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