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Did you have sentinel node or axilla dissection?
Hello everybody,
For those of you who had NAC with confirmed lymph node involvement prior to treatment, I'm wondering if you had SNB or axilla node dissection at time of surgery. I had extensive node involvement prior to chemo. Thankfully, I responded well to treatment and no cancer was found on the MRI or PET/CT scan I had after chemo. As a result, I only had SNB at the time of my mastectomy. My surgeon said that I had a complete pathological response.
I have a friend who had almost the same diagnosis as I did and her surgeon told her that SNB after NAC show a high rate of false negatives. So her surgeon said that she will need to have axilla node dissection at the time of her surgery in order to determine if she had a complete pathological response. Since I am ER/PR negative, having a complete pathological response has a pretty significant impact on my prognosis.
Please chime in and let me know what your surgeon recommended.
Thanks,
Brenda
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8/2013 Diagnosed IDC Left Breast ER-/PR-/HER2+ Stage 3C, DCIS ER+/PR+/HER2- Right Breast (54 yr)
8/2013 PET/CT scan shows mass in uterues and suprclavicular nodes
8/20/13 Begin 6 rounds TCH chemo, Perjeta added for rounds 4-6
9/2013 After 1st round of chemo, mass in neck and breast no longer able to feel
11/2013 Hysterectomy, mass from PET/CT scan not cancer (adenomylosis)
12/2013 Finished chemo
1/2014 Double mastectomy with chest expanders
1/2014 Pathology report from surgery and SNB show complete pathological response!
3/2014 Finish IMRT radiation
8/2014 Fat transfer to radiated breast
8/2014 Completed 1 yr of Herceptin
10/2014 exchange surgery expanders removed implants placed
6/2015 3D nipple and areola tattoos
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