Suspicious for focal lymphovascular invasion
I am so sad that I returned to this board reporting after 3 years of left mastectomy, I just found from MRI that I have developed DCIS in my right breast and "suspicious for focal lymphovascular invasion".
I did not have MRI in the past 3 years. All I had was diagnostic mamo and ultrasound which is all clear. I wonder what if I had MRI last year….
How bad is it? Does it mean metastasis?
I was driving when I got the call. I did not get too much time to think of questions. I will see surgeon on Tuesday. I know I am going to have another Mastectomy. It's Okay. I wish I did BMX 3 years ago!!! But time cannot go back… I will sentinal node biopsy I know. Should I ask for PET scan regardless the result? I am with Univeristy of Chicago. Should I get a second opinion at Cleveland or Anderson? I am going to have chemo and radiation due to the invasion? Why they cannot say for sure. Why they say it's suspicious? Will the answer is confirmed after the mastcetomy?
I have been on Tomaxifen for the past 5 years and still developed DCIS on my right breast. And Lymphovascular invasion!
My kids are still young 11 and 9. I want to live till at least they graduate from college.
A. Right breast 7:00; core needle biopsy: - Ductal carcinoma in situ, intermediate nuclear grade, solid pattern. - Suspicious for focal lymphovascular invasion; see comment.
While there is no evidence of invasive carcinoma seen in this sample, there is a focus of tumor separate from the area of DCIS that is concerning for lymphovascular invasion. By immunohistochemistry, the periphery of this tumor nest is negative for p63 and positive for CD34. Together, the histological and immunohistochemical findings are suggestive of possible lymphovascular involvement. Immunohistochemistry for ER and PR is pending.