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Doctor insights on: Breast Cancer In The Lymph Nodes

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Ct neck shows scattered subcm short axis dimension lymph nodes anterior posterior cervical chains bilat. 2 x triple neg breast cancer surv. Biopsy?

Ct neck shows scattered subcm short axis dimension lymph nodes anterior posterior cervical chains bilat. 2 x triple neg breast cancer surv. Biopsy?

Imaging/biopsy: You have been through a lot. Imaging with ct scan provides information and helps guide next steps, but is not diagnostic. A biopsy obtains tissue for pathology to make the diagnose of lymph node. The timing of biopsy in relation to your overall health will be best addressed between you and your doc. Take family or friend with you. ...Read more

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Dr. Barry Rosen
4,316 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Metastatic breast cancer spreading to lymph nodes? Is that usually pretty bad?

Metastatic breast cancer spreading to lymph nodes? Is that usually pretty bad?

Not necessarily: Lymph nodes are one aspect of evaluation for stage and treatment of breast cancer. It depends on size of breast cancer itself, number of lymph nodes involved, hormone status of the tumor, and dna testing can also help identify breast cancer risks. If the lymph node involvement is small, then there is little additioanl risk to the patient. There are many factors involved in assessing breast cancer. ...Read more

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What to do if I have secondary breast cancer in my lymph nodes and bones?

What to do if I have secondary breast cancer in my lymph nodes and bones?

Oncologist: See your oncologist for a full evaluation & determination of the treatment options. ...Read more

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What to do if I have secondary breast cancer in my lymph nodes and bones?

What to do if I have secondary breast cancer in my lymph nodes and bones?

Sorry to hear thus: See your oncologist for a full review of the treatment options. Best wishes. ...Read more

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Would a cancerous (lymphoma, breast cancer, etc.) axillary lymph node shrink?

Would a cancerous (lymphoma, breast cancer, etc.) axillary lymph node shrink?

No: A lymph node replaced with malignant cells growing as a primary lymphod tumor or metastatic from another site which has spread to axilla will not shrink without treatment, either chemo or RT. The node will enlarge further or if unchanged will spread to adjacent nodes. It does not have the potential to metastasize further to non lymphatic tissue such as liver or lung. ...Read more

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Do all stage 1 breast cancer patients without lymph node involvement have to take chemo?

Do all stage 1 breast cancer patients without lymph node involvement have to take chemo?

On the contrary: The decision to recommend chemotherapy is based on the stage of the cancer, the pt's age, as well as the molecular features, including the estrogen-, progesterone-, & her2/neu receptor status +/-oncotype-dx recurrence score. Stage i-, ln (-) pts may have no chemo-, hormonal rx, or chemotherapy recommended based on the above factors. ...Read more

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O had surgery for positive breast cancer. Is sentinel lymph node biopsy accurate for breast cancer surgery. Node was negative.

O had surgery for positive breast cancer. Is sentinel lymph node biopsy accurate for breast cancer surgery. Node was negative.

Yes they are: By now sentinel lymph node are the standard of care for breast cancer surgery and staging, and yes they are very accurate. Node is negative is a very good news that will make the cancer early stage and hopefully cureable ...Read more

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Diagnosed with shingles 5 days ago; have lymphedema on 1 arm from removal of 30 breast cancer involved lymph nodes - what if shingles spreads to arm?

Diagnosed with shingles 5 days ago; have lymphedema on 1 arm from removal of 30 breast cancer involved lymph nodes - what if shingles spreads to arm?

Secondary infection: Good news is that shingles always follows set patterns. The outbreaks follow the course of a sensory nerve. So, if the outbreak isn't now near the arm, it is very unlikely that it will go there. You can search online for shingles dermatomes to see the patterns. If it does make it to your arm, secondary infection is your biggest concern. Be careful the blisters do not pop and become infected. ...Read more

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Mother diagnosed with stage 4 breast cancer in breast, multiple lymph nodes, liver and bones. How long does she have?

Mother diagnosed with stage 4 breast cancer in breast, multiple lymph nodes, liver and bones. How long does she have?

Depends: First, it is now clear we physicians can't predict the survival of any single individual very precisely. We can say that of a thousand patients with a given condition, half will still be alive at x date. For a breast cancer patient, even one with stage IV disease, the prognosis depends on many things: is the tumor hormone sensitive or not? Is there a her2-neu gene amplification? So it depends. ...Read more

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Breast cancer with lymph node involvement prognosis?

Breast cancer with lymph node involvement prognosis?

Depends: Lymph nodes are one aspect of evaluation for stage and treatment of breast cancer. It depends on size of breast cancer itself, number of lymph nodes involved, hormone status of the tumor, and dna testing can also help identify breast cancer risks. If the lymph node involvement is small, then there is little additioanl risk to the patient. There are many factors involved in assessing breast cancer. ...Read more

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What is the survival rate for breast cancer with lymph node involvement?

What is the survival rate for breast cancer with lymph node involvement?

Need More Info: There are lots of variables that help estimate survival, including tumor size, type, number of lymph nodes involved, and additional factors such as comorbidities (diabetes, heart disease, lung disease, etc). Here's a good reference: http://sgoti. Ws/upp2y2 good luck. ...Read more

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Breast cancer spread only to lymph nodes is also called metastasis?

Breast cancer spread only to lymph nodes is also called metastasis?

Metastatic disease: Any spread from the tissue of origin, including lymph nodes is metastatic disease. ...Read more

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For breast cancer can lymph nodes be tested with needle biopsy or must they 100% be removed to check them.?

For breast cancer can lymph nodes be tested with needle biopsy or must they 100% be removed to check them.?

Depends on size: Larger lymph nodes that can be felt or are over 1/2" on ultrasound can be biopsied with a needle. If that shows cancer, often no further lymph node surgery is needed NOW, but might be needed later. If no lymph nodes can be felt, and none are enlarged by ultrasound, then a "Sentinel Node Biopsy" -- removing the "sentry" or guardian lymph node of the armpit is needed; sometimes more than one. ...Read more

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Should stage 1 breast cancer patients with no lymph node involvement generally receive chemo?

Should stage 1 breast cancer patients with no lymph node involvement generally receive chemo?

Sometimes: While the prognosis for stage 1 breast cancer is excellent, many women may benefit from traditional chemotherapy. This is dependent on the age of the patient, whether the tumor is hormone-sensitive, if the her2/neu receptor is overexpressed, and, in select cases, what the oncotype-dx score is. While "negative" lymph nodes are very encouraging, some breast cancers may travel via the bloodstream. ...Read more

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Are all stage 1 breast cancer patients with no lymph node involvement recommended to take chemotherapy?

Are all stage 1 breast cancer patients with no lymph node involvement recommended to take chemotherapy?

No: Most important factors are tumor size, age and overall health, estrogen receptor status and her-2-neu status. In general, most young healthy people with a tumor greater than 1 cm will receive chemo and/or hormonal therapy. Smaller tumors are treated if er negative or her-2 positive. Some small er+ tumors are treated with chemo, but the relative benefits are smaller - an oncotype DX is helpful. ...Read more

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Is it true that stage 1 breast cancer patients with no lymph node involvement recommended to take chemo?

Is it true that stage 1 breast cancer patients with no lymph node involvement recommended to take chemo?

It Depends: Typically it depends on the receptor status (estrogen/progesterone/her2) and the size of the tumor. Tumors greater than a centimeter are generally prescribed chemotherapy, although er/pr+ patients may just get hormonal therapy. The oncotype assay is sometimes used to decide on equivocal cases on when to give chemo. You might want to ask your doctors if this is right for you. ...Read more

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Right breast cancer, no lymph node taken out. Had mastectomy, clear margins, 1.2 cm tumor, mitotic rate 1, grade 1, total score 5. Treatment recommend?

Right breast cancer, no lymph node taken out. Had mastectomy, clear margins, 1.2 cm tumor, mitotic rate 1, grade 1, total score 5. Treatment recommend?

Watch: If mastectomy performed, no RT needed. The chance of nodal involvement appearing later is a possibility. It seems when tumor spreads to lymph nodes, the disease remains in the lymph node chain and will not metastasize to other organs such as lung, liver, or bone. When nodes are left to expand, they extend to level 3 nodes, then eventually impinge on axillary vein, a reason for resection. ...Read more

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I have breast cancer spread only to lymph nodes after surgery chemotherapy and radiation, can came back and spread to bone or other organs?

I have breast cancer spread only to lymph nodes after surgery chemotherapy and radiation, can came back and spread to bone or other organs?

Hopefully not: It depends on the stage and type of Breast Cancer. What kind of surgery- Mastectomy or Lumpectomy? Are post menopausal? Was it ER/PR positive? HER 2 positive? This is the best case scenerio. Your Oncologist will be able to give you the proper information. Keep Positive attitude, Love your life, Exercise regularly when you can, Eat more greens- Lots of Vegetables which has Antioxidents. ...Read more

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Swelling of lymph nodes under the arm is a symptom of breast cancer? Are the swollen lymph nodes supposed to be pain-free?

Swelling of lymph nodes under the arm is a symptom of breast cancer? Are the swollen lymph nodes supposed to be pain-free?

No neccasarily: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more

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Dr. Barry Rosen
1,365 Doctors shared insights

Breast Cancer (Definition)

Occurs when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. Often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast ...Read more


Dr. Mark Hoepfner
1,050 Doctors shared insights

Breast Carcinoma (Definition)

Most breast cancers are carcinomas. This is a type of breast cancer. These cancers start in the cells that line organs and tissues. In fact, breast cancers are often a type of carcinoma called adenocarcinoma, which starts in cells that make glands (glandular tissue). Breast adenocarcinomas start in the ducts (the milk ducts) or ...Read more