Hi,
I have been trawling through many pages of this threat to look for references of Internal Mammary nodes and Gemcitabine and Carboplatin chemo and on the last page I read ( as i started pages down
) - I find both!!
After my primary diagnosis in May 2011 ( TNBC, 4EC + 4Tax, Lumpectomy, full Anx clearance, 35radiotherapy), I was again diagnosed in Nov 2013 with a local recurrence in two lymphnodes. One interpectoral and the other one in the internal mammary lymphnodes.
I had surgery on 2nd Dec 2013 to remove both.
The internal mammary node - had started growing into the rib and a piece had to be removed and was apparently the easier one. Unfortunately the one under the pectoral muscle had grown towards blood vessels / nerves and a nerv by my arm had to be cut. This was much harder and i get the impression - although they have removed everything visible, they were not happy about the margins.
Suze, I can imagine that a weird position of the node is difficult to remove. For me, i am glad its out. i was in pain before the op and the fact that it had started to invade into the bone was not going to be getting better soon. the operation however was also much more involved that i anticipated.
Can i ask - how did they find this internal node? in my case it was only found on a PET CT scan, which was initiated due to the interpectoral lymphnode they found on the ultrasound! I was in discomfort for months, but they couldnt find anything ( u-sound, mammogram, feeling, etc), so it was always put down to longterm radio therapy pains.
Anyway, I am starting tomorrow, 9/1/14, ( today, i suppose now ) the first 3-week cycle gem/carbo combo. After reading the most recent posts, I am glad I decided not to go to work during this chemo - unlike last time - simply due to infection risk ( ta, Cressida!) !
Rexi