CommunitiesTriple-negative Breast CancerDid anyone have lumpectomy first for small TNBC tumor?

Did anyone have lumpectomy first for small TNBC tumor?

CT

Community Member

a month ago

Anyone do a lumpectomy first for small size TNB tumor?

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14 comments
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JW

Community Member

a month ago

Yes, I had lumpectomy and lymph node biopsy (which was negative) Had 20 radiation treatments and no chemo as my tumor had just barely moved from DCIS to stage 1. I am coming up on 2 years with checkups every 3 months with oncologist and every 6 months with surgeon. Hope things go well for you. I went to a large teaching hospital for treatment (Vanderbilt). My case went before the tumor board there as it wasn’t clear if chemotherapy was indicated. In essence I got at least 20 “second” opinions from the tumor board , and the clear consensus was no chemotherapy.

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CT

Community Member

a month ago

Thanks for replying. The thing that scares me the most is the chemotherapy so I am looking for others that just did radiation. Have you found anyone past the 5 year mark that has TNBC and no chemotherapy? Its a hard decision

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JW

Community Member

a month ago

I don’t know of anyone who didn’t need chemotherapy. There are just so few options for TNBC treatment, as you are finding out. Mine was not from genetics, if yours is, I think from what my oncologist said chemotherapy is definitely needed. Good luck

CT

Community Member

a month ago

Mine is not from genetics either. I have 9mm tumor at stage 1

CT

Community Member

a month ago

I only have Biopsy results and they say there will be more info after my surgery pathology. Did you have an MRI before your lumpectomy?

CA

Community Member

a month ago

Many patients with smaller triple-negative breast cancer tumors do start with lumpectomy, and this approach can be part of effective treatment plans when appropriate for the specific situation. It's great that you're connecting with others who may have similar experiences - their insights about the process and recovery can be really valuable as you navigate your own journey.

RB

Community Member

a month ago

Claudia T I had a TNBC in 2015. I didn't do Radiation or Chemotherapy. I had a lumpectomy and the Sentinel node removed. Chemotherapy is a hard decision and you should know that the side effects of chemo treatment can be long range. It's not a decision to make lightly. Breast Cancer seemed to run in my family (my mother, grandmother, and great aunt). I don't regret my decision. However, ten years later I have TNBC again, the same breast and in the same general area. This time I did chemo first bc the tumor was invasive and was stage IIIB. I stopped chemo after five treatments and had surgery to remove what little remained of the tumor and four lymph nodes. The nodes were all clear. I was tested for all breast cancer genes, I have none. The PET Scan was also clear and a blood test that searched for the tumor DNA came back Negative. I pray you have good results as I did. I wish you all of the best.

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CT

Community Member

a month ago

Thank you so much for reaching out. I had my lumpectomy yesterday so now waiting starts for pathology. I am consulting with 3 different oncologists but hearing your journey is very helpful.

LG

Community Member

24 days ago

I also had lumpectomy first for a small tumor, then chemo and radiation. No evidence of disease 2 years later.

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CT

Community Member

24 days ago

I got my pathology back no Invasive cancer in margins or lymph node. Found a few DCIS .5 mm from margin. We may just go back and clean up that margin. Not sure about Chemo I meet with Oncologist on Tuesday

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CT

Community Member

24 days ago

There are two Claudia Ts I will see if I can change my name !

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PD

Community Member

13 days ago

I am 2 1/2 years out with tnbc, I had 4 rounds of Chemo, 2 lymph nodes removed , and lumpectomy, then I did 33 rounds of radiation,5 of which were on the tumor site, the rest on the whole breast!So far everything is still coming back negative! Good luck!

AJ

Community Member

5 days ago

Yes, I had lumpectomy, after having an MRI. Genetic testing was negative. Mine was 9mm, clear margins and negative lymph nodes, and surgeon removed 5 lymph nodes. I was Stage 1B, grade 3 TNBC. Just met with oncologist and she is recommending chemo, 4 rounds, 1 every 3 weeks, and then I will do radiation.

LM

Community Member

2 days ago

My tumor was 3mm per biopsy preoperative. I did have an MRI and then lumpectomy within a month of diagnosis. That showed the final tumor size of 2.5mm. 3 sentinel lymph nodes were negative and there was no noted LVI (lymphovasular invasion ) I got recommendations for radiation with no chemotherapy from 2 different institutions

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