Word: lymph
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Such a test might prove particularly helpful in determining what to do about the so-called micrometastases that pathologists are starting to discover in some women's lymph nodes. Once again, better detection techniques have revealed minute clumps of cancer--0.2 mm or 0.008 in. across--that are smaller than anyone had ever seen before...
Until recently, the presence of any cancer in a lymph node would be a clear signal that chemotherapy was required. But at the upcoming meeting of the American Society of Clinical Oncology in May, a group of cancer experts will recommend that these minute malignancies be left alone, as long as the original breast tumor is small. "We used to seek out and destroy every cell," says Dr. Eva Singletary, a breast surgeon at the M.D. Anderson Center in Houston, who chairs the expert panel. "Now we try to target and control our treatment...
...DEFINITION Some of the cells from the tumor, which now measures 2 cm or less, spill out of the duct. There is no evidence of cancer in the lymph nodes...
...OPTIONS Mastectomy or lumpectomy plus radiation. Lymph nodes are biopsied. Chemotherapy or tamoxifen may be recommended for some women...
...DEFINITION Most tumors in this category measure 2-5 cm but have not spread to the lymph nodes...