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How does the lymph node involvement affect treatment protocol?

June 9, 2025
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A MyBCTeam Member

I also am HER2 POSITIVE chemo radiation now immunotherapy. 11 years into it

June 9, 2025
A MyBCTeam Member

Jan, I have HER2 positive without lymph node involvement and am undergoing all of the treatments in the AI generated answer above, so the answer seems spot on.
Best wishes. Dede

June 9, 2025
MyBCTeam

When cancer cells are found in lymph nodes, it indicates the cancer may have spread beyond the original site. This finding typically leads doctors to recommend additional treatments after surgery to ensure any remaining cancer cells are eliminated. These may include:

• Radiation therapy
• Chemotherapy
• Targeted therapy
Show Full Answer

When cancer cells are found in lymph nodes, it indicates the cancer may have spread beyond the original site. This finding typically leads doctors to recommend additional treatments after surgery to ensure any remaining cancer cells are eliminated. These may include:

• Radiation therapy
• Chemotherapy
• Targeted therapy
• Hormone therapy Your doctor may order additional imaging tests to check if cancer cells have spread to other areas of your body. The good news is that with modern treatments, especially for HER2-positive breast cancer, outcomes are very positive. Over 90% of people with early-stage HER2-positive breast cancer now survive with current therapies.

It's important to note that while lymph node involvement does affect treatment planning, it doesn't always require removing additional lymph nodes, especially in early-stage cases.

June 9, 2025
A MyBCTeam Member

My first question would be are you ordering staging scans. I would want to be sure it hasn’t spread. Second, how can I best treat this.
Generally, Her2+ involves chemotherapy and immunotherapy. Her2+ does have targeted therapy, that is good. I would guess Taxol and Herceptin. With a positive lymph node, I would guess radiation, to he axilla.
Wishing you well!

June 9, 2025
A MyBCTeam Member

How many of the lympnodes did they take out originally. I was told no more than three any more then there's a problem. I had blue dye injected before my lumpectomy. To see how many the dye went to. I only had three the dye went to. Out of that three I was lucky none of them contained cancer. But needless to say I still had to go through all of it to make sure. Cancer cells are sneaky little beasts. Taxol goes through the whole body not just the breast or breasts then the herceptin breasts then radiation kills more especially in the arm pit area etc. In case any escaped then the estrogen blockers to suppress the estrogen being produced if you are positive for that. It protects both breasts not just the original one.

June 12, 2025

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