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Next Step After Chemo And Surgery, (lumpectomy), But Still Have Cancer In Milk Ducts And 2 Nodes- My Niece Going Thru This

A MyBCTeam Member asked a question 💭
Toledo, OH

My niece went thru chemo and surgery (lumpectomy) and her surgeon called her after the lumpectomy and said there is still cancer in milk ducts and 2 of her nodes. Wondering if her next step would be mastectomy and what would they do about the lymph nodes (I’m not sure where the positive lymph nodes are). She started with 11 positive nodes, but 2 remain with cancer. Anyone go thru maybe something similar. When I had my lumpectomy they got all my cancer and mine didn’t spread to nodes… read more

January 30, 2024
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A MyBCTeam Member

She should radiation, because she had a lumpectomy and because there were positive lymph nodes from the beginning. They should recommend oral chemo, based her bio markers. Triple negative would be Capecitabine, GeForce Her2 would be Neratinib, for hormone positive (ER PR) would be Verzenio. Triple negative responds very well to chemo, Her2 responds ok from chemo. For hormone positive, some residual cancer is not uncommon.
Yes, this is scary, but there are options and hope!

July 28, 2024
A MyBCTeam Member

What are the next steps after chemotherapy and surgery (lumpectomy) if cancer is still present in the milk ducts and 2 lymph nodes?

Based on the knowledge base
- Radiation Therapy: Often administered after surgery to kill any remaining cancer cells.
- Hormonal Therapy: If the cancer is hormone receptor-positive, Show Full Answer

What are the next steps after chemotherapy and surgery (lumpectomy) if cancer is still present in the milk ducts and 2 lymph nodes?

Based on the knowledge base:
- Radiation Therapy: Often administered after surgery to kill any remaining cancer cells.
- Hormonal Therapy: If the cancer is hormone receptor-positive, medications like Tamoxifen may be used.
- Further Surgery: Additional lymph node dissection or mastectomy might be considered.

It's important to consult with her oncologist for a personalized treatment plan.

July 28, 2024
A MyBCTeam Member

Thank you

January 30, 2024
A MyBCTeam Member

My cancers were milk duct and lobular. These are the hardest to detect. Mine were found only through a contrast MRI. I had no lump or mass. I didn’t have a choice, I had to have the breast removed. I chose a double mastectomy. After my surgery a lobular carcinoma was found in the right breast. Non cancerous. So, I made the right decision. All of the cancer was removed and I am only on AI treatment.

January 30, 2024

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