lung and breast combo
Hi. Did your doctors do a separate biopsy of your lung mass? If they did, what were the results? I'm asking because if the histology of the breast and lung biopsies are similar, this may be a case of metastatic disease in either the breast or the lungs, instead of double primary sites (which is a less common occurrence). I'm thinking that maybe the lung lesion signifies metastatic spread from a primary breast cancer (of course, this is just my theory based on what you posted). If this is the case, then a wedge resection/ lobectomy is unnecessary, since the metastatic lung lesion would respond to chemotherapy given for the breast cancer.
As for your questions, I'm going to try answering them per item:
1. The sentinel lymph node biopsy should be done together with surgery of the breast mass, either a mastectomy or lumpectomy. If my theory is correct and the lung mass is actually a metastatic lesion, then the lung surgery would indeed be pointless.
2. A bone scan is not needed if you do not have any symptoms hinting at bone metastases (e.g. bone pain, elevated serum alkaline phosphatase).
3. If the sentinel biopsy find those nodes malignant, it is likely that the cancer cells in the nodes originated from the breast (regional metastases). This would mean that in addition to breast surgery and chemotherapy, you will also need additional radiation treatment which would include the area where the nodes were harvested (the armpit). However, the presence of sentinel node metastases will not change the need for resection of the lung mass, ASSUMING that the lung mass is a separate primary. If that lung mass signifies distant metastases coming from the breast, lung resection is unnecessary, as I have stated earlier. This is why it is important to know if the breast and lung masses have similar histology, since it has a lot of impact on how your case is going to be treated. Read More At : ...