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Invasive Ductal Carcinoma with Lymph Nodes

I has a lumpectomy and lymph nodes surgery last week, the surgeon removed 16 lymph nodes and 3 out of 16 was cancer. My margins were clear, the questions I am asking I don't want to go through with any chemotheraphy treatment at this time. What are the risk I am facing, I have had all the test done prior to my surgery from Ct scan to bone scan and even the Muga scan. all these test came back indicating that no cancer cell had spread.I am willing to do radiation what do I do now?

Research, Knowledge and Information :

Invasive Ductal Carcinoma (IDC) -

Invasive ductal carcinoma (IDC), ... Over time, invasive ductal carcinoma can spread to the lymph nodes and possibly to other areas of the body.
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Invasive carcinoma of no special type - Wikipedia

Invasive carcinoma of no special type (NST) ... Absence of cancer cells in the lymph nodes is a good indication that the cancer has not spread systemically.
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Breast Cancer Stages - National Breast Cancer Foundation

Invasive Ductal Carcinoma ... Breast Cancer Stages ... The nearest lymph nodes are found under the arm, known as the axillary area;
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Stages of Breast Cancer |

Multiple stages of breast cancer ... (ductal carcinoma in ... and has not spread to the axillary lymph nodes; Stage IIB describes invasive breast ...
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Stage 2 - National Breast Cancer Foundation

Ductal Carcinoma In Situ Invasive Ductal ... but it is still contained in the breast or growth has only extended to the nearby lymph nodes. This stage is divided ...
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Invasive Ductal Carcinoma Surgery | Moffitt Cancer Center

Invasive Ductal Carcinoma Surgery Invasive ductal carcinoma surgery may be performed to remove a cancerous breast tumor, and also to find out if breast cancer has ...
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Invasive Breast Cancer | Susan G. Komen®

Invasive breast cancer occurs when cancer cells from inside the milk ducts or lobules break out ... The lymph nodes in the underarm ... Invasive ductal carcinoma ...
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The Role of Sentinel Lymph Node Biopsy in Patients With Ductal

The Role of Sentinel Lymph Node Biopsy in Patients With Ductal Carcinoma In Situ or With Locally Advanced Breast Cancer Receiving Neoadjuvant Chemotherapy
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Invasive Breast Cancer: Symptoms, Treatments, Prognosis

It can then spread into the nearby lymph nodes and ... Two types account for about 95% of invasive breast cancer. Invasive ductal ... Invasive lobular carcinoma ...
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Invasive micropapillary carcinoma of the breast: high ...

1. Histopathology. 2004 Jan;44(1):18-23. Invasive micropapillary carcinoma of the breast: high incidence of lymph node metastasis with extranodal extension and its ...
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Suggested Questions And Answer :

Breast Ca interprete the Path language

Questions for your oncologist I think
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Microscopic Metastis in lymph node

Not speaking from personal experience but as a rule most if not all Oncologists would recommend Chemo for any lymph node involvement. I would get a second opinion if possible since I believe that the more aggressive your treatment, the better chance you have to be cancer free OR the least chance of a recurrence. There are standards for acceptable margins after lumpectomy so you might ck. with the Oncologist as to why he/she thought yours were not sufficient. Regards ....
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pT1cN1aMx Breast Cancer

Hi, I am so sorry that you have been diagnosed with breast cancer... I am going to try to help as much as I can with your questions,but I am not a doctor,therefore you should ask your Surgeon/Oncologist,who has all your medical record,to explain everything to you in details. From what I gather,your report states that you have invasive ductal carcinoma (IDC) pT1cN1aMx ,means that your cancer is estrogen and progesterone positive and your HERe is negative which is a good thing regarding management.Your cancer grade is 2 meaning that the abnormal cells activity are moderate or intermediate. Unfortunately you have lymph nodes that are affected and in this case Chemotherapy would be recommended as well as medication such as Tamoxifen or other drug that interrupts the hormone estrogen and its connection to breast cancer. I am sorry if I cannot be more helpful,but I am sure your doctor will take good care of you,taking in consideration also your heart problem and will plan the best specific treatment for your particular case. With proper treatment, I am hopeful that you'll beat this dreadful disease and be well on the road for a complete recovery. Wishing you all the best and good luck!
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Lymph node involvement in internal mammary gland

Apparently the internal mammary lymph nodes are not easy to get to, and would basically require opening the chest.  Having chemo and radiation, as you've been advised, sholud take care of it. For a more detailed, related answer, click on the Expert Forum question entitled "Significance of tumor location" in the "Related Discussions" box just below my reply. Best wishes...
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Can axillary lymph node disection show stage IV breast cancer

Lymph node dissection will only show if there is cancer in the lymph nodes.  The only way to know if there is spread to other organs beyond the breast (Stage IV) is through further testing, i.e. PET Scan, MRI, CT Scan, bone scan.  The kind of test will be determined by your mom's doctor, depending on all the clinical data he/she will have from the pathology report.  The presence of cancer in the lymph nodes does not necessarily mean that the cancer has spread to other organs.  There are many women on this forum who have had positive lymph nodes, but no spread to other organs.  Stay positive and strong for your mom.  She is lucky to have such a caring child.  I hope things work out well for her.
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Breast cancer with focal atypical lobulat hyperplasia

This is a purely personal decision that should be discussed in detail with both the Oncologist and your Surgeon. If you would be considering reconstruction then also a Plastic Surgeon. It isn't anything that anyone other than those listed above could advise either for or against. I can certainly see why you might be considering bilat. mastectomy at this point but you need to give this some careful study and consideration.    Regards ....
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Clarification of Path Report

Hi there. No metastatic does not necessarily mean stage IV.  In your case only the lymph nodes had metastasis and if you have no other tumors in your other organs (lung, liver, brain, etc), then you can be staged anywhere between II to III depending on how large your primary tumor is.  You oncologist may recommend chemotherapy with Herceptin (for being HER2 overexpressing) and radiotherapy. For more information regarding your stage and treatment, you can visit the National Comprehensive Cancer Network website: Hope this helps.  Regards and good luck with your treatment.
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From reading your past posts I see you've had to fight for the right testing to find out about your own cancer. Good for you! Proactive is the way to start on this journey and the way to stay during it. It's never easy but for sure you can do this. Staging will come after your surgery. As you have bilateral breast cancers, they will try to determine if it has spread or if it's two different cancers. Please let us help you as you go through this. I've had a lot of difficulty with this site since August but have sent you a private message... not sure it went through or not but.. Best wishes.
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Invasive Ductal Carcinoma with Kidney Renal Disease

I had Invasive  Ductal Carcinoma. It had not entered into my Lungs. I also did not have Kidney Renal Disease. I did have Chemo after a masectomy.  This is only my personal feeling ( although, I have had friends as I went thru the last 11 years that agree with me.) Chemo for me was a mistake. It thinned my blood too much, an area, spot,  in my brain that was injuried as a kid in a car accident broke  and I started having seizures. The Chemo affected my esophogus, My balance was messed up and I broke my shoulder (it affected my bones.) I walk with a cane. The Chemo for this type of cancer was truely terrible on my body. It may be wrong of me to say it , but I would never let anyone I cared about go through Chemo. I also took hormone treatments later. I did not get sick on it. I did gain some weight but hey I could handle that. Follow the direction in your heart that is at peace with what the Drs. are saying. -Oh and get 2 opinons. Good Luck -My heart goes out to you with this decision.  Nancy
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Invasive Ductal Carcinoma with Renal Kidney Disease

Hi, I am sorry your mother has been dx with BC in the wake of other medical problems. Questions in this forum are answered by survivors and other volunteers generally not identified as medical professionals. We are unable, therefore, to provide specific treatment recommendations  concerning your  mother's case, as you requested.    It would be best for you and your mother to discuss these questions with her oncologist, who would have the necessary medical expertise,  as well as having available all of the details of her medical history and test results, to recommend the best treatment plan for her specific case. Bet wishes to both you and your mother...
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