Lymphovascular invasion

Posted by polianad22 @polianad22, Jan 15, 2023

Please share your experience with Lymphovascular invasion. Thank you.

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@resort

I’ll go back to have 2nd surgery to remove armpit lymph nodes due to lympho vascular invasion and micromestatasis on sentinel lymph node. How soon after your surgery you started chemo?

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I had my surgery on 9/27/22 and first round of TDM1 (kadcyla) 10/18/22.

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@polianad22

Mine was estrogen and progesterone positive 90%, stage 1, grade 2/3, mastectomy on my left side. What is CMF pill?

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CMF is a chemo combination. It was a pre surgery treatment I was given. Then surgery. With TNBC there is often a pill that you are given after surgery that contains one of the same chemicals in CMF. Because they want you to have different chemicals than your initial chemo, the pill was the wrong treatment and we had to get advice as to what that alternate treatment should be. Ultimately we were advised on Taxol and Carboplatin. Sorry, I can’t recall the name of the pill. It is always hard to explain this. Hopefully nobody else has the same experience.

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@drummergirl

CMF is a chemo combination. It was a pre surgery treatment I was given. Then surgery. With TNBC there is often a pill that you are given after surgery that contains one of the same chemicals in CMF. Because they want you to have different chemicals than your initial chemo, the pill was the wrong treatment and we had to get advice as to what that alternate treatment should be. Ultimately we were advised on Taxol and Carboplatin. Sorry, I can’t recall the name of the pill. It is always hard to explain this. Hopefully nobody else has the same experience.

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Thank you.

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@windyshores

@poliana22 maybe ask if your LVI is focal or extensive, and if it is in lymph or blood vessels.

Sounds like you might do hormonal meds with no chemo. Did you have a mastectomy or lumpectomy. If lumpectomy of course radiation will be suggested and possibly with mastectomy, though I did not have it.

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My breast doctor said that the oncologist will explain everything on the 25th. I asked again that I would like to understand about my lymphovascular invasion.

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@poliana your cancer is not triple negative, is hormone positive, so you may not have any chemo, depending on the Oncotype.

My docs were not concerned about LVI, not sure why, and it is not considered with the Oncotype or online cancer calculations. If it is focal, that is better news!

Hope docs know more than they did with me in 2015.

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@windyshores

@poliana your cancer is not triple negative, is hormone positive, so you may not have any chemo, depending on the Oncotype.

My docs were not concerned about LVI, not sure why, and it is not considered with the Oncotype or online cancer calculations. If it is focal, that is better news!

Hope docs know more than they did with me in 2015.

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Thank you my dear. Always present here with good thoughts and advice.

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@windyshores

@poliana your cancer is not triple negative, is hormone positive, so you may not have any chemo, depending on the Oncotype.

My docs were not concerned about LVI, not sure why, and it is not considered with the Oncotype or online cancer calculations. If it is focal, that is better news!

Hope docs know more than they did with me in 2015.

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Meeting my oncologist today for the first time.

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@polianad22

My breast doctor said that the oncologist will explain everything on the 25th. I asked again that I would like to understand about my lymphovascular invasion.

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Did you learn from your doctor about Lymphovascular Invasion? Could you share his/her view? My doctors are not very certain what will happen with this status since Lymphovascular Invasion is not part of the breast cancer staging but certainly an important factor. Thanks a lot!

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@resort

Did you learn from your doctor about Lymphovascular Invasion? Could you share his/her view? My doctors are not very certain what will happen with this status since Lymphovascular Invasion is not part of the breast cancer staging but certainly an important factor. Thanks a lot!

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@resort my docs never mentioned my LVI. I saw it on my pathology report and asked about it. With second opinions I brought it up as a concern. Make sure to get your pathology report and your Oncotype report before meeting with the oncologist, if you can.

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@windyshores

@resort my docs never mentioned my LVI. I saw it on my pathology report and asked about it. With second opinions I brought it up as a concern. Make sure to get your pathology report and your Oncotype report before meeting with the oncologist, if you can.

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It was the same to me. My doctor did not notice LVI on the pathology summary report until I brought it up. It’s why they asked me to go back to have the 2nd surgery and to remove my Lymph Nodes this time because of LVI status. What was your 2nd opinion doctor say about this?

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