Yes, this is definitely a conversation you need to have with your surgeon around what this means relating to your specific cancer profile and what this means for your treatment plan going forward. Not having LVI is better but it doesn’t mean the worst either. My cancer turned out to be more extensive than what they initially thought from the biopsy. Initially I was advised that I just Needed a lumpectomy and radiation. When they operated they found a larger tumour than expected and I had 3 lymph nodes with cancer, plus extensive LVI etc. This meant a change in my treatment plan to chemo, then a mastectomy, then radiation. The aim of chemo is to get control of the cancer locally and eliminate the chance of developing metastatic cancer. The chemo goes after cancer everywhere in your body. We are going for “cure”, my oncologist estimates that I have aN approx 80% chance of cure based on the treatment plan for my cancer profile. I’m really happy with this % as I was expecting a worse prognosis. Try not to worry, and perhaps think through the questions you want to ask at your appointment. They will put a plan in place to get you the best possible outcome they can.
yes I am LVI positive. I did not know what this was when I read it on my pathology report. So I obviously did my own research until my 3 week appointment came up post surgery. The surgeon did not appear too concerned about it. I had been worrying and felt very anxious about this. The surgeon then decided to do oncotype testing and then referred me to oncology, they did seem a little more concerned about the LVI and we discussed that chemotherapy was going to be beneficial. I had one lymphnode out of two affected with micrometastasis only. I was relieved to have been offered chemotherapy to prevent the likehood of it reoccurring again. Hope you've managed to speak to your specialist by now xx
hi Sandra good evening,
thank you for your answer regarding Lymphovascular invasion. I have this on my report and you replied to me.
Do you think is. Hope for us to be cured under nodes/Lymphovascular invasion?
I haven’t asked my doctor yet as my appointment is next week. On the meeting day after 16 days post surgery he haven’t mentioned that.
Has your doctor mentioned to you?
Thank you Adriana
I got a LVI (extensive) result on my pathology report. I have stage 3 IDC HER2 positive breast cancer - node positive and large tumour. I’ve just finished the chemo phase of treatment (12 weeks paclitaxel with 3 weekly herceptin and Perjeta, then 4 x dose dense AC). I’ll carry on with herceptin for a year. My oncologist is also recommending zoledronic acid as preventative treatment for secondary bone cancer - this will be six monthly for 3 years.
I have just noticed that you have posted your query twice with no specific subject response to date. My pathology report did not show lymphovascular invasion (LVI), however I did not want to ignore your post. I think it can be a bit disconcerting when you do not get a response to this sort of query.
Perhaps it is a query you can discuss with your medical team who obviously have more insight to your individual situation. I am sure someone will come along soon who has had more direct experience. In the meantime, here is a post from Eileen765 (thank you) on the subject, from an old thread.
I too had lv invasion. I also had lymph node involvment, large 4.5cm tumour. Nobody told me I asked after I had read about it somewhere. I am 8 years down the line now. Also her2. Good luck and try not to worry too much. Eileen".
Regards to you and best wishes for your treatment.
Chick 🐥 x
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Hi good afternoon,
Anyone here with Lymphovascular/ vascular invasion and still doing well after treatment?