Residual mass

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Hi everyone,

First time posting here!

I was diagnosed in Feb with stage 2a, node negative tnbc. I had a tumour measuring approx 2.9cm. 
I had dose dense EC x 4 and noticed a definite change in the feel and size of the lump, as did my oncologist. 
Ultrasound at that point measured the mass at 1.2cm. 
I have since had 7 out of 12 carboplatin and paclitaxel. 
Both surgeon and oncologist have been really happy with my response and reported a ridge like lump remained. 
I’ve had another ultrasound now almost 2 months later and it’s still measuring the exact same at 1.2cm. 
I’m absolutely devastated. I was hoping for PCR and now I’m worried it’s all going to be residual cancer. 
Has anyone had a similar response but still had good outcomes from pathology? I feel like I’m back at square one!x

  • Hi  

    Welcome to this community. I am one of the community champions on this forum as a fellow tnbc patient.

    I am sorry you still have a ridge left after chemo. I don’t think they can tell for certain what, if anything, is left, until you have surgery. If there is residual cancer left, the surgery will remove it, and (if you are having breast conserving surgery) radiotherapy will further protect you from local recurrence. They may also offer you further systemic treatment after surgery. 

    My situation was a little different as I had surgery first. Part way through chemo I needed a CT scan for other reasons and there was an incidental finding of a lesion on my liver, which later tests established to be a tnbc secondary. They hoped the remaining chemo cycles would “work on it”. I had another scan at the end of chemo and it was still there. So I assume if I had had chemo before surgery, nothing much would have happened during the chemo. 

    Subsequent treatment did put me in remission. My cancer is PD-L1 positive so I had further treatment with pembrolizumab and nab-paclitaxel. 

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