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Lumpectomy And Pet...Now What??

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butterfly14
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Subject: Lumpectomy and PET...Now what??
Date: 05/28/2008

Hi--

 I had a lumpectomy two months ago with one node positive.  I just had a PET scan last week to determine our course of action and am still waiting to hear back.  What will these results tell me? Is it possible to not have to go through chemo and only radiation if my PET comes back clear? My lump had clear margins with only one node +.  Waiting for the dr call is driving me nuts.  Thanks

Subject: RE: Lumpectomy and PET...Now what??
Date: 05/29/2008
It depends on so many factors, your age, your familiar history, if it was estrogen/progesterin positive or negative, if it was HER 2 positive.  The actually staging after they look at the cells in pathology to see how closely they resemble a normal cell etc.  If there were no positive lymph nodes you chances would be greater that you may not need chemo but if you are younger, they do give chemo because you are not a candidate for some of the oral anti-estrogen medications on the market.  Of course, the PET will show if there is any spread.  You will just have to wait and see what the findings reveal.  I know, believe me I know, this is the hardest part, the waiting.  After diagnosed with stage l and being assured that I had a 90 some percent chance of cure I had a bone scan and to my horror it showed uptake in the rib.  Talking with my surgeon he went quiet.  A follow up bone scan revealed a second lesion and we were talking possibly 2 years (survival) with my oncologist, when he said something just wasn't right.  Further evaluation of my tests by an oncologist radiation specialist after now 6 weeks felt it probably was not related to the BC.  My doctors were afraid to do any more testing unless I actually had symptoms because something unusual always presented.  That was 3 years ago and all is well.  So think positive if you can.  Let us know how things turn out.  God bless and give you patience through all this. I found Ambien to be my friend for awhile.
Subject: RE: Lumpectomy and PET...Now what??
Date: 06/03/2008

 

On 5/28/2008 butterfly14 wrote:

Hi--

 I had a lumpectomy two months ago with one node positive.  I just had a PET scan last week to determine our course of action and am still waiting to hear back.  What will these results tell me? Is it possible to not have to go through chemo and only radiation if my PET comes back clear? My lump had clear margins with only one node +.  Waiting for the dr call is driving me nuts.  Thanks


Hello

I agree with Leemg.. there are alot of things for the dr in charge to consider before offering your course of treatment.. I have had several of those pet scans since May of 07.. the pet scan is very accurate when it comes to showing if there is any cancer activity anywhere else in the body.. they are very reliable.. so if your results from the pet comes back pretty good in other words showing no active mets disease then it may be possible that they will still do some chemo and also radiation.. I had both the first go around in 01..  I had a small tumor that was biopsied and had no axillary lymph node involvement..I was negative for hormones but positive for the her2 protein which made my cancer aggressive..so I had to have chemo and radiation.. I went 6 years without a recurrence and then it came back as mets to my lung area.. never did show up again in that same breast or in the axillary lymph nodes..  which is the usual channel of travel for most breast cancers.. mine spread through the blood stream early in the diagnosis of my disease before it was treated..  it has been sneaky..to say the least! 

My heart goes out to you, as I know what questions and concerns you must have now.  This diagnosis is a monster and dealing with it is horendous..but hopefully they found yours early enough that what ever treatment you have will be enough to give you a long remission...  Good luck to you.. and best wishes always..

Jodie

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