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1 4th November 21:06
richreilly
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Default too big for lumpectomy?



Is a 2x1.5cm mass too big for lumpectomy?
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2 4th November 21:06
morning_dove1
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Default 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.
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3 4th November 21:07
tim jackson
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Default 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
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4 4th November 21:08
richreilly
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Default too big for lumpectomy?


Thanks,I should add that it is upper and near breastbone making
radiation more difficult.
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5 4th November 21:08
guess who
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Default too big for lumpectomy?


Wow 2 years it seems like yesterday.....have a good thanksgiving.

--
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6 4th November 21:08
richreilly
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Default too big for lumpectomy?


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?
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7 4th November 21:09
abdikjse
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Default too big for lumpectomy?


<<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
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8 8th November 02:14
big dick
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Default 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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