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Apr 6, 2022 02:32AM
Hi all, I have an update and I guess I should move to the DCIS thread after this?
I had an excisional biopsy to remove the two biopsied calcifications and unfortunately the pathology report found that there was DCIS in one of the sites and unfortunately it was not fully removed (clear margins on the surface but not the depth so there was more DCIS closer to my chest wall).
Pathology results for above surgery:
A. Breast, right retroareolar lesion: Biopsy site with intraductal papilloma. Background breast with benign fibrocystic changes, non-lesional microcalcifications, and focal columnar cell change.Negative for residual atypical ductal hyperplasia and malignancy
B. Breast, right 3 o'clock lesion: Ductal carcinoma insitu (solid and cribriform types, intermediate nuclear grade) with associated microcalcifications. Estimated size of DCIS at least 34mm. DCIS present at posterior margin. Ancillary Studie results: ER: Positive (intensity: Strong, 67-100%). Alfred Score 8/8
I then had a lumpectomy (they called it a partial mastectomy - they removed 5.4 x 3.5 x 1.5 cm of tissue) with the following pathology results:
Breast (right, posterior margin): (i) Residual DCIS - Intermediate nuclear grade, micropapillary and cribform type, without associated necrosis (ii) Background breast tissue showing organizing biopsy cavity, widespread flat epithelial atypia (FEA), usual ductal hyperplasia without atypia, fibrocystic change and columnar cell change.
My surgeon recommended 3 weeks of radiation and I have an appointment with an oncologist in a few days. She also scheduled an ultrasound for my left breast (to monitor a cyst found in the original mammogram) and another mammogram in October to monitor this left breast and consider whether I would like to proceed with plastic surgery.
The only other thing that happened is that I developed a seroma from the second surgery hat still feels hard but is not causing any pain anymore but is healing very slowly. (I've been asked to wear strong compression bras to help the body absorb it.)
Does this seem like the correct treatment? Is there anything specific that stands out that I should add to my list of questions for the oncologist? Any insight you have would be greatly appreciated.
Thanks again for all he help you've provided thus far!