Please help Biopsy Report
My biopsy report was just posted to the portal. I know the dr will call later, but please can someone give me an interpretation of these results. Thank you so much.
AP results Final SURGICAL PATHOLOGY REPORT Case Number: S-24-24293 ------------------------------------------------------------ SPECIMEN: (A) Breast Core Biopsy; left breast 1:00 periareolar, 0.78cm, coil clip. (B) Breast Stereotactic Biopsy; left breast 3:00, 3 cores with calcs. (C) Breast Stereotactic Biopsy; left breast 3:00, 4 cores without calcs. ------------------------------------------------------------ CLINICAL HISTORY: (A) abnormal ultrasound. abnormal mammogram. ------------------------------------------------------------ DIAGNOSIS: (A) FOCAL ATYPICAL DUCTAL HYPERPLASIA BORDERING ON DUCTAL CARCINOMA IN SITU. Note: Immunohistochemical stain for p63/AE1-AE3 demonstrates the presence of myoepithelial cells in the atypical focus. External controls have been reviewed and stained appropriately. This case was also reviewed by Cynthia Kucher, M.D. who agrees with the above diagnosis. (B) DUCTAL CARCINOMA IN SITU. Architecture: Micropapillary, papillary, cribriform Nuclear Grade: Intermediate Necrosis: Not identified Microcalcifications: Present Note: This case was also reviewed by Cynthia Kucher, M.D. who agrees with the above diagnosis. (C) DUCTAL CARCINOMA IN SITU. Architecture: Micropapillary, papillary, cribriform Nuclear Grade: Intermediate Necrosis: Not identified Microcalcifications: Not identified Note: This case was also reviewed by Cynthia Kucher, M.D. who agrees with the above diagnosis. BIOMARKER IMMUNOHISTOCHEMICAL STAINS: ESTROGEN RECEPTORS: POSITIVE (100 % OF TUMOR CELLS STAINING, INTENSITY: STRONG) PROGESTERONE RECEPTORS: POSITIVE (100 % OF TUMOR CELLS STAINING, INTENSITY: STRONG)
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Hi @njteacher, Sorry you had to join us here. I'm not a doctor but the biopsy report indicates that focal atypical ductal hyperplasia (precancerous tissue) and DCIS (stage 0 cancer which is not invasive because it's confined to the milk ducts) were found. The usual treatment is surgery to remove the abnormal tissue and sometimes radiation. The prognosis for this is excellent. You will probably be referred to a breast surgeon unless one of those doctors ordered the biopsy. All the best!
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njteacher,
Since I am a retired teacher, I shy away from interpreting medical reports. Definitely out of my wheelhouse. That being said, I do understand the vocabulary. I am going to agree with maggie but please understand that no matter what all of us non-doctors say, your doctor is the one whose interpretation counts. For as much as I have a lot of experience as a bc patient, I have none as an oncologist.
What grade do you teach? My original teaching credential is from NY , high school ESL/ELD. I eventually got a multiple subject (elementary school) credential in CA and taught kindergarten and first grade for many years. This is an attempt at distraction!0 -
Thank you so much @exbrnxgrl! I live in NJ, but actually teach in NY (in Westchester county). I’m a high school math teacher, grades 11th & 12th. I started out in NYC at Lehman HS in the Bronx. Both my parents are originally from the Bronx (Highbridge & Norwood section).
And yes, distractions are a blessing!0 -
njteacher, I'm a retired high school math teacher. I've been in NH for many years now but taught in upstate NY long ago. I used to spend my "summer vacations" working in a vet lab, not exactly the same as dealing with human specimens but many similarities.
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We are practically related! I am a proud graduate of PS 97 (corner of Fish and Mace Avenues), JHS 135 (probably not a JHS anymore) and Christopher Columbus HS. My late mom graduated from Columbus too. I grew up in the Pelham Pkwy area , Fish and Allerton Ave. Despite decades in northern CA, I am a Bronx gal through and through. I went to Queens College and did my student teaching at Hillcrest HS in Jamaica.
My parents moved to Bergen County, Northvale, and eventually to a 55+ community near Princeton. My brother lives in Short Hills. I know that this is not very interesting but it’s distraction!0
