IDC in dermis — what stage does that mean?
Hi everyone—I'm posting on behalf of my wife. She recently had a recurrence of IDC in two places. The first tumor was not actually a recurrence but thought to be a residual from tissue not taken during her single mx. That first tumor had a mix of DCIS and IDC so our onc explained that it still is contained within the Brest tissue. The second tumor was entirely IDC and was found in the dermis and subcutaneous tissue at about “10 o'clock"
I'm having trouble understanding how the IDC in the dermis would be staged. Our onc said that it typically isn't restaged but wanted to know that's the case. She was stage 1A prior to the recurrence and based on the size and pathology of the other tumor, she's probably be 2A now. Basically my question is, is it considered metastatic if it has spread to the dermis but still in her breast
Also, she's slated for TC chemo due to there not being clear margins and the KI-67 being relatively high (25%). She's HR+, HER2- — oncotype on repeat test is 14 compared to 11 before.
Thanks in advance for any thoughts/advice!