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Medical Forum / Diseases and Disorders / Breast Cancer / November 2004too big for lumpectomy?
Is a 2x1.5cm mass too big for lumpectomy? Not that I've heard of....Infact I've heard of tumors larger then that being treated with lumpectomy, and have to admit I was surprised to see/rad that larger tumors were being treated that way. I had a 1cm tumor the first time and was treated with lumpectomy, rads and chemo. I had a recur in 11/02 and had to have to have a MRM as it wasn't wise to treat with lumpectomy again. [this time was 3cm] I had 6 months of chemo following that and was done with that 6/6/03 and doing fine now. All recent test came out okay. Infact yesterday [11/20] was 2 YEARS!!! since my last surgery. HTH's I'm sure that others will post this as soon as they see it. I'm sure others in here have had to deal with something similair. Take care there/God bless annie Ultimately.....we know deeply that the other side of every fear is a freedom. "Courage"...is *fear* that has said it's prayers. morning_dove1@webtv.net (?*?Annie?*?) wrote in message news:<5801-41A02A3E-169@storefull-3256.bay.webtv.net>... > Not that I've heard of....Infact I've heard of tumors larger then that > being treated with lumpectomy, and have to admit I was surprised to [quoted text clipped - 10 lines] > Take care there/God bless > annie Thanks,I should add that it is upper and near breastbone making radiation more difficult. Wow 2 years it seems like yesterday.....have a good thanksgiving. > Not that I've heard of....Infact I've heard of tumors larger then that > being treated with lumpectomy, and have to admit I was surprised to [quoted text clipped - 15 lines] > > "Courage"...is *fear* that has said it's prayers. Thanks Annie...and congrats! This is an interesting link: http://tinyurl.com/58nnb The Pittsburg study suggests that those with stage I or II cancers that have lymph node removal and lympectomy have equal survival rates(though higher recurrence rate) with or without radiation. This, as the article mentions was before recent hormone and chemo options. It seems to be the approach suggested for my mom(if other calcifications are negative)due to her emphezema/general anaesthesia risk and location of tumor near the heart. I just wonder if there are other studies to support this. anyone seen one? > Is a 2x1.5cm mass too big for lumpectomy? Not necessarily, but it depends where it is located, how big the breast is, and whether the first excision is successful, getting clean margins. Among other factors. Tim Jackson <<Is a 2x1.5 cm mass too big for lumpectomy?>> I don't think so, although it might depend on where the lump is located. FWIW mine was 7 cm; was offered the option of equivalent of lumpectomy (ie cut a wedge in the breast to remove the tumor in this case). It went really deep, so we went with a mastectomy instead. Have heard and read some surgeons prefer to do a mast. for any size tumor, though. Lady8 > Is a 2x1.5cm mass too big for lumpectomy? Size doesn't matter, Rich. With BC a tiny milimeter lump can spread thru the body while a 5cm lump may not have spread at all - according to Ms H. the surgeon. |
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