extension, which essentially means that the cancer has burst out of the lymph nodes and started growing in the immediate vicinity. I had this and what they called a "mat" of cancer that had escaped the lymph nodes, and had pretty much glued them all together into an inseparable combination of cancer and lymph node.
I thought for sure this meant that I probably already had MBC, but I did not. They removed all of the lymph nodes of course, and after chemo and surgery they radiated the area as high as they could possibly get without damaging the brachial nerve. I had some pain in that area for several years, which always made me think it was growing there again, but it has since faded away.
It's not at all unusual for the news to start off as though this breast cancer is just a minor thing that you take care of and it goes away, then you find out more...and more, and things start to sound dicey. But hang in there, long-term you have a very good chance at survival.
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Hi Kathleen, thank you so much for your reply! I am pretty sure that is extracapsular extension. It is so encouraging to see that you had it and you are doing very well after many years.
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Hi ladies, so glad to have found this thread. I completed 4 rounds of AC and just had a mastectomy. I thought I was having an awesome response to AC because my huge lump of DCIS/masses shrunk down to the point where I could no longer feel it. But, I just got my path report back and cancer was in 4 of the 8 nodes (they originally thought just 1) with extranodal extansion in one even after 4 rounds of chemo. This moves me to stage III and I'm so disappointed to know that it was originally so much larger than we thought.
I appreciate those of you who have commented, especially long-term survivors. I know I have more chemo (Taxol) and radiation ahead of me, but it's just so disheartening to find out that I've been fighting a bigger beast than I originally thought all along.
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