S/Node Positive in Final Path Report

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  • PSK07
    PSK07 Member Posts: 781
    edited December 2007

    Hi, Carol.

    My mom got lymphedema when she had her MRM in 1991. It was much more difficult then convincing people that it was a real problem. She tells everyone now to be aware of it, to follow the rules to a T and to not let it go.  That, by far, was the worst thing out of her entire year-long treatment. 

    Ah, Group Death :)  I'm not a fan.  Good luck with your appeal.  Everyone deserves the treatment they want and need.  My rads are through Swedish Cancer Institute w/NW Hospital. All of my tx have been at NW & I've been very happy with my care.  There are so many things going on, that knowing you've got the right medical care can make the difference between a good day and a crap day. We're so lucky here in the PNW to have access to such good medical facilities.  I hope it all works out the way you want it to.

    Not looking forward to even little bits of snow. I had my fill last year.  The other drivers are all nuts.

    take care.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2007

    I too have ITCs and had a very low oncotype (11) and my breast surgeon and I decided no chemo.  The ITCs really make me uncomfortable but all the research says to treat them as node negative.  Also, the new research on the Oncotype test states it can be used for node negative or node positive.  I hope that the research is correct.

  • Determined1
    Determined1 Member Posts: 806
    edited December 2007

    Melissa,

    What were the sizes of your ITCs?  Curious, because my Onco was an 11, too, but because of the size of my ITCs (.42mm and .67mm), my onc is pushing me to have the chemo.  My surgeon said skip it--but this is the 2nd onc I've seen and even though the first one said it was up to me, but he'd recommend doing it, the second one was even more aggressive about recommending the chemo.  Such an inexact science!!!

    D1

  • Determined1
    Determined1 Member Posts: 806
    edited December 2007

    I think you're right, Michelle.  I couldn't understand why the first onc and my surgeon kept waffling on whether or not I was node pos or node neg.  It confused me SO much.  But when I combine my gray node condition with a 1.8cm tumor--well, I guess that all out trumps the Onco 11!  (But will the benefit of chemo outweigh the risk for someone like me???  We'll never know till I chose a path and march down it.)  Why can't it be black and white??????

    D1

  • vettegal
    vettegal Member Posts: 287
    edited December 2007
    i am glad i found this post. i  meet with the doc on the 10th. had a lumpectomy on the 27th and the snb. clear margins on the tumor it was 1.5 cm. one of my nodes has some cells on it. going to have to make decsicion, i am already scheduled for surgery on the 21st to take out some more nodes. starting to question whether i want to do this or not. Has any regreted not going back for more nodes?I love this board and the people!Cool
  • golfer779
    golfer779 Member Posts: 1,378
    edited December 2007

    Vettegal, I will be going back in next Thursday for the full node removal, I want no regrets that I did not do everything possible to erradicate this bc mess I'm in at this time.  I'm trying to take it one day at a time, and give it the big guns!!!  Hoping like heck that the additional nodes will be taken out for not, and that the dreaded lymphedema doesn't raise its ugly head.

  • vettegal
    vettegal Member Posts: 287
    edited December 2007

    i will find out more on monday, it is nerve racking. I want to be aggessive as possible, my husband wants to be conservative, to an extent. I am 42 and i wasn't ready for this fight, but i am ready now and the my gloved are on and i am going 10 rounds to beat this thing!!!Laughing

  • golfer779
    golfer779 Member Posts: 1,378
    edited December 2007

    Vettegal - just keep on educating yourself, I'm 44 myself and would have never thought I'd be in this situation as well.  I've been keeping a notebook with all of my bc info in it from appts, poc's, info sheets, my test results, calendar of medical events etc., it really helps to have it in one place, and I don't leave home without it!!!

    Best of luck, Carol

  • Determined1
    Determined1 Member Posts: 806
    edited December 2007

    Vettegal/Carol,

    FYI, after my SNB shows micromets, I did go back for an anxially node re-excision, but the surgeon only took the next "level" of nodes--not the whole shootin' match.  Not sure what the next level means, but it was 4 more nodes (so I had 7 removed altogether).  All the nodes from that next level were clear, so we didn't go in and get any more.

    I still had an awful problem with seroma buildup from both node surgeries.  In fact, at just shy of 8 weeks since my last surgery, I still have some fluid, but I'm not doing anything about it--just waiting for my body to wake up and smell the hummus.  I will say, the scar from the re-excision was huge (3in+!) and still bothers me--what with scar tissue and redness and pulling.

    I think the node surgery was a harder recovery than the 3 lumpectomies (although the scar on that is UGLY!!!  But that's not the fault of the surgery--that's the surgeon's bad).  I am, however, happy I did it--the peace of mind knowing that the cancer stopped at the sentinel node is just what I need.

    Still waiting for my appointment on Monday afternoon to figure out my chemo cocktail and schedule.  Hopefully my dh will get a better picture of what we're in for at the appointment--so far he appears to be in denial...

    Oh, and I agree with Carol--get a notebook.  I have one and it's SO helpful to have everything organized in one place.

    Later gang.

    D1

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