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Topic: New diagnosis??? Malignant neoplasm of the breast

Forum: DCIS (Ductal Carcinoma In Situ) — Just diagnosed, in treatment, or finished treatment for DCIS.

Posted on: Aug 7, 2020 06:13PM

LivinLife wrote:

I changed surgeons last week to one at a large academic-research institute. I see her via telemedicine next Friday. I logged into the portal - I'm already a patient there for other medical issues- to check additional appointments being scheduled for breast cancer. I saw they have me diagnosed with malignant neoplasm of the breast. they have the last 2 years of mammogram CD's, recent (and past) biopsies, including the slides from my recent biopsy. I tried looking up this diagnosis and can't tell if it's something new/more serious? I get that impression though everything I see, including on this site, seems vague. Any help you can offer to help me understand this is greatly appreciated!!

Dx 7/2020, DCIS, Left, 1cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/31/2020 Mastectomy: Left; Prophylactic mastectomy: Right
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Aug 7, 2020 06:26PM moth wrote:

Since you're switching to a new surgeon is it possibly just what they put in as a reason for the visit? I think it's not a diagnosis but a billing code or a generic why is this person being seen.

I'm sure you already know final dx isn't till post surgery pathology and it can change from the biopsy.

Initial dx at 50. Seriously???? “Sometimes the future changes quickly and completely and we’re left with only the choice of what to do next." blog: nevertellmetheodds2017.tumblr.... Dx 12/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/5 nodes, ER-/PR-, HER2- (IHC) Surgery 12/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 2/14/2018 AC + T (Taxol) Radiation Therapy 8/13/2018 Whole-breast: Breast Dx 2/2020, IDC, Stage IV, metastasized to liver/lungs, Grade 3, ER-/PR-, HER2- Chemotherapy 3/18/2020 Taxol (paclitaxel) Immunotherapy 3/19/2020 Tecentriq (atezolizumab) Chemotherapy 11/26/2020 Abraxane (albumin-bound or nab-paclitaxel) Dx 12/10/2020, IDC, Right, Stage IV, metastasized to lungs, Grade 3, ER+/PR-, HER2- (IHC) Radiation Therapy 12/10/2020 External Hormonal Therapy 12/16/2020 Femara (letrozole)
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Aug 7, 2020 06:28PM LivinLife wrote:

Thanks moth! That makes sense.... Breathe, right? Just came out of a hectic breast MRI so a challenging afternoon.

Dx 7/2020, DCIS, Left, 1cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/31/2020 Mastectomy: Left; Prophylactic mastectomy: Right
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Aug 7, 2020 06:35PM Jelson wrote:

Sorry you are going through this. "Malignant Neoplasm" is very vague and can be applied to DCIS. Admittedly, it is easy for me to say, but I urge you not to read anything into this terminology.


Dx 4/17/2009, DCIS, <1cm, Stage 0, Grade 3, 0/0 nodes, ER+/PR+
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Aug 7, 2020 06:37PM moth wrote:

Oh always breathe! Definitely recommend lol

MRI noise is so weird. And scanxiety is real so again, definitely breathe. Hugyou deserve a break tonight. Hope you have something relaxing and distracting lined up

Initial dx at 50. Seriously???? “Sometimes the future changes quickly and completely and we’re left with only the choice of what to do next." blog: nevertellmetheodds2017.tumblr.... Dx 12/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/5 nodes, ER-/PR-, HER2- (IHC) Surgery 12/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 2/14/2018 AC + T (Taxol) Radiation Therapy 8/13/2018 Whole-breast: Breast Dx 2/2020, IDC, Stage IV, metastasized to liver/lungs, Grade 3, ER-/PR-, HER2- Chemotherapy 3/18/2020 Taxol (paclitaxel) Immunotherapy 3/19/2020 Tecentriq (atezolizumab) Chemotherapy 11/26/2020 Abraxane (albumin-bound or nab-paclitaxel) Dx 12/10/2020, IDC, Right, Stage IV, metastasized to lungs, Grade 3, ER+/PR-, HER2- (IHC) Radiation Therapy 12/10/2020 External Hormonal Therapy 12/16/2020 Femara (letrozole)
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Aug 7, 2020 07:19PM LivinLife wrote:

I don't eat much junk food though was going to reward myself with Good and Plentys... forgot to buy them at the store. Just made a run to Dairy Queen for a Blizzard - Ahhhhhh.... enjoy your evening moth! Thanks again!

Dx 7/2020, DCIS, Left, 1cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/31/2020 Mastectomy: Left; Prophylactic mastectomy: Right
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Aug 7, 2020 07:21PM LivinLife wrote:

Thanks Jelson! You and moth helped me just slow this down. I am concerned I will end up with more than DCIS given Grade 3 with necrosis though I don't need to be there until and unless I am. The terminology just caught me off guard. I appreciate your feedback!

Dx 7/2020, DCIS, Left, 1cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/31/2020 Mastectomy: Left; Prophylactic mastectomy: Right

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