← Return to lymph node biopsy differences?

Discussion

lymph node biopsy differences?

Breast Cancer | Last Active: Aug 8 10:49am | Replies (13)

Comment receiving replies
@lilacs777

Hi @meeshodge
If you dont mind me asking - what is your initial (pre-surgical) diagnosis? I was diagnosed with invasive on the L and was considering BMX but ultimately did a single mastectomy. I was very concerned about removing the R side (where mammo/MRI were clean) without a node biopsy in case they later found a small cancer on the R side also. (Since I knew you cannot do a sentinel node biopsy after the breast is removed.) My surgeons told me they would not do a sentinel node biopsy on the R side b/c all the scans showed nothing there and that even if a small cancer was also found in the R breast post mastectomy that it wouldn't affect my treatment plan since I still needed to get treated for the invasive cancer that was there in the L breast. Interestingly, one surgeon I consulted tho claimed he was still able to do a sentinel biopsy after a mastectomy but didn't explain how it could be done.

Jump to this post


Replies to "Hi @meeshodge If you dont mind me asking - what is your initial (pre-surgical) diagnosis? I..."

My initial dx as of right now is Garde 3 HR+ DCIS in R breast.
The MRI I had done last week showed:
LEFT BREAST-scattered enhancing foci. Unique intensely enhancing 5 mm focus superior posterior.
RIGHT BREAST (original DCIS diagnosis)-multiple scattered enhancing foci. 9 mm enhancing mass central to medial. Enhancement at biopsy clip, extending to overlying skin anteromedially which may represent post biopsy change or residual tumor.
RIGHT AXILLA-appears slightly irregular.

The follow up US done the following day, to confirm findings was:
RIGHT AXILLARY-adenopathy and enhancing focus
RIGHT BREAST-oval, hypoechoic, angulated mass.
RIGHT AXILLA-asymetrical cortical thickening.

0.7 cm mass R breast
1.3 cm nonspecific lymph nodes R axilla