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riesesdad
New User
Joined: 02 Dec 2004
Posts: 3
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 Posted: Tue Jan 11, 2005 1:03 pm Post subject: Is there a difference??? |
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My wife's results from her lumpectomy showed angiolymphatic invasion and perinueral invasion. They couldn't find a sentinal node and she didn't have the aux node dissection so they don't know the status of those. She's doing Chemo/Radiation/Tamoxifen anyway.
[i][b]My question is:[/b][/i]
Is there really a difference between the angiolymphatic/perinueral invasion and having positive nodes? They know that microscopic cancer cells have escaped the tumor into all of the above vessels, but isn't that what they're checking for in the lymph nodes?
For all intents and purposes, isn't this really the same?
I guess I feel that the invasion(s) are really being downplayed, when I do research that shows it to be a huge factor.
Any thoughts on this? Anyone here? Dr Leo? |
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sgishelly
Senior User
Joined: 17 Nov 2004
Posts: 137
Location: Florida Panhandle
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| Posted: Tue Jan 11, 2005 1:20 pm Post subject: Re: Is there a difference??? |
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I can't answer your question...but I did have positive nodes 3+/14. And I'm starting chemo now and that is to be followed up with radiation and Tamoxifan. Someone here will be able to answer better than me but just know there is a lot of support out there.
_________________
Shelly
Dx Nov 1, 2004 at 40 y/o
Right MRM, Left Simple Mast. - 12/9/04
Stage 2A IDC -
Primary tumor 1cm
3+ / 14 nodes, ER/PR+, HER2-
34 rads - finished 5/25
chemo - AC and Taxol FINISHED 7/6/05
beginning reconstruction 2/06
brain mets 4/06 - now stage 4 |
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Minnlady13
Senior User
Joined: 10 Oct 2004
Posts: 160
Location: Minneapolis, MN suburb
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| Posted: Tue Jan 11, 2005 5:57 pm Post subject: answers to questions |
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I can't answer your questions, either. Sorry. I had axillary nodes removed and they were negative.
You might try www.imaginis.com for information. Dr. Leo will probably respond. He will probably have more insight. You should take your questions to your wife's surgeon and/or oncologist. Welcome to the board. Hope you find the help you are looking for here. In the meantime, best wishes to your wife in her treatment. Lauri
_________________
Diagnosed 4/11/1996
Lumpectomy, 6 mm tumor
Neg. nodes
ER/PR+
33 rads
Tamoxifen, 5 yrs.
NED |
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leo
Site Admin
Joined: 23 Sep 2004
Posts: 1574
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| Posted: Sat Jan 15, 2005 10:27 pm Post subject: perineural and angiolymphatic invasion |
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Hello
Even though these are not the same as positive lymphnodes, they mean that the tumor is agressive and has gained access to the lymphatic and bloodstream. So it is definitely important that she gets the most aggressive therapy, and it seems that she is already getting that.
best regards,
Leo
_________________
Leonardo F - Webmaster Cancer Forums
Disclaimer: this information is for informational purposes only. It is not medical advice. |
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Muttsmom
Senior User
Joined: 30 Sep 2004
Posts: 631
Location: Northern AL
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| Posted: Sat Jan 15, 2005 11:47 pm Post subject: Re: Is there a difference??? |
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I'm going to put my 2 cents in as a question........well 2 to be exact.... lol
Shouldn't the nodes be removed either before or after chemo? I know some have chemo before surgery but they still had them removed.
Second question. My pathology report showed unknown vascular invasion because my surgeon said that the blood vessels/veins or whatever they checked had no cancer cells in them, but I had 9+/16 nodes. I was told that wasn't a good test and that just because they didn't see any, didn't mean it wasn't in my blood system. Is there a chance that it was contained in my breast and nodes and didn't get into my blood stream? I was treated aggressively because of the stage and my age and the nodes, but I've not read anyone else's path that didn't find it in the blood stream.
Thanks
nancy
_________________
Nancy
2/14/02 ILC 43 - 5.5 cm 9+/16 nodes
Stage IIIA er/pr+ Her2-
2/02 MRM
FECx6 radsx33
Tamoxifen - Arimidex (chemo induced menopause)
4/03 SM w/bilat. recon.
9/03 expanders removed
5/04 repair reconst. disaster
10/04 Actonel for bone/joint pain from Arimidex
NED - 5 years
3/07 Diabetes
In memory of Kim 12/1/04 |
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hhmv73a
Experienced user
Joined: 16 Jan 2005
Posts: 95
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| Posted: Sun Jan 16, 2005 1:35 am Post subject: lymphvascular and perineural invasion and other questions |
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i have answered the questions you have and you can view the answers at:
http://www.thecancer.net/board/index.php?forumID=3&ID=235
regards,
j. jay lu, m.d.
diplomate, american board of radiology (radiation oncology) |
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