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Apr 4, 2013 11:04PM, edited Apr 4, 2013 11:19PM
I had a tumor biopsy that showed micro-invasive cancer. Because of that, they scheduled a MRI for me which showed activity in an axillary node, it also showed a 2cm spot on a rib which they were afraid could be a met. So, a PET scan was in order. The PET scan again showed activity in a node so they did a biopsy. Although the biopsy of the breast tumor showed a micro-invasion, the node invasion was greater than 2mm.
The grade of the tumor and the her2 status, along with the node invasion made neoadjuvant chemo necessary. At that time they didn't know what the lesion was on the rib. Their plan was to watch it and see how it responded to chemo. Thank goodness, after dose dense chemo it was grossly unchanged.
I saw my breast surgeon a week after lumpectomy to check on the healing. She had just recieved my pathology that morning, and although she said she wanted to read another time...she thought it was highly unusual and a case that should be written up in a medical article. I am still not sure why she said this. I need to go back and sit down with her again.
Here is my final pathology:
Tumor type: DCIS
Invasive Carcinoma: Not applicable
Histologic type: Solid to cribform
Grade of DCIS 2-3
Prolifercation Rate (mlb-e1) High
Necrosis in DCIS: YES
Lymphovascular invasion: Not identified
Lymph Node status 1/5
Stage pT1mi, pN1
Does that make sense to you? Not sure if it makes sense to me...still lots of questions. My tumor was fast growing and aggressive. She said if it hadn't made it to a lymph node I'd be stage 1/2. Instead I'm IIa. Thinking about that, it might mean this forum is the wrong place for me. Can't figure out quite where I belong ;)
DCIS 3.5 cm with micro invasion; T1mic N1; ER-/PR- Her2+++ 1/5 nodes; pCR after neoadjuvant chemo
ER-/PR- Her2+++ 1/5 nodes; pCR after neoadjuvant chemoDx 9/29/2012, IDC, 3cm, Stage IIb, Grade 3, 1/5 nodes, ER-/PR-, HER2+Chemotherapy 10/31/2012 Adriamycin, Cytoxan, TaxolTargeted Therapy 12/31/2012 HerceptinSurgery 03/06/2013 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)