Breast cancer, all lymph nodes removed why?

[FrameyMcFrame]

My Mum has a 19mm tumor and is having that removed tomorrow plus all of the auxiliary lymph nodes in her armpit.

I've been trying to read about it and it seems they usually only take a few of them out not all? She had a biopsy of the lymph nodes last week.

I can't ask the consultant too many questions as I don't want to upset my Mum. But do they really need to take all of them out? seems extreme.

Does this mean it's bad news? I'm having trouble understanding.

[MaryAnnSingleton]

oh that's rotten- hope you all feel better v soon

[FrameyMcFrame]

Seems we've passed the sicky bug on to Mum too now... Last thing she needs at the moment

[MaryAnnSingleton]

hi Framey - it's a bugger that your mum has to have the mastectomy ,but I imagine as there was a bigger tumour than anticipated and not clear margins they feel a mastectomy would get rid of the cancer safely- if there is a big tumour the breast might look a bit mishapen with a lumpectomy. There are people on the tamoxifen who've had this operation and who would be very happy to advise. Excellent news about the nodes - I think once the mastectomy is done and all the pathology is back they can work out whether chemotherapy would be beneficial -they have various scales which take into account size/grade/stage of tumour,plus your mum's age. Large tumours may be very slow growing so it needn't mean that it's aggressive - and vice versa,so that might be something to hang on to. What matters is that it's being treated and I'm sure your mum is in good hands- the breast care nurses will give her lots of support too. How is she taking the news ?
Take care of yourself x

[FrameyMcFrame]

Just back, was mixed news. The tumor was much bigger than they originally thought, 50mm not 20mm and there was disease in the margins so she's got to have a mastectomy a week on Monday.
Was good news re the lymph nodes though as only 1 of 8 had any disease in so the consultant was very positive about that.

He mentioned herceptin and that he was still waiting for the results of one test to see if she would need that.
He thought she would have radiotherapy after the mastectomy but wasn't sure if she's need chemotherapy too.


So good news in the main I felt, although obviously disappointing that she needs to have another op so soon after this one.

He also said she had lyphodema but it didn't need any treatment yet as it might clear up on it's own.

got to go and get DD from school now

[MaryAnnSingleton]

how did it go Framey ?

[FrameyMcFrame]

Thanks for your support MaryAnn :)

[MaryAnnSingleton]

try not to fret Framey- it might just be that there was a free appointment for her,plus the results usually don't take long after surgery,so they might've got them and found a slot for her. Let us know how it goes and whatever the news am sure you'll cope just fine - keep strong and we're thinking of you both.

[FrameyMcFrame]

Just got a phone call last night and the hospital has brought my Mum's appointment with the consultant forward to today. It was meant to be next Thursday. What does that mean? I'm worrying that it means things are bad. Been up early feeling sick about it (my kids have sick bug too which doesn't help)
Taking the day off work to drive her to the hospital, the appointment is at 9.30.

Just hope I can hold it all together and be useful and not crap if it's bad news.
I hope it's good news.

My Mum is still recovering well, she's been out driving (!!!) just a week post op, even though she's been told not to drive for 4 weeks...
She's also been digging up potatoes on her allotment.
Thanks Sandripples for your message, very encouraging.
I'll pop back later, to update.

[sandripples]

Framey - well done your mum! Just popping in to say I had all nodes from under one arm removed last year - I did find I had quite a lot of pain down the upper arm for longer than most people seem to get (about 6 weeks). This got me down rather but then it suddenyl improved dramatically.

So if your mum finds she has pain do tell her to keep taking the pain-killers and that it wil improve. I'm fine now byu the way. Good luck.

[smee]

Sounds like she's doing really well Framey.

[MaryAnnSingleton]

aw,am glad she's home - sounds as though she's doing well

[FrameyMcFrame]

Hi, thanks for messages! Mum got discharged yesterday with the drains still in and she's feeling remarkably ok. The drains fell out in the night last night but the district nurses said it didn't matter and the amount of lymphatic fluid was reasonable to have it taken out anyway. Just got home from there now and she survived the onslaught of my 2 noisy kids running around the house and jumping on her :)

Thanks again for your support over the last week :) :)

I know this is just the start of her treatment now but I'm glad she's got through this bit ok.

[smee]

Me too Framey. Hope she's still feeling not too bad and out of hospital soon.

[MaryAnnSingleton]

hello Framey - just checking in to see how your mum is doing,and you ! hope all is ok and that she's not feeling too sore.

[MaryAnnSingleton]

am not sure they'll be able to tell you much yet,until pathology is done. Am glad she is through the op ok and looking well- I had orange jelly and a sandwich which was heavenly after starving ! Well done for getting through this too- it's very hard for family I think.

[KurriKurri]

Framey I had mastectomy and lymph node removal 3 years ago. If there's any spread to the lymph nodes they usually remove the whole lot.

I don't know if your mum's been given any kind of treatment plan yet, but usually if lymph nodes are involved you have chemo and radiotherapy. They will also most likely do a bone scan and a CT scan to see if there has been metastasis. So she'll probably have those in the next few weeks.

I'm glad her op, went well, and wish her the very best for her treatment and recovery. And as MAS and Smee said - do pop over to Tamoxifen thread if you've got any questions or just want a chat. (And of course if your mum is a computer person she'd be very welcome too )

[FrameyMcFrame]

Thanks Smee and MaryAnn, she's out now and has been sitting up in bed and drinking tea and chatting. She actually looks better than she did this morning before the op! Think she's pretty high on painkillers though as she said she can't feel anything yet. I'll be going back again tonight to see her. Now the big worry is what they've found in the lymph nodes and from what I understand they'll stage the disease from there and will be able to tell if metastasis has occurred. (you can see I've been doing my research here!)
Are there any important questions I should be asking if I get see a consultant today?Haven't seen any doctors all day today and been there since 7.30.

[smee]

Framey, I think MAS's guess is spot on. The biopsy probably did show spread to her nodes. I had all mine removed for that reason at same time as mastectomy. Don't despair though, as I'm very much still here. I can't remember what the position is on driving, but I'd bet she'll be sore for a couple of weeks, so probably not feel like it anyway. Come over to Tamoxifen and ask us anything if it helps. I'll keep my fingers crossed for her.

[MaryAnnSingleton]

link to tamoxifen thread if you feel like dropping in

[MaryAnnSingleton]

am sure she'll be taken very good care of-the NHS breast care is truly wonderful in my experience.

[FrameyMcFrame]

Thanks MaryAnne, she's gone into surgery now so I'm just waiting and hoping they know what they're doing! She was in good spirits this morning, joking with the nurses.
Thanks for talking to me, it really helps.

[MaryAnnSingleton]

I only had a couple of lymph nodes removed - to be honest that wound (tiny like a sliver of new moon) was much more uncomfortable than the scar on my breast because the underarm gets quite swollen and obviously rubs and if there is full clearance then she will probably have drains for a bit . It's v important to do the exercises post surgery so that she'll be able to use that arm properly - I think I drove after a couple of weeks,but couldn't lift heavy things for bit . The underarm area is a bit numb afterwards as the nerves are cut and as suzikettles says,she must avoid cuts/injections,blood pressure on the bad arm to prevent lymphoedema. Anyway, thinking of her today

[FrameyMcFrame]

Thanks! Fingers crossed for her. I feel helpless too, lost my Dad 10 years ago so it's just me and my sister.

[suzikettles]

To be honest, I really can't remember. She had a drain in for a wee while when she got home. Maybe she'd have been able to drive when that was removed?

I suspect my dad did most of the driving for a good while. He felt pretty helpless so really anything he could do for her he did.

I hope your mum makes a good recovery.

[FrameyMcFrame]

Thanks, oh she was hoping to be driving again after a week, will that not happen? I don't know what to expect thanks for your reply. My Mum is 78 although most people think she's in her 60s as she's very fit and has never had any health problems.