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Thursday, February 28, 2013
Grateful; Thankful; Humbled
Wednesday, February 27, 2013
Pathology Results
Assessing lymph nodes (Has cancer spread to the lymph nodes?)
During surgery for invasive breast cancer, some of the lymph nodes in the armpit (axillary nodes) are removed to check for cancer cells. The presence or absence of cancer in these nodes is one of the most important factors affecting cancer stage and prognosis.
Sentinel node biopsy and axillary dissection
To see if cancer has spread to the lymph nodes, most people have a procedure called sentinel node biopsy. During or before this procedure, a radioactive substance (called a tracer) and/or a blue dye is injected into the breast. The surgeon locates the sentinel node(s) by looking for the node that has absorbed the tracer (using a special device called a gamma probe) or the dye (which turns the lymph node(s) blue). The radioactive tracer or blue dye usually identifies one to several (usually fewer than five) nodes as the sentinel nodes. The surgeon removes the sentinel node(s). In removing the sentinel node(s), one or two non-sentinel nodes may also be removed. A pathologist checks the removed node(s) for cancer cells.
If cancer is not found in the sentinel node (the sentinel node is “negative”), it is unlikely that other lymph nodes in the armpit have cancer, and thus no further surgery is needed. If the sentinel node does contain cancer cells (the sentinel node is “positive”), more nodes may be removed with a procedure called axillary dissection. The goal of axillary dissection is to check how many lymph nodes have cancer, which may help determine whether you will have chemotherapy after surgery. It also reduces the chances of cancer returning under the arm.
Axillary dissection removes more tissue than a sentinel node biopsy. Because it disrupts more of the normal tissue in the armpit, axillary dissection is more likely to affect arm function and cause lymphedema. For this reason, sentinel node biopsy is the preferred first step to assessing lymph nodes.
Assessing margins (Was the entire tumor removed during surgery?)
A pathologist checks the tissue removed during surgery. By looking at the tissue under the microscope, the pathologist determines whether the entire tumor was removed and whether the margins (the edges of the tissue removed) are clean. Clean (also called uninvolved or negative) margins mean there is only normal tissue (and no cancer cells) at the edges of the tissue removed from the breast. In these cases, no more surgery is needed. If normal tissue does not completely surround the tumor (called involved or positive margins), more surgery (called re-excision) may be done to get clean margins.
Preserving biopsy tissue
It is standard for hospitals in the United States to preserve and store all biopsy samples as formalin fixed paraffin embedded tissue. When a sample arrives at the pathology lab, it is treated with a substance called formalin, which keeps it from breaking down over time. The treated sample is embedded in a block of paraffin (wax). Later, if you wish to have your biopsy tissue re-examined for a second opinion, or if a new test becomes available that could affect your treatment, the preserved tissue can be obtained from the hospital where the biopsy was done.
PATHOLOGY REPORT
With all this being said, my pathology report came back negative....YES I SAID NEGATIVE. That means I am CANCER FREE!! The 3 lymph nodes taken on the right side are clear, the 3 lymph nodes (2 tissue and 1 sentinal node) taken on the left side (tumor area) are clear and the margins are clear. PRAISE GOD! Thank you to all my prayer warriors! Our prayers have been answered!
Ephesians 1:19 - You will know that God's
power is very great for us who believe!
Tuesday, February 26, 2013
Family
My family has been an intrical part of my cancer journey. Each one has a special gift they have brought in helping me along the path. I praise God for their unfailing love and devotion.
My parents winter in Henderson, Nevada and have flown back for two weeks to help care for me in my recouperation. They unselfishly, without hesitation were back in Michigan (to squalls of snow and winter weather) for my surgery. They come over to my house daily helping me with my needs. I want to thank them from the bottom of my heart for being here for me!
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Mom and Dad |
Each of my four children have shared their talent(s) and made me proud of them while I have been ill. It is amazing to see my children (who are now adults) care for me as I once cared for them. It blesses my heart.
Proverbs 20:7
The righteous who walks in his integrity—
blessed are his children after him!
blessed are his children after him!
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Son Brad and Ashley |
Train up a child in the way he should go:
and when he is old, he will not depart from it.
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Daughter Janelle and Family |
Psalm 103:17
But from everlasting to everlasting the Lord's love
is with those who fear him, and his righteousness
with their children's children.
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Daughter Jana |
Proverbs 1:8
Listen, my son, to your father's instruction
and do not forsake your mother's teaching.
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Son Bryant and Alissa |
I Corinthians 13:4-8
Love is patient, love is kind. It does not envy, it does not boast, it is not proud. It is not rude, it is not self-seeking, it is not easily angered, it keeps no record of wrongs. Love does not delight in evil but rejoices with the truth. It always protects, always trusts, always hopes, always perseveres. Love never fails. But where there are prophecies, they will cease; where there are tongues, they will be stilled; where there is knowledge, it will pass away.
I Corinthians 13:13
And now these three remain: faith, hope and love. But the greatest of these is love.
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My Family Mom & Dad Brothers and families |
Monday, February 25, 2013
Another Day in the Life of Recovery
Today is a beautiful sunny day. Deacon is enjoying having me home with him (as much as I do him!).
Yesterday I received a lot of family visitors, which was wonderful, but very tiring. I am trying to get more rest today and sitting like a cat curled up in the stream of sunshine radiating in through my windows. Ah, the warmth!
The medication they have sent me home with is not cutting it. I have a call out to the doctor's office to get something more potent!
I am posting a You Tube video I found on my surgeon Dr. Marianne Melnik. You will get to see who she is and what she is like.
www.youtube.com/watch?v=3Oy_jlrDX_A
Jeremiah 17:14
Heal me, O Lord, and I shall be healed;
save me, and I shall be saved,
for you are MY praise!
Yesterday I received a lot of family visitors, which was wonderful, but very tiring. I am trying to get more rest today and sitting like a cat curled up in the stream of sunshine radiating in through my windows. Ah, the warmth!
The medication they have sent me home with is not cutting it. I have a call out to the doctor's office to get something more potent!
I am posting a You Tube video I found on my surgeon Dr. Marianne Melnik. You will get to see who she is and what she is like.
www.youtube.com/watch?v=3Oy_jlrDX_A
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Deacon lying in the sun and absorbing the warm rays! |
Heal me, O Lord, and I shall be healed;
save me, and I shall be saved,
for you are MY praise!
Sunday, February 24, 2013
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