Micrometastatic

Hi there, I had a mastectomy 6 months ago & pathology showed a micrometastasis in my sentinel lymph node.  I had chemo after surgery as my cancer was a high grade (grade 3), > 2cm  & only weakly er+.  

They did not seem too concerned about the micromet.  When I asked about this specifically, they said that it is not significant in terms of prognosis and is treated the same as a negative node.

Good luck with the rest of your treatment xx

Hi. I have a similar story to Meanegg ... grade 3 all contained within the breast and SLNs showing slight micromet. My mastectomy was at the end of January and I had the pathology results a couple of weeks ago. My consultant is not at all concerned about the SLN result and is confident that he removed all of the cancer. Where I differ is that my cancer was ER+ and so I am Letrozole for the next 5 years+ ... so far not too many side effects! Take care Xxx

Hi patricia51 

I had a lumpectomy in April last year and one of the two sentinel lymph nodes removed showed a small amount of micromets. Because my breast cancer was triple negative and grade 3, the oncologist recommended that I had chemotherapy and radiotherapy. He did say that some hospitals count micromets as being a negative node but he preferred to err on the side of caution and was happy to offer adjuvant chemo and radiotherapy.

x

Sorry to be nosy SquirrelMama but did you have chemo too or were you able to escape that? I haven’t come across many with a similar diagnosis to me so curious to see how other hospitals treat it. 

My biopsy sample was strongly ER+ so Onc recommended that I also have Letrozole even though final histology showed a level 4 (out of 8) for oestrogen.  I started it 2 weeks ago & am feeling ok so far - scared of horrible side effects from it but other than a tender ankle joint which seems a bit better the last few days, I have been fine on it so far but  I hope you continue to do well on it too :) 

Meanegg ... I am happy to share, so you're not being nosey. No chemo was advised. I did have some involvement in my treatment plan though ... hospital originally wanted to do a lumpectomy followed by radiology, but I discussed the cancer and my other health conditions with them and they agreed with me that mastectomy was the best option. I had a cancerous lump and two suspicious areas, which also turned out to be cancer too as the post-op pathology showed. I am having some side effects from the Letrozole, but the hospital have asked that I give it a couple of weeks to see if the situation eases.

I hope that you continue to do well too. Xxx

Hi ladies, thanks for the reply all sounds similar to me, was er, pr positive both 8, the cancer had spread around the breast and was grade 3 also I didn’t say this is a reacurrance from 10 yeas ago completely different cancer from the 1st, it’s comforting in a strange sort of way …to talk to ladies who have been in similar situations you get what I am saying thank you all for the rely’s and good luck ladies with your recovery ️‍ x

Patricia

what was your outcome?
did you need. Chemo?
im grade 2 erNd or strongly positive with 8/8 

slnb shows micromets.

I don’t know my treatment plan yet.

Hi polly

I am sorry to hear about your diagnosis I didn't need chemo as my oncotype test came back as 10 so good news there, I had micromets in the lymph nodes but they don't seem to worried about that, I am letrazole for 10 years and 3 month checks with tge oncologist let me know how you get on polly stay strong xx

I had a several tumours resulting in a mastectomy nearly two months ago. Micromets in one SLN and now looking to have chemotherapy. As I understand some of the tumours were HER negative and some positive not sure if this makes a difference.

Thanks Patricia

im not in a good place at the moment but hopefully when I get a plan it will help.I thought oncotype was only done if nodes were negative.

appointment is on Monday coming.

thank you for your support

polly