Hi mamajugs, like you,I had a lumpectomy and full node clearance back in 2003 when I was 47.I had radiation but no chemo. So my cancer came back in the same spot 7 years later despite clear margins and radiation.Go figure!! I had to have a mastectomy,chemo and Tamoxifen for 4yrs.That was 2010 and I've been fine since. You'll have to get your pathology back to determine your treatment.I have a friend who has had cancer in her lymph nodes for the last 20yrs- it never travelled and she just has it treated and monitored.It sucks that you have to face bc again but you are not alone. Fingers crossed that you may just need a radiation zap and/or anti hormone drugs.Thanks for your info about the pec lymph nodes- something we don't think about.Hopefully,you can get it all sorted before your big trip.xx