I have my post-surgery follow-up appointment tomorrow and I seem to be in more of a state about this than I was when waiting for the initial diagnosis. As I had a full node clearance I am waiting to hear how many nodes are involved, so obviously that is worrying - and as a large-ish positive node was found on ultrasound I strongly suspect there will be more. But I also seem to have got it into my head that something dramatically different - and more serious - will have been found. I know we all worry at this point and the waiting period is awful but I am quite surprised at how badly I do feel. I almost feel as if I will not be able to walk into the hospital - or if I manage that, certainly not into the consulting room. It would be good to hear from anyone who has felt this bad and how they managed to come through it.
I already know that because of the positive node I will undoubtedly be looking at chemo - and whilst the thought of that does terrify me, I believe that I have almost got my head around it and accepted that a) If it is recommended and the benefit is measurable, then of course I will do it for the sake of myself and my future and b) Although the side effects can be horrendous, some people get through easier than others. Whatever the results it is unlikely that the treatment plan will change from what I currently expect. That bit is my rational and logical self speaking!
I think that the real worry is that a worse situation than I currently know will mean a worse prognosis and a potentially higher risk of recurrence. I know that not everyone will feel like this, but I am coming to the view that I don't actually want to know the exact number of nodes affected or any percentages regarding potential recurrence or survival and if my view remains like that I will tell my surgeon that before he gives me any results. When it comes to discussing chemo I would want to know the percentage benefit in having it rather than not, but I believe that discussion will be at a meeting with the oncologist.
Writing all this down has helped a little. And for all of us knowing that we are not alone in going through these dreadful moments is of huge benefit.
Hi,
yes fearing the worst was me too.....but it might not mean that they will throw everything at you! My understanding is that if you’ve just had a lumpectomy then they may well consider chemo, but the positive nodes most likely indicate that they will prescribe radiotherapy. In my case nodes were negative, as was HER2, I had a mastectomy which they were convinced took away all cancer, and I ‘just’ have hormone busting treatment for 5 years.
You can do this! Sending you an encouraging hug xxx
Moomy
Hi Patsy. Don't automatically assume you will get chemo due to node involvement. It depends on the type you have. I have er+ and the oncologist has said that chemo is not effective on mine. I have been put on anti oestrogen tablets and am awaiting a mastectomy appointment. They did say I may have RT afterwards.
Thanks for your reply Lesley. Yes, everyone's situation is different and there is certainly longer a 'one size fits all' treatment as there used to be. I am also ER+ and I know that there will definitely be radio and that I will have hormone tablets, probably for 10 years. Chemo has been mentioned more than once because of the positive node, so I know that this is a high possibility and I have had to prepare myself for that. None of this experience is good, is it, but we just have to keep on going. And I am trying to focus very hard on other things and ensure that I am not defined solely by being a cancer patient. I hope that you get the appointment for your mastectomy soon so that you can start to move forward.
Hi there, I had 1 positive node and went with chemo (reluctantly!) as it added 4% on Breast Predict, slightly less than the hormone tablets. I started on Letrozole, but due to issues with my eyes, which is quite rare apparently I'm now on exemestane, which so far is better. Have you ran your details to check your gain? I know some places will extend the radiotherapy yoo the nodes if it's only one or two with micromestasis, whilst others like to operate. I wanted to know for sure as my 1 positive sentinel didn't show on the ultrasound as positive. It was 6mm. I had level 3 clearance done and not a dot was found in any other node, and my surgeon said that it was not unusual..... thr first one was doing its job! Good luck today, and let us knoe how it goes. X
Hi and thanks for your response. My node showed on ultrasound so I know it was quite large. Yes I did look at Breast Predict but I know that the tumour size could be found to be larger on surgery and of course there may well be more nodes. Based on what was known before surgery chemo would only make a small difference but I will have to see what the difference is once the exact situation is known. I am still horrified but resigned I think but I will have to be persuaded that the benefit is enough to make up for the side effects!
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