Invasive tubular adenocarcinoma, 1.1cm, grade 1, excision margins clear, estrogen pos+++, greater than 90% of invasive cells; progesterone. pos+++, approx. 10% of invasive tumor cells; HER/2 neg. Ductal and lobular carcinomas are in situ. The breast surgeon plans to do a sentinel node biopsy at the same time as the lung procedure May 5th.
My questions are: 1) would it make sense to check out the lymph nodes first, even if it means two anesthetics, if it might make the lung procedure pointless?