Lymphovascular invasion

All 4 of my opinions didn't have much to say about the LVI. They went by my low Oncotype. I did ask if it was focal or extensive (focal) and if it was in lymph or blood vessels or both (lymph).

Is the second surgery you mentioned, just for lymph nodes? Didn't they take a sentinel node in the first surgery?

They took Sentinel node during surgery. However, they were not able to detect micromestatasis on sentinel node during the surgery until many days later the final pathology report came out. Because of the LVI status, I went back to have axillary lymph node detection 3 weeks later. I asked my surgeon about my LVI (focal or extensive). She said if the report didn’t say “focal”, normally it means “extensive”. Did your report say “focal”? I’m urging oncologist to give me chemo because of LVI. I’ll see her next week. Do you have any positive nodes?

I had to ask if it wss focal. It may have been in one of the reports. I did not have any positive nodes and did not do chemo, but my tumor was 95% estrogen positive.

Good morning my dear. The oncologist didn't mentioned it. No chemotherapy and radiation for me. She recommended Tamoxifen.

Did you have positive nodes? If yes, then it's extensive.

Thanks dear. Best wishes to you and wish you be healthy and never worry about disease anymore from now on!

Thank you. The oncologist was nice, gave me a few hugs. I told her my whole story with alternative treatments, how my tumor shrunk from 2. 6 to 1.6. My cancer was stage 1, HER2 negative, 6 negative sentinel lymph nodes, Oncotype 16. We ended up saying that we should talk in one month if I want to take Tamoxifen or not.

Gotcha, thanks

What “alternative treatment” you used? Before or after y your surgery?

Here is my story:
8/15 - Had a random mammogram. Didn't do one since 2016
8/17 - They called me to come back for another mammogram and ultrasound
8/23 - A second mammogram was performed + ultrasound. The radiologist told me that I have three masses in my left breast, one is cancerous.
8/24 - Start plant based diet 90% + fish ( sardines, trout and wild salmon) + juice fasting + water fasting + a lot of prayers
9/7 - Had a biopsy at Mount Sinai hospital
9/9 - Received the report that said: two cancerous masses in my left breast: Ductal Carcinoma in Situ, invasive, Her2 - negative, ER - positive, PR - positive, Stage 1, Grade 2/3
9/21 - Met with the surgeon Dr. Elisa Port from Mount Sinai
10/13 - Met with Dr. Alexandra Heerdt from Sloan Kettering
10/27 - Met with Dr. Chang - alternative
10/28 - Met with Dr. Wong - alternative
10/28 - Met with Plastic Surgeon Dr. Matros
10/28 - Start with blue scorpion venom from Dr. Chang
10/29 - Received my medical card to buy the RS cannabis oils, vapors and edibles
10/30 - Start Chinese herbal tea from Dr. Wong
11/14 - Unilateral mastectomy on my left with Breast Surgeon Alexandra Heerdt and aesthetic flat with Plastic Surgeon Matros
11/21 - Received the news from the pathology that my 6 sentinel nodes are negative. My tumors shrunk from 2.6 cm to 1.6 cm and 1.0 cm to 0.9 cm. My alternative treatments worked really well.
11/22 - Follow up with Dr. Heerdt and Dr. Matros's nurse
11/29 - Follow up with Dr. Matros
11/29 - Removed the drains
1/04 - Oncotype test score 16
1/25 - Meeting with oncologist Dr. Dang. Never met her or any other oncologist. No chemotherapy and radiation. Tamoxifen recommended.