Chemo or not?

Hi there. I have had a lumpectomy and sentinel node biopsy. I am having more surgery as they didn't get clear margins and the sentinel node had a macrometastasis of 4mm. This means I'm having an axillary clearance. I understand the reasons for this but there is now some talk of chemo which was never in discussion before. As I only had 1/1 positive lymph node, I think they want to see what else is found in clearance. However I feel extremely anxious about the uncertainty of it all. I like to prepare. I'm getting such good care but I am so scared. 

Is chemo needed for a hormone receptor positive, 20mm, her2- IDC with 1 positive node (so far)?

If they find no more cancer in nodes, will radiotherapy be enough? 

Is 4mm cancer in a lymph node a lot?

Thank you 

Parents Reply
  • Thanks Lara. I'm 46. I asked for onco dx but the consultant wasn't shifting. She said if there are any nodes positive there will be a 3% benefit from chemo but if score was over 25, a substantial benefit. She said she would see after results from axillary clearance. These are 6 weeks after surgery so a big wait. Did you have just 1 node positive? I have only had the one sentinel node checked. Hope you're well now x

Children