Morning everyone There was loads of talk yesterday regarding node clearance be it total or partial. On my part I was lucky in that both my oncologist and surgeon were in agreement on full clearance, so that decision was taken out of my hands. It seems that whichever path is taken they both cause anxiety as to whether it's right or not. What if some cancer is left when only some nodes are taken? What if cancer returns in the same breast and there is nothing to stop it spreading? According to the trial I am on most surgeons will recommend ANC. I know some of you had a sentinel lymph node biopsy, the blue dye and tracer, and a relatively new technique to identify which glands have absorbed the dye and duly removed. What isn't known is if all the cancer has gone after chemo. Hence since I was having ANC and have had chemo I had the trace dye put in to see if it correctly identified any suspicious stuff. Hope this makes sense as I don't want to type out two whole paragraphs. I'm waiting for hubby to come home from work to take me for my PICC care. Hope he remembers otherwise I can see me driving against medical advice. I've got full movement in my arm so hopefully I'd be ok. Have a good day everyone xxxxxx
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Hi LB2, Thank you for your advice when I posted in March. Couldn’t see my post so haven’t been on here until Saturday The painkillers did help but oncologist reduced my last two taxol treatments as I was having problems with the nerves in my fingers. My last chemo was the 17th of April, had a break & have now started radiotherapy. My first session went ok, they spent a long time setting me up but the actual treatment took minutes. Hope everyone on here is doing well xx
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I was diagnosed in November and agree that the waiting around before treatment starts is a truly traumatic and worrying time. My nurse told me it would get better once treatment started and it did. Like you I have invasive ductal cancer and am having chemo before surgery. I started chemo on 5th December and am on EC treatment. I had ultrasound after two sessions and was relieved to hear that the chemo is working. Thoroughly agree that the time of year did not help me either. I did not want to spoil anyones Christmas but mine was well and truly out the window. Stay positive and once you have started you will feel a bit better. Just a note anyone else start their chemo in December 2018
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Thanks for posting.
Treatment decisions are based on guidance issued by the National Institute for Health and Care Excellence. (NICE). They are usually made at the multidisciplinary team meeting and discussed with the person concerned at their next appointment.
While most women with invasive breast cancer and no evidence of lymph node involvement will be offered sentinel lymph node biopsy, there may be individual reasons why ANC is offered to some women.
It’s not possible for us to say why the form you describe says you are to have an ANC. But it’s important you have the opportunity to discuss this further and understand the reasons fully so you can make an informed decision about your treatment. I wonder if it would be helpful to have a further chat to your breast care nurse and ask if she can explain in more detail why this decision has been made
Some hospitals can assess the lymph nodes during breast surgery. The removed nodes will be looked at by a pathologist straight away and the surgeon will be told the result during the operation. If the sentinel node contains cancer cells the surgeon can then remove more lymph nodes which avoids a second operation.
If the lymph nodes are not assessed during surgery, the results of lymph node surgery are usually available a couple of weeks after surgery and are given to you at the same time as the rest of your pathology report.
Do call our free, confidential Helpline if you would like to talk this through or have any further questions. The number is 0808 800 6000.
Our opening hours are Monday to Friday 9am - 4pm and 9am -1pm on Saturday. Out of hours you can leave a message and we will call you back when we next open.
Breast Cancer Care Nurse
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