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Jun 5, 2018 10:13AM
Jun 5, 2018 10:14AM
Long and technical. tldr: nodes clear, mucinous carcinoma about 11 x 8 mm. Good prognosis.
Followup with BS today. Drains removed (painless!), steristrips removed. Incisions still a bit goopy so the doc cleaned them up and covered with gauze to let them dry out. I'm back in an ace wrap for a couple of days.
As I suspected, about 2 to 3 square inches of skin on the right side (not part of the incisions at least) is dying due to poor circulation. Doc is confident it will be fine once the dead skin sloughs off in a few weeks. I can only imagine the complications if I'd opted for reconstruction instead of going flat.
Us old farts don't heal as well as you young squirts. My skin is very delicate and reacts angrily to anything it doesn't like. I have blistered skin around the edges of the tegaderm that I removed several days ago. Even the metallic trim on the effing pink ribbons I was using to wrangle the drains raised a line of blisters one sweaty night.
I already had to remove the bandaids over the drain holes from earlier today because the skin was burning. Same thing happened after the biopsies -- I rejected the bandaids bigtime.
Oddly, the most painful area of my chest is over my sternum. the reast is still swollen here and there, with a real mishmash of sensitivity and numbness. I could swear something was taking a pair of pliers to my non-existent nipples.
The doc very kindly gave me a copy of the path report: 3 sentinel nodes plus 1 axillary node removed, all clear. My breasts weighed 653 and 728 grams respectively or just over 3 pounds total, which I found slightly amusing.
Tumor was 11 x 8 mm microscopically, unifocal (good, only one -- this type is often multifocal in the same breast), mucinous carcinoma with sheets of neoplastic cells suspended in mucin. Tubule formation <5%, nuclear grade 2, mitotic count 6 figured in 10 hpf, no lymphovascular invasions, no microcalcifications.
TNM classification: pT1c, pN0, Mx
Lymph nodes showed mild sinus histiocytosis, no atypia, no metastatic cells. I have some googling to do to see what those words mean lol.
Left breast had benign parenchyma with fibrocystic change and no significant nuclear atypia or ductal hypoplasia. No in situ or invasive carcinoma. Presumably the entire suspicious area of papilloma and sclerosing adenosis on the non-cancerous side was successfully mined during biopsy a month ago.
Next stop is the medical oncologist, who will probably want hormonal treatment as the tumor is ER/PR positive. No chemo needed as it's HER2 negative. No radiation required as all breast tissue was removed.
5/1/2018, IDC: Mucinous, Right, 1cm, Stage IA, Grade 2, 0/4 nodes, ER+/PR+, HER2-
5/24/2018 Mastectomy: Left, Right