Does Cancerization of Lobules = Microinvasion?

I can’t figure this out. Googling hasn’t helped. Does anyone know if Cancerization of Lobules (COL) by high grade DCIS means that patient had a type of Microinvasion, or not?

I don’t know if it’s significant:

My biopsy pathology was done by the lab of first breast surgeon, whom I fired for good reason. (No point getting into that now.) Second breast surgeon did my bilateral mastectomy and sentinel node removal based on biopsy pathology, despite the fact it was done by a lab that’s not in their system.

I’m wondering about terminology and classification as it relates to recurrence risk/progression of disease.

Thanks for whatever you can share!

Comments

  • maggie15
    maggie15 Posts: 2,362

    Hi @marshmella, Cancerization of Lobules means that DCIS which started in the milk ducts has grown into the milk glands. It is not invasive since it has not spread into the breast tissue. It's a sign of higher grade DCIS but is not microinvasion.

    Since you have had a bilateral mastectomy/SNB the pathology from that surgery is what matters as far as your future risk goes. Biopsies are not always completely accurate since they sample only a small part of the suspicious area. All the best.

  • marshmella
    marshmella Posts: 17
    edited January 20

    thank you SO MUCH, this is very reassuring!!