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May 24, 2019 02:09PM
Just adding my dx to the thread for people who are doing searches.
I was diagnosed with a intraductal papiloma with atypia of the left breast via core bx after a small "suspicious finding" on screening mammogram. Because of the atypia, lumpectomy was recommended.
After my lumpectomy (BS took a total of 5 cm, the suspicious area on mammogram AND MRI was about 1 cm), my diagnoses was upgraded to DCIS grade 3 with comedonecrosis. Lumpectomy did not yield clear margins, and so my BS recommended left MX with Sentinel node biopsy.
After my MX, in addition to the DCIS, they found a 5mm aread of invasive "lobuloductal" carcinoma. Node was negative. Ki67 is 5.
My MO is sending it for oncotype testing, and is also going to get a second pathology opinion since "lobuloductal" carcinoma is uncommon.
At this point, with the invasive cancer being Her2- and my node being negative, she is not recommending chemo, but will want me on Tamoxifen for 10 years (or I guess until menopause strikes and she can transition me to an AI).
47 at diagnosis. Brip1 gene Variant of unknown significance. Onoctype score 8.
4/4/2019, DCIS, Left, Stage 0, Grade 3, ER+/PR+
4/18/2019 Lumpectomy: Left
5/9/2019, IDC, Left, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2- (FISH)
5/9/2019 Lymph node removal: Sentinel; Mastectomy: Left; Reconstruction (left): Silicone implant
5/23/2019 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)