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Wednesday, May 22, 2013
Recurrence in neck node
5 years ago I had Invasive ductal breast cancer, ER+ and P+. I am convinced this was caused by HRT which I took for 10 years. I had a mastectomy and chemo. 7 out of 10 lymph nodes were positive and all lymph nodes under the arm were removed. Now there is a recurrence in a neck lymph node, a lump about pea size. This is a leftover from what happened 5 years ago. So I have a metastasis without a primary tumor, the primary was removed! Or is this now the primary tumor? And what can be done about this?
If the new lymph node is from the tumor 5 years ago, then the metastasis is not without a primary—it is from the primary breast tumor 5 years ago. Usually people with a neck recurrence of breast cancer have a biopsy to show what kind of tumor it is, and what the estrogen, progesterone and her 2 test is. Also complete staging with cat scan and bone scan should be done. Then a decision should be made as to what type of treatment is best. Recurrences after breast cancer are treatable, often with very good results.
Paula Silverman, MD
Associate Professor of Medicine
School of Medicine
Case Western Reserve University