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Feb 21, 2019 12:26PM
Feb 21, 2019 12:27PM
I got the pathology back and I was a little bummed. While the margins were clear and there were no other major issues, the type is no longer clear to me! The pathology for the breast tissue after surgery was done by an UCLA Lab and they say: "Multifocal invasive ductal carcinoma with tubular features, grade1". Then, in the synoptic checklist, where it should specify the histologic type, it says "Invasive carcinoma of no special type - ductal, not otherwise specified".
The former Lab which did the biopsy, at another hospital, stated: "Infiltrating well-differentiated duct carcinoma - Pure tubular carcinoma".
I asked the oncologist at UCLA about more detail on the type and she said they go by the breast tissue pathology result and they do not inquire the lab for more details. She is not seeing the tumor as TC :(
So I feel there is something a miss as the UCLA report says "tubular features" but does not detail on what that means. I don't have a way to contact the pathology lab directly and request more details and the oncologist says no need more details on the type!
I am a bit frustrated because I feel the type TC would be giving a better hand at cancer versus just IDC but i dont know if there is any different way to proceed on this. Maybe it's just me not understanding the types properly?
Thank you, I already went thru all the links you posted to studies related to TC and i much appreciate your effort to provide so much content! The study I initially pointed to was showing a comparison of outcomes based on the percentage of tubular features. I think it was relevant, the data was compiling info of 100 patients with TC, but it was done in 1981, so I prefered to remove it since there was an objection to it.
Diagnosed at 48 on routine annual mammo, non‐palpable lesion, 1.3 cm tumor (Grade 1, Luminal A). 98% ER+, 95% PR+, Her2-, Ki67 5%. Oncotype: 12.
11/30/2018, DCIS/IDC: Tubular, Left, 1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2- (IHC)
1/23/2019 Lymph node removal: Sentinel
2/1/2019 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement