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
  • Yes had just one sentil node positive and no mention of chemo until like you after lumpectomy it was like a new diagnosis everything changed , but they don’t like to offer it as it’s expensive I had private insurance they paid it but I no lots who get it on nhs I waited a week after lunpectomy for results then had six node a week later then waited a week for results after that , I had 5 sessions of radio it’s like it never happened now you soon get back to normal and forget it all I promise you lovely xx 

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