Histology received

Galway · November 2021

Hi , I’ve had a mastectomy and immediate Diep reconstruction for Invasive lobular cancer - multi focal left breast with three small tumours 140mm 9mm and 5mm with extensive IL insituOne sentinel node with micrometastasis in one sentinel node less than 2mm . No radiation recommended and no chemo as oncotype score low . Am feeling anxious as I’ve read in your website that if sentinel node positive radiation recommended to reduce recurrence . Just wondering if I need second opinion to see if I should get some radiation to minimise risk of recurrence - grateful for any advice please

Moderators · November 2021

Bumping for Galway's question. Can anyone offer advice/experience?

Galway, every cancer and every person is different. But you can definitely get a second opinion if you are concerned. You can read helpful tips on Getting a Second Opinion at the main Breastcancer.org site, including why, where and when to get them, and what to expect. We hope this helps!

The Mods

LillyIsHere · November 2021

Galway, I had 2 nodes positive (micro in one and ITC on the other) and I was told no radiation and no chemo. I am taking letrozole because of hormone-positive BC and also Zometa infusions every 6 months for 3 years. I think you are ok with current guidelines however, guidelines keep changing and what is the protocol today may not be in a couple of years. I am nervous too and I wanted radiation but I didn't insist since breast cancer was on my left side. I had 4 different opinions. I do believe everyone who is diagnosed with cancer should get at least 2 different opinions.

Good luck and keep us posted.

ctmbsikia · November 2021

Found on this site:

Radiation After Mastectomy Offers Benefits if Breast Cancer Has Spread to One to Three Lymph Nodes

And this:

Postmastectomy Breast Cancer Radiation Therapy - StatPearls - NCBI Bookshelf (nih.gov)

Definitely seems like a gray area. Hope this helps. Best wishes to you.

Histology received

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