Forum Discussion
Lane
6 years agoMember
Lymph node status
I was just wondering how cancer in lymph nodes is detected before surgery. Some women already seem to know their lymph node status before their operation. Was this diagnosed through ultrasound, mammogram, MRI or pet scan? All of these tests suggest my lymph nodes seem ok, but the surgeon tells me a substantial number will have to be removed in the operation anyway. (I am currently undergoing neoadjuvant chemotherapy.)
20 Replies
- LaneMemberThat's good that you don't need more surgery @Sydney
- SydneyMemberI had 6 lymph node removed when i had the mastectomy those lymph node shows blue on the sentinel. On the initial test its all negative but further test shows 1 lymph node has cancer but very small. My doctor said I don’t need to have another surger.
- AfraserMemberLymph node transplant is a thing! Still early stages yet and results are pretty variable. Of course current treatment uses lymph nodes from elsewhere in the body not the ones removed in an axillary clearance, but if it improves, who knows? So far, it seems only worth considering if you have considerable swelling/pain/difficulty of movement - looong procedure, costly and not guaranteed - but worth watching.
- LaneMemberThanks @Brenda5. It's a shame that so many people have to lose lymph nodes which are perfectly ok. If only the surgeons could put them back when they find out they're clear!
- Brenda5MemberMy blood tests never showed cancer. Ultrasound on lymph nodes showed no involvement. After mastectomy and sentinel node was tested, it showed positive so a full clearance of all nodes was done but none of them showed positive.
- LaneMemberThanks @Irb_03. I’m into my second cycle of chemo and so far having no problems. Much milder than I thought. I have four cycles all up, finishing in December. Maybe it gets worse as time goes on? In some ways, I would have preferred to have op first, just to have the cancer cut out. It would have been easier to deal with psychologically, I think, but doctors know best of course. (Chemo first seemed to work well for you.) Thanks for your reply.
- MahaicaMemberI was told my nodes were clear but after surgery my sentinel node came back positive so I had a second operation to remove 9 nodes and there were are clear. It is difficult sometimes with MRI I told at the beginning no nodes and no chemotherapy now I am undergoing chemotherapy
- lrb_03MemberHi @Lane, my only symptom was discomfort under my arm, which led to me finding a small lump there. GP sent me for mammogram, USS +/- FNA if indicated. This all located my tumour - core biopsies, and suspicious nodes - FNA of one indicated node positive. I, too had neoadjuvant chemo, then lumpectomy, node clearance, followed by radiotherapy. 4 years ago, I had just finished chemo.
Hope you're going ok with chemo - LaneMemberThanks, Primek. Was your MRI accurate at detecting your lymph node status? i. e. Were the number of affected nodes, as shown in MRI, similar to what was discovered during surgery?
- primekMemberThey had a good feel of mine beforehand and I had a mri beforehand to see if needing more than a sentinel node on one side (as had both breasts off )