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Mar 27, 2013 09:13AM
ironmagnolia
wrote:
I had BMX with DIEP on 3/4/13 for bilateral invasive ductal CA. I was just told that the upper margin near the tumor in the left breast showed a cluster of microscopic cancer cells near the edge. My BS says this has only happened to her 2 times previously, and that it is a fine line taking enough tissue to eradicate the cancer while leaving enough under the skin for the PS to get a good cosmetic result.
Also, I discussed with her that I had read that this can be a result of how the pathologist prepares the specimen, slides, etc and she agreed with that. But, stated that we cannot take a chance and just do nothing based on speculation that this report may not be accurate.
She says radiation is out due to the DIEP recon, and although she did not recommend it, one option is to just take the oral drug and watch this area. No thank you. We both feel that going back in to re-excise this area is essential, so back I go to surgery within the next two weeks.
It sucks, but clean margins are important to make sure I've done everything I can to prevent a recurrence.
Dx
1/30/2013, IDC, <1cm, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2-
Dx
2/11/2013, IDC, 1cm, Stage I, Grade 2, 0/1 nodes, ER+/PR+, HER2-
Surgery
3/3/2013 Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
Hormonal Therapy
4/22/2013 Arimidex (anastrozole)
Surgery
9/22/2013 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction