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Why remove a sentinel lymph node that shows no sign of disease?
Breast Cancer | Last Active: Jun 14, 2023 | Replies (22)Comment receiving replies
My nodes were clear on ultrasound before surgery. During lumpectomy for Estrogen and HER2 positive, my Oncoplastic surgeon removed 2 sentinel nodes. The pathology report after surgery showed microscopic cells in each . I asked surgeon if I needed another surgery to remove more nodes .. she said she doesn’t believe in removing too many due to the long term side effects . Chemo and Radiation will take care of the other nodes. I don’t know if I should seek a second opinion .
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I just saw your questions and thought I might give you some impute. I had my surgery 57 years ago, so things were a "LITTLE" different then. There was no Chemo, Radiation only if lymph glands were positive, and no Tamoxifin (had not been discovered yet). So following a Radical Mastectomy, I had 1 lymph gland that looked a little large and no Blue Die (not discovered yet or Sentinel Node). Therefore, 14 were removed. As it turned out all 14 were negative for cancer. The part I thought you might want to know, is that it did take 1 year and physical therapy for me to regain the use of my left arm, but I think that was due to the Radical Mastectomy, not the lymph gland removal. I have not had lymph edema, until the last few years, and this has been very minimal. It may also be due to the fact I broke my right shoulder, and needed a shoulder replacement which has created some lymph problems in the right arm. I know 57 years is a long time ago, and Medical matters have become much more advanced. Hope this may give you a little help in making your judgements .
Gina5009