Breast Cancer Staging and Lymph Node Involvement

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After being diagnosed with breast cancer, your doctor will check your Lymph nodes. Lymph node involvement is a crucial aspect of breast cancer staging and treatment. In a breast cancer patient, cancer can spread to the Lymph nodes, affecting cancer staging. So, in this article, we will talk about how the best cancer hospital in India can help you treat breast cancer staging and Lymph node involvement. 

Lymph Nodes- An Overview

Let’s face it; every human body consists of hundreds of lymph nodes. These are an essential part of the lymphatic system and the immune system. The bean-shaped structure of Lymph nodes contains immune cells that fight infections. Moreover, they are linked by a lymph vessels system that carries fluid in the entire body. When the fluid travels through the lymph nodes, they filter toxins from the body. These cells are most capable of reaching the lymph nodes nearest to the afflicted breast in breast cancer. 

Although these lymph nodes are typically seen beneath the arm, clusters of lymph nodes are also at the breastbone and collarbone. The lymph nodes close to the breasts are sentinel lymph nodes. On the other hand, the nodes under your armpit are axillary lymph nodes. 

Cancer that spreads to the lymph system or bloodstream has a greater chance of spreading to other parts of the body. Breast cancer that has spread to lymph nodes may require more intensive treatment than if it had not spread to these nodes. Moreover, there is a 99 percent 5-year survival rate for breast cancer that hasn’t reached nearby lymph nodes. 

Lymph nodes Involvement in Breast Cancer

Lymph node involvement is a major factor in the breast cancer TNM staging system. By TNM, it means- T refers to tumor size, N refers to lymph node involvement, and M is metastasis. Moreover, after the tests, Lymph nodes involvement can be presented in the following ways in your report:

  • NX means unable to measure cancer cells in Lymph nodes
  • NO means there are no cancer cells in nearby lymph nodes
  • N1 means cancer has spread to 1-3 underarm lymph nodes
  • N2 means cancer has spread to 4-9 underarm lymph nodes 
  • N3 means cancer has spread to 10 or more axillary Lymph nodes

There are four stages of breast cancer, and when Lymph nodes come in, it is stage 2. 

Symptoms of Breast Cancer in Lymph Nodes

Although you may not notice any signs if a few cancer cells reach a lymph node, signs can include swelling or lumps in the collarbone or armpits when the cells grow. Also, sometimes you may not see any lump in your breasts, but the Lymph nodes are enlarged. Ensure to see a doctor as soon as you fund enlarged Lymph nodes. 

Different Treatment Options to Consider

The treatment of breast cancer in Lymph nodes depends on various factors. These factors include:

  • HER 2 and hormone receptor status of the cancer cells
  • Grade of tumor
  • Cancer stage
  • Your inherited genes or genetics


Mastectomy and breast-conserving surgery (lumpectomy) are the two surgeries available. A lumpectomy involves breast tumor removal, whereas a mastectomy involves entire breast removal. 

Radiation Therapy

This surgery is effective when there is a Lymph node involvement. There are two types of radiation therapy. One is external beam radiation, and another is Internal radiation (brachytherapy).

A Lymph node Dissection

This is a surgical process that involves Lymph nodes removal near the tumor. 


This therapy uses drugs that destroy cancer cells from the body. Your doctor can suggest chemotherapy when there is a Lymph node involvement, or cancer has spread. 

Hormone Therapy

Hormone Therapy is efficient in lowering estrogen levels or blocking estrogen receptors. This is an effective therapy for those with hormone receptor status of estrogen-positive in breast cancer. 

Targeted Therapies

These therapies target specific types of cancer cells, such as HER2- positive breast cancer. Targeted therapies use tyrosine kinase inhibitors and monoclonal antibodies. Other targeted therapies include PARP inhibitors, mTOR inhibitors, and cyclin-dependent kinase inhibitors. 


Immunotherapy is a biological therapy that uses your immune system to discover and attack cancer cells. This therapy uses drugs such as atezolizumab and pembrolizumab. 

Proper treatment is essential when you recognize the first signs of cancer. It is important to look for the best cancer hospital in India that provides the right treatment without breaking your bank. So, to make your search easier, Lyfboat is the ultimate destination that can help you choose the right hospital and surgeon. Visit the website today and get a live consultation.

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