Hi, Alanna, I am sorry to read your husband has had spread to his lymph nodes. I am not sure why they didn't do a lymph dissection when they did his RC. I am assuming he had his bladder removed? Is that correct? Sorry that I don't know this. But, when Jim had his RC they did it all at that time. Prior to his RC they thought Jim had no lymph involvement so went ahead and did the surgery and found 3 positive nodes during surgery. He had 20 dissected and 3 positive. Or I say, 15%. With that being said, he started cis/gem chemo in Sept 2010 (his RC was Aug 12, 2010) and had 6 months of chemo. He finished chemo 2/26/11 and his post chemo CT showed no cancer anywhere. Woooo hooo. So, Jim is stage IV BC due to his lymph involvement and he also had BC in his prostate so out it went in August as well. But, he is here and well and looks great. THere is hope even with Stage IV. One of the people who posts here says, "cancer free until proven otherwise" Jim and my credo! Do not ever give up hope and keep on doing the chemo. It is hard but not impossible. Jim is living proof of that. Keep us all posted as to how it's going. We care!