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What does it mean when a lymph node flares up in a patient that has already had a double mastectomy?

By Anonymous July 24, 2011 - 7:06am
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I am a 58 having undergone a double radical, tram flap reconstruction and t complet hysterectomy (cell changes already present). I found a lump in my left breast - went to my family dr. first - and she found the spot. Had all my blood work done and tumor markers were perfect. Went to the breast surgeon - he felt it as well. Had an immediate sonogram (only one spot was ordered) - but the imaging center did both breasts. Nothing only the left, 2 spots on the right. Immediate mammogram- lymph node on right breast shinning like the moon! Family history: maternal grandmother bc; father bc and died from it, both sisters (identical twins) bc.
No chemo, radiation or adjunct therapy as both receptors were negative).

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Good Luck! I am glad the facility looked into it more than what the doctor had suggested. Try not to be nervous, remember it's for the best! Please keep us updated.


July 27, 2011 - 8:50am
(reply to Rosa Cabrera RN)

week of decisions - mri -2 suspicious areas; per scan next week and new oncologist followed by biopsies - a bit nervous about how deep they have to go - not in the tram area. posterior on one side and upper quadrant on the other.

July 30, 2011 - 6:19pm

Turns out the breast surgeon didn't want full sonogram, but facility insited on it TG!!!

Then they decided to do a mammogram ( no breasts - only tram flap reconstruction) both sides - again TG

Breast surgeon said he did not order this and that he was told all was okay - report says otherwise - they wanted an MRI w/& w/out contrast - done today . Again, Dr. saw no reason for this.

Also they recommended removing the 2 or 3 areas and leave markers in - the oncologist said the same.

I'm a bit nervous!!!

July 26, 2011 - 4:01pm

Hi Anon,

Thank you for your question and welcome to EmpowHer!

Did your surgeon remove all lymph nodes during your mastectomy? Usually in a radical mastectomy all of the breast is removed as well as all lymph nodes including those under the arm pit. What did your doctor tell you following the results of your swollen lymph node? Swollen lymph nodes are usually caused by infection and certain medications can also cause them to swell. Since both receptors were negative, I'd keep an eye on it just to make sure the swollen node goes back down.

Please keep us updated,


July 24, 2011 - 8:23am
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