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Pathology report says involvement in margin, surgeon says she got it all out. Has anyone had a situation where the doctors argue over the treatment following bilateral mastectomy of stage 1 w clear sentinels?

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anonymous

Learning About Breast Cancer about 6 years
 
  • Lou Cam Profile
    anonymous
    Survivor since 2013
    If the margins are not clear, I would think that would mean more surgery if possible. I would definitely get a second opinion. I would not want to leave "involvement in the margins" untreated.
    about 6 years Comment Flag
  • Leah Fortune Profile
    anonymous
    Stage 4 Patient
    Is go with pathology report, you can't always see cancer. 2 nd opinion
    about 6 years Comment Flag
  • Claudia M Profile
    anonymous
    Learning About Breast Cancer
    Hello All, Thank you for your answers. They are taking it to the tumor board this week, and I will talk with the 2 oncologists (rad + hem/chem)Friday. I also have an appointment with a cancer center (totally different people, one of the best facilities in the country) in 2 weeks - they are getting all data, glass slides and images, so they can re-read. They might come up with the same that you have said... more surgery. My surgeon left the muscle intact and took the skin over it (kind of as a tight interface that does not usually let anything through). Would taking more tissue mean I do not need radiation afterward? That was my hope all along, to stick at most with surgery and if needed, the anti hormones. Not that I have enjoyed the surgery and after care all that much, but now, 9 days later, I am starting to feel okay.
    about 6 years Flag
    • Betti A Profile
      anonymous
      Survivor since 2013

      My case went to the tumor board before surgery as my onc. felt I needed chemo. before surgery but the surgeon nixed it. My chest muscle was also left intact as the surgeon in looking at it said it was OK. I ended up with a unilateral mastectomy,...

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      My case went to the tumor board before surgery as my onc. felt I needed chemo. before surgery but the surgeon nixed it. My chest muscle was also left intact as the surgeon in looking at it said it was OK. I ended up with a unilateral mastectomy, 4 cycles of chemo., and 28 radiation treatments. She also removed 8 lymph nodes all of which were negative but they elected to also radiate that area.

      about 6 years Flag
    • André Roberts Profile
      anonymous
      Stage 1 Patient

      My opinion is more surgery. But, I'm not a DR. I also can't tell you if you will need rads &/or chemo. After a lumpectomy with margins not clear. I then had a bilateral mastectomy. 6 rounds of chemo. No rads. I am ER pos, so I take hormone...

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      My opinion is more surgery. But, I'm not a DR. I also can't tell you if you will need rads &/or chemo. After a lumpectomy with margins not clear. I then had a bilateral mastectomy. 6 rounds of chemo. No rads. I am ER pos, so I take hormone blockers now. There is a ONCO-DX test they can do to help see if chemo is recommended or not. Prayers to you.

      about 6 years Flag
  • Trisha Muller Quinn Profile
    anonymous
    Survivor since 2014
    OMG !! You poor thing ,so confused !! I suppose that is why we do Chemo and. Radiation to make sure the cancer is killed off !! Good luck
    about 6 years Comment Flag
  • Mimi Carroll Profile
    anonymous
    Learning About Breast Cancer
    My surgeon said Rads could get margin, my oncologist said no way. He said there was no way he was having aggressive her2 cancer growing during 6 months it would take us before Rads. They discussed it and second surgery was scheduled. If they still disagree they can take it to the tumor board or you can get a second opinion.
    about 6 years Comment Flag
  • Isabel Souchet Profile
    anonymous
    Survivor since 2010
    I'd get another opinion for sure. Get copies of your reports n seek out another doctor
    about 6 years Comment Flag
  • Betti A Profile
    anonymous
    Survivor since 2013
    I agree, if the doctors can't agree then it's time to seek out another opinion and if need be others, too.
    about 6 years Comment Flag

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