I have had a recurrence of breast cancer. It was only stage 1 B and I had a double mastectomy. Previously I had had a lumpectomy and also radiation treatment. The cancer came back in the same location, only this time, after the double mastectomy, it appeared in the lymph nodes. My path report says, "Metatstatic Adenocarcinoma, N1, 3 out of 8 lymph nodes." Also, it mentions that N1 , or could be greater than N1. What are the usual treatment options and prognosis for this diagnosis of a breast cancer recurrence? It is Her2nu negative and Progesterone poss. and Estrogen poss. Could you please help me? I am confused as to how in the world it could have come back after a double mastectomy in the first place?? Thank you for your time. LP
- Resources
Q: What is Metastatic Adenocarcinoma of the breast, N1, recurrence?
Hi - I'm a bit confused here - you had a lumpectomy/radiation; then a double mastectomy; and after that, metastatic adenocarcinoma? If so, it sounds like there was still some cancer left after the double - which is possible, because even a double mastectomy can never remove 100% of your breast tissue; and, the cancer could have already spread into the chest wall or skin. And that cancer traveled to your lymph nodes. N1 means 1 or more nodes are affected. HER2-neu negative, ER/PR positive is good; it means you can possibly benefit by taking hormone therapy drugs. I'd assume your treatment will be much the same as it is for invasive breast cancer - surgery, chemo, perhaps radiation. But, best to ask your oncologist about the specifics, OK? Good luck - PJH
Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of Remedy Health Media. Remedy Health Media does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.
Featuring Content From:
By using this service, you accept our Terms of Use. Please read them. The consumer health information on is for informational purposes only and is not a substitute for medical advice or treatment for any medical conditions. You should promptly seek professional medical care if you have any concern about your health, and you should always consult your physician before starting a fitness regimen. Copyright © 2012 Remedy Health Media, LLC. All Rights Reserved.
