I've reached a new cross road. Lumpectomy re-excision to get better margins for a PLCIS (Pleomorephic Lobular Carcinoma In Situ) 4.5cm lesions that was never seen on mammograms, ultra sounds and 3 MRI's. Only found on final path report after Lumpectomy #1 to remove a 1 cm Pleomorphic Invasive Carcinoma that was shrunk via neoadjuvant endocrine therapy.
So, another lumpectomy for better margins on something never seen in the first place?
Or, BMX since now we know this was unseen in the first place?
I have extremely dense breast. My last MRI read " dense breast which could have unseen small masts". A honest truth.
So, those of you who have been done with road a few times. Your thoughts?
I was diagnosed in Dec.2017. 8 months of neoadjuvant endocrine therapy to shrink the PLIC mass. Shrunk to 1cm.
Then lumpectormy to remove the seen 1 cm PLIC area.
Upon final surgical pathology report reflected unseen 4.5 cm PLCIS. Needing better margins.
Now: the decision is all mine. Personal for each and everyone of us.
Who believe that lumpectomy vs. mastectomy has no difference in long term survival?
Thanks for your thoughts.
Pleomorphic ILC and Pleomorphic Lobular Carcinoma In Situ 4.5 cm
12/1/2017, ILC, Right, 2cm, Stage IIA, Grade 3, 0/2 nodes, ER+/PR-, HER2- (FISH)
2/1/2018 Arimidex (anastrozole)
9/24/2018 Lumpectomy; Lymph node removal: Sentinel
12/19/2018 Lumpectomy: Right
3/4/2019 Whole-breast: Breast
Log in to post a reply