Re: Update on meeting w/surgeon

[Guest guest]

-Barb- In 1998, I was diagnosed with the same form of Breast

Cancer. Mine was ER + but PR -. That combo is strange. I opted

for the mastectomy because the biospy had no clear margins and with

the size of my breast (or should I say the lack thereof) made a

lumpectomy out of the question. A lumpectomy in my case would have

been just short of tha modified radical mastectomy. It is up to the

individual to make that determination. I also opted for no

reconstruction as I had known quite a few survivors that had trouble

with that procedure.

I was diagnosed with Stage 1, no lymph node involvement. I lost

about 15 nodes. But by going this route, I avoided radiation and

chemo.

Good luck and I will be praying for you.

Pert

-- In breastcancer2 , " Tom & Barb " wrote:

>

> DH & I met with the surgeon yesterday and found out the lump is

> cancerous. It's invasive ductal carcinoma, as I understand, the

most

> common form. [please correct me if I say anything that isn't true]

>

> Surgeon offered 2 options, lose the breast and lymph nodes, or do

a

> lumpectomy with just the first (sentinol?) lymph node. He

> recommended doing the least invasive followed by radiation and

> possibly chemotherapy (he will be sending me on to onocologist for

> their opinion).

>

> I know some of the things all of you have told me to ask where on

> the pathology report and I think I understand, but, please correct

> me if I'm wrong....

>

> Estrogen receptor was negative, progesterone receptor was

negative.

> I have read some info and if I understand that means I would not

be

> a candidate for hormone therapy. Correct?

>

> Her-2/neu was 0. I think that is a good sign?

>

> DH & I have discussed it and I believe I will go for the

lumpectomy

> with radiation, possible chemo. If it is necessary, then the full

> removal.

>

> I was surprised to hear that it is only out-patient surgery,

unless

> they remove more lymph nodes.

>

> Staging will come after surgery when pathology comes back on the

> lymph node and tumor. That is where the onocologist will take over

> as to radiation and chemotherapy.

>

> Hopefully, I have gotten all this correct. I am pleased with the

> surgeon and his willingness to explain and help in any way. DH

feels

> comfortable with him as well as my (family) doctor. I'm sure there

> will be more questions as the process goes forward.

>

> I can't thank you all enough. My family is great, but it really

> helps having heard from so many of you who have been through it so

I

> have a better understanding of what to look for and what is around

> the bend. I'm sure I'll be asking more questions. You have all

been

> GREAT!!

>

> Barb

>

[Guest guest]

Hello,

Since there is power in numbers, let me just say that my own cancer is

the same type: invasive ductal carcinoma, negative for estrogen and

progesterone and also negative HER-2. My tumor is (was originally) 2.5

cm and I have a positive lymph node confirmed by a biopsy to the node

itself. After hearing several options I decided to go the neoadjuvant

way - this means, chemo first (basically because of the positive lymph

node). This approach has the advantage of shrinking the tumor before

surgery (so lumpectomy is less invasive) and also of letting the

oncologist measure how my tumor reacts to this particular chemo (and

eventually make changes if necessary). I have only had two rounds of

chemo so far (AC) and my tumor already feels noticeably different -

softer and smaller. In fact I can hardly feel it now, while it was

pretty obvious when I first found it. Of course, this is very

encouraging.

Cheer up - you will fight this battle and win :-)

[Guest guest]

Hello Barb, It sounds good. Do they know how large the tumor is? Mine was 1.5-2.0 cm. I was estrogen positive and progesterone postive. Her2 was negative. The surgeon said it was a 50/50 chance I would have chemo; but after the surgery the margins were good and said no chemo therapy. You will know more after the pathology report and you go back to the onc. They will give you a computer print out of your percentages for certain therapy. Mine was only a 1% increase rate of survival with chemo. 91% to 92%. So I finished radiation and I am now on adjuvent hormone therapy. Good luck-SharonTom & Barb wrote: DH & I met with the surgeon yesterday and found out the lump is cancerous. It's

invasive ductal carcinoma, as I understand, the most common form. [please correct me if I say anything that isn't true]Surgeon offered 2 options, lose the breast and lymph nodes, or do a lumpectomy with just the first (sentinol?) lymph node. He recommended doing the least invasive followed by radiation and possibly chemotherapy (he will be sending me on to onocologist for their opinion).I know some of the things all of you have told me to ask where on the pathology report and I think I understand, but, please correct me if I'm wrong....Estrogen receptor was negative, progesterone receptor was negative. I have read some info and if I understand that means I would not be a candidate for hormone therapy. Correct?Her-2/neu was 0. I think that is a good sign?DH & I have discussed it and I believe I will go for the lumpectomy with radiation, possible chemo. If it is necessary, then the full

removal.I was surprised to hear that it is only out-patient surgery, unless they remove more lymph nodes.Staging will come after surgery when pathology comes back on the lymph node and tumor. That is where the onocologist will take over as to radiation and chemotherapy.Hopefully, I have gotten all this correct. I am pleased with the surgeon and his willingness to explain and help in any way. DH feels comfortable with him as well as my (family) doctor. I'm sure there will be more questions as the process goes forward.I can't thank you all enough. My family is great, but it really helps having heard from so many of you who have been through it so I have a better understanding of what to look for and what is around the bend. I'm sure I'll be asking more questions. You have all been GREAT!!Barb HAVE YOU BOOKED YOUR VALENTINES RESERVATION YET? WWW.DOUBLETREE.COM ROMANCE PACKAGE WITH CHAMPAGNE, BREAKFAST AND JACUZZI SUITE

Brings words and photos together (easily) with PhotoMail - it's free and works with Yahoo! Mail.

[Guest guest]

I was surprised to hear that it is only out-patient surgery, unless they remove more lymph nodes.

in by ten and out by 4...

never any pain for me-

no where near as tough as having any of my three C-sections!

I wish you the best with yours also!

Andree

www.essentialsoapsinc.com

[Guest guest]

Thanks, Pert. I was given that option and I know taking off the whole breast avoids the radiation and chemo. I'm definitely not looking forward to that part of it. As far as the procedure, I understand that depending on how invasive outcome is the same.

The wife of someone my DH works with has had 4 lumpectomies. I think if I had to go with a second one in the same breast, I'd opt for taking the whole thing.

Re: Update on meeting w/surgeon

-Barb- In 1998, I was diagnosed with the same form of Breast Cancer. Mine was ER + but PR -. That combo is strange. I opted for the mastectomy because the biospy had no clear margins and with the size of my breast (or should I say the lack thereof) made a lumpectomy out of the question. A lumpectomy in my case would have been just short of tha modified radical mastectomy. It is up to the individual to make that determination. I also opted for no reconstruction as I had known quite a few survivors that had trouble with that procedure.I was diagnosed with Stage 1, no lymph node involvement. I lost about 15 nodes. But by going this route, I avoided radiation and chemo.Good luck and I will be praying for you.Pert-- In breastcancer2 , "Tom & Barb" wrote:>> DH & I met with the surgeon yesterday and found out the lump is > cancerous. It's invasive ductal carcinoma, as I understand, the most > common form. [please correct me if I say anything that isn't true]> > Surgeon offered 2 options, lose the breast and lymph nodes, or do a > lumpectomy with just the first (sentinol?) lymph node. He > recommended doing the least invasive followed by radiation and > possibly chemotherapy (he will be sending me on to onocologist for > their opinion).> > I know some of the things all of you have told me to ask where on > the pathology report and I think I understand, but, please correct > me if I'm wrong....> > Estrogen receptor was negative, progesterone receptor was negative. > I have read some info and if I understand that means I would not be > a candidate for hormone therapy. Correct?> > Her-2/neu was 0. I think that is a good sign?> > DH & I have discussed it and I believe I will go for the lumpectomy > with radiation, possible chemo. If it is necessary, then the full > removal.> > I was surprised to hear that it is only out-patient surgery, unless > they remove more lymph nodes.> > Staging will come after surgery when pathology comes back on the > lymph node and tumor. That is where the onocologist will take over > as to radiation and chemotherapy.> > Hopefully, I have gotten all this correct. I am pleased with the > surgeon and his willingness to explain and help in any way. DH feels > comfortable with him as well as my (family) doctor. I'm sure there > will be more questions as the process goes forward.> > I can't thank you all enough. My family is great, but it really > helps having heard from so many of you who have been through it so I > have a better understanding of what to look for and what is around > the bend. I'm sure I'll be asking more questions. You have all been > GREAT!!> > Barb>

[Guest guest]

I don't remember how big it was. I want to say an inch or less only because the surgeon said it was about this big (he had read me the info once, but as we all know, we don't always remember--I'll try to remember to ask him again just so I know how big)

I guess we wait until surgery to find out how far it has spread. Dr. is fairly confident that it hasn't gone too far (which is why he's recommending the lumpectomy and removing only the main lymph node) but he did say they won't know until the final Pathology report.

Re: Update on meeting w/surgeon

Hello Barb,

It sounds good. Do they know how large the tumor is? Mine was 1.5-2.0 cm. I was estrogen positive and progesterone postive. Her2 was negative. The surgeon said it was a 50/50 chance I would have chemo; but after the surgery the margins were good and said no chemo therapy.

You will know more after the pathology report and you go back to the onc. They will give you a computer print out of your percentages for certain therapy. Mine was only a 1% increase rate of survival with chemo. 91% to 92%. So I finished radiation and I am now on adjuvent hormone therapy.

Good luck-SharonTom & Barb wrote:

DH & I met with the surgeon yesterday and found out the lump is cancerous! . It's invasive ductal carcinoma, as I understand, the most common form. [please correct me if I say anything that isn't true]Surgeon offered 2 options, lose the breast and lymph nodes, or do a lumpectomy with just the first (sentinol?) lymph node. He recommended doing the least invasive followed by radiation and possibly chemotherapy (he will be sending me on to onocologist for their opinion).I know some of the things all of you have told me to ask where on the pathology report and I think I understand, but, please correct me if I'm wrong....Estrogen receptor was negative, progesterone receptor was negative. I have read some info and if I understand that means I would not be a candidate for hormone therapy. Correct?Her-2/neu was 0. I think that is a good sign?DH & I have discussed it and I believe I will go for the lumpectomy with radiation, possible chemo. If it is necessary, then the full removal.I was surprised to hear that it is only out-patient surgery, unless they remove more lymph nodes.Staging will come after surgery when pathology comes back on the lymph node and tumor. That is where the onocologist will take over as to radiation and chemotherapy.Hopefully, I have gotten all this correct. I am pleased with the surgeon and his willingness to explain and help in any way. DH feels comfortable with him as well as my (family) doctor. I'm sure there will be more questions as the process goes forward.I can't thank you all enough. My family is great, but it really helps having heard from so many of you who have been through it so I have a better understanding of what to look for and what is around the bend. I'm sure I'll be asking more questions. You have all been GREAT!!Barb

HAVE YOU BOOKED YOUR VALENTINES RESERVATION YET? WWW.DOUBLETREE.COM ROMANCE PACKAGE WITH CHAMPAGNE, BREAKFAST AND JACUZZI SUITE

Brings words and photos together (easily) withPhotoMail - it's free and works with Yahoo! Mail.

[Guest guest]

Barb,

Thanks for the update. I will continue to keep you in my prayers.

Hugs

nne

Breast Cancer Patients Soul Mates for Lifehttp://www.geocities.com/chucky5741/breastcancerpatients.html

Check out my breast cancer ornaments at:http://www.geocities.com/chucky5741/bcornament.htmlalso check out my other ornaments and lots of nice gifts at:http://www.cancerclub.com

Update on meeting w/surgeon

DH & I met with the surgeon yesterday and found out the lump is cancerous. It's invasive ductal carcinoma, as I understand, the most common form. [please correct me if I say anything that isn't true]Surgeon offered 2 options, lose the breast and lymph nodes, or do a lumpectomy with just the first (sentinol?) lymph node. He recommended doing the least invasive followed by radiation and possibly chemotherapy (he will be sending me on to onocologist for their opinion).I know some of the things all of you have told me to ask where on the pathology report and I think I understand, but, please correct me if I'm wrong....Estrogen receptor was negative, progesterone receptor was negative. I have read some info and if I understand that means I would not be a candidate for hormone therapy. Correct?Her-2/neu was 0. I think that is a good sign?DH & I have discussed it and I believe I will go for the lumpectomy with radiation, possible chemo. If it is necessary, then the full removal.I was surprised to hear that it is only out-patient surgery, unless they remove more lymph nodes.Staging will come after surgery when pathology comes back on the lymph node and tumor. That is where the onocologist will take over as to radiation and chemotherapy.Hopefully, I have gotten all this correct. I am pleased with the surgeon and his willingness to explain and help in any way. DH feels comfortable with him as well as my (family) doctor. I'm sure there will be more questions as the process goes forward.I can't thank you all enough. My family is great, but it really helps having heard from so many of you who have been through it so I have a better understanding of what to look for and what is around the bend. I'm sure I'll be asking more questions. You have all been GREAT!!Barb

[Guest guest]

I think my DR said... in by 8 and by 4 I'd be going....'why am I here?'

Re: Update on meeting w/surgeon

I was surprised to hear that it is only out-patient surgery, unless they remove more lymph nodes.

in by ten and out by 4...

never any pain for me-

no where near as tough as having any of my three C-sections!

I wish you the best with yours also!

Andree

www.essentialsoapsinc.com

[Guest guest]

Thank you... I appreciate all the support.

Update on meeting w/surgeon

DH & I met with the surgeon yesterday and found out the lump is cancerous. It's invasive ductal carcinoma, as I understand, the most common form. [please correct me if I say anything that isn't true]Surgeon offered 2 options, lose the breast and lymph nodes, or do a lumpectomy with just the first (sentinol?) lymph node. He recommended doing the least invasive followed by radiation and possibly chemotherapy (he will be sending me on to onocologist for their opinion).I know some of the things all of you have told me to ask where on the pathology report and I think I understand, but, please correct me if I'm wrong....Estrogen receptor was negative, progesterone receptor was negative. I have read some info and if I understand that means I would not be a candidate for hormone therapy. Correct?Her-2/neu was 0. I think that is a good sign?DH & I have discussed it and I believe I will go for the lumpectomy with radiation, possible chemo. If it is necessary, then the full removal.I was surprised to hear that it is only out-patient surgery, unless they remove more lymph nodes.Staging will come after surgery when pathology comes back on the lymph node and tumor. That is where the onocologist will take over as to radiation and chemotherapy.Hopefully, I have gotten all this correct. I am pleased with the surgeon and his willingness to explain and help in any way. DH feels comfortable with him as well as my (family) doctor. I'm sure there will be more questions as the process goes forward.I can't thank you all enough. My family is great, but it really helps having heard from so many of you who have been through it so I have a better understanding of what to look for and what is around the bend. I'm sure I'll be asking more questions. You have all been GREAT!!Barb

[Guest guest]

Barb, Have you met with an oncologist? I would definitely recommend that you do NOT decide on a treatment protocol until you have seen the oncologist and you, your husband, surgeon and the oncologist decide on a treatment plan. Maybe I missed something here - maybe you already met with your onc??? Ann Weiss Chemo Hats: www.cjhats.com

Yahoo! Autos. Looking for a sweet ride? Get pricing, reviews, more on new and used cars.

[Guest guest]

What does DH stand for?

The information included herein was obtained from sources which I believe reliable.

Update on meeting w/surgeon

DH & I met with the surgeon yesterday and found out the lump is cancerous. It's invasive ductal carcinoma, as I understand, the most common form. [please correct me if I say anything that isn't true]Surgeon offered 2 options, lose the breast and lymph nodes, or do a lumpectomy with just the first (sentinol?) lymph node. He recommended doing the least invasive followed by radiation and possibly chemotherapy (he will be sending me on to onocologist for their opinion).I know some of the things all of you have told me to ask where on the pathology report and I think I understand, but, please correct me if I'm wrong....Estrogen receptor was negative, progesterone receptor was negative. I have read some info and if I understand that means I would not be a candidate for hormone therapy. Correct?Her-2/neu was 0. I think that is a good sign?DH & I have discussed it and I believe I will go for the lumpectomy with radiation, possible chemo. If it is necessary, then the full removal.I was surprised to hear that it is only out-patient surgery, unless they remove more lymph nodes.Staging will come after surgery when pathology comes back on the lymph node and tumor. That is where the onocologist will take over as to radiation and chemotherapy.Hopefully, I have gotten all this correct. I am pleased with the surgeon and his willingness to explain and help in any way. DH feels comfortable with him as well as my (family) doctor. I'm sure there will be more questions as the process goes forward.I can't thank you all enough. My family is great, but it really helps having heard from so many of you who have been through it so I have a better understanding of what to look for and what is around the bend. I'm sure I'll be asking more questions. You have all been GREAT!!Barb

No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.3/254 - Release Date: 2/8/2006

[Guest guest]

take your pick, for me its 'darling husband', some days it might be something else.... <s>

Update on meeting w/surgeon

DH & I met with the surgeon yesterday and found out the lump is cancerous. It's invasive ductal carcinoma, as I understand, the most common form. [please correct me if I say anything that isn't true]Surgeon offered 2 options, lose the breast and lymph nodes, or do a lumpectomy with just the first (sentinol?) lymph node. He recommended doing the least invasive followed by radiation and possibly chemotherapy (he will be sending me on to onocologist for their opinion).I know some of the things all of you have told me to ask where on the pathology report and I think I understand, but, please correct me if I'm wrong....Estrogen receptor was negative, progesterone receptor was negative. I have read some info and if I understand that means I would not be a candidate for hormone therapy. Correct?Her-2/neu was 0. I think that is a good sign?DH & I have discussed it and I believe I will go for the lumpectomy with radiation, possible chemo. If it is necessary, then the full removal.I was surprised to hear that it is only out-patient surgery, unless they remove more lymph nodes.Staging will come after surgery when pathology comes back on the lymph node and tumor. That is where the onocologist will take over as to radiation and chemotherapy.Hopefully, I have gotten all this correct. I am pleased with the surgeon and his willingness to explain and help in any way. DH feels comfortable with him as well as my (family) doctor. I'm sure there will be more questions as the process goes forward.I can't thank you all enough. My family is great, but it really helps having heard from so many of you who have been through it so I have a better understanding of what to look for and what is around the bend. I'm sure I'll be asking more questions. You have all been GREAT!!Barb

No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.3/254 - Release Date: 2/8/2006

[Guest guest]

DH is dear husband.

Hugs

nne

Breast Cancer Patients Soul Mates for Lifehttp://www.geocities.com/chucky5741/breastcancerpatients.html

Check out my breast cancer ornaments at:http://www.geocities.com/chucky5741/bcornament.htmlalso check out my other ornaments and lots of nice gifts at:http://www.cancerclub.com

Update on meeting w/surgeon

DH & I met with the surgeon yesterday and found out the lump is cancerous. It's invasive ductal carcinoma, as I understand, the most common form. [please correct me if I say anything that isn't true]Surgeon offered 2 options, lose the breast and lymph nodes, or do a lumpectomy with just the first (sentinol?) lymph node. He recommended doing the least invasive followed by radiation and possibly chemotherapy (he will be sending me on to onocologist for their opinion).I know some of the things all of you have told me to ask where on the pathology report and I think I understand, but, please correct me if I'm wrong....Estrogen receptor was negative, progesterone receptor was negative. I have read some info and if I understand that means I would not be a candidate for hormone therapy. Correct?Her-2/neu was 0. I think that is a good sign?DH & I have discussed it and I believe I will go for the lumpectomy with radiation, possible chemo. If it is necessary, then the full removal.I was surprised to hear that it is only out-patient surgery, unless they remove more lymph nodes.Staging will come after surgery when pathology comes back on the lymph node and tumor. That is where the onocologist will take over as to radiation and chemotherapy.Hopefully, I have gotten all this correct. I am pleased with the surgeon and his willingness to explain and help in any way. DH feels comfortable with him as well as my (family) doctor. I'm sure there will be more questions as the process goes forward.I can't thank you all enough. My family is great, but it really helps having heard from so many of you who have been through it so I have a better understanding of what to look for and what is around the bend. I'm sure I'll be asking more questions. You have all been GREAT!!Barb

No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.3/254 - Release Date: 2/8/2006