Rest lumps Swelling of Lymph Node My sister is aged about 40 years. She had a lump in her right breast a mammogram was done and then 2.5 cms lump with benign lymph nodes were noted. A quadrantectomy on right breast only was done and no lymph nodes were extracted. Upon HPE it was revealed that she has ductal infiltrating carcinoma. Then PET CT was done and no distant metastasis and no lymphadenopathy was reveled. However focal activity in colon wall noted. It is advised to undergo 4 cycles of CT and the breast only irradiation. Sir what would be the ideal procedure and treatment schedule. Is removal of lymph nodes and hpe of same again required or can we just go ahead with above treatment. I can send the reports if required.
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We need to address the axilla especially for staging. 30% of nodes which are negative for cancer on ultrasound, PET scan and Core Biopsy or FNAC, turn out to be positive on sentinel node Biopsy. Ideal procedure for a negative axilla should be a sentinel node Biopsy and if found positive, then an Axillary clearance should be done. (some prefer to leave it at that if 1-2 nodes only positive or radiate the axilla) This staging of Axilla helps to decide the prognosis of the disease. E.g we may shift to adria based chemo plus taxanes. Also the ER/PR/Her 2 status determines the treatment needed I would be able to opine better if you send the reports directly.
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