We are 225,817 members in 82 forums discussing 158,470 topics.

Help with Abbreviations

Topic: pagetoid pattern

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

Posted on: Oct 13, 2008 05:14PM

roseracing wrote:

has anyone ever heard of this term regarding a tumor?

Dx 9/22/2008, DCIS, <1cm, Stage 0, Grade 2, ER+/PR+
Log in to post a reply

Page 1 of 1 (12 results)

Posts 1 - 12 (12 total)

Log in to post a reply

Oct 13, 2008 09:49PM crazy4carrots wrote:

hi Rose:

Just guessing but it may be related to Paget's Disease, e.g. the disorder has Paget-like symptoms/pattern.  I must look it up!

Linda

The demagogue preaches doctrine he knows to be untrue to men he knows to be idiots. Dx 1/10/2008, ILC, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR-, HER2-
Log in to post a reply

Oct 14, 2008 10:41AM kalyla wrote:

I googled and found these defintions for you. My pathology report said the same thing, that the tumor was growing up into the dermis (skin).

Look up: pagetoid

  1. pagetoid
    Resembling or characteristic of Paget's disease. ... (05 Mar 2000) ...
    Found on http://cancerweb.ncl.ac.uk/cgi-bin/omd?pagetoid

  2. Pagetoid
    `Pagetoid` is a term used in dermatology to refer to `upward spreading` of melanocytes into the epidermis. It is uncommon and a possible indication of a precancerous or cancerous condition. Cells display pagetoid growth when they invade the upper epidermis from below. Squamous cell carcinoma, melanoma in situ, Pagetoid Bowen disease and other carcinomas can all display pagetoid growth. A pagetoid growth pattern with upward growth of the melanocyt...
    Found on http://en.wikipedia.org/wiki/Pagetoid

  3. pagetoid
    (paj´ә-toid) resembling or characteristic of Paget disease.
    Found on http://www.mercksource.com/pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszSzcommonzSzdorlandszSzdorlandzSz000077415zPzhtm

  4. pagetoid
    Resembling or characteristic of Paget disease.
    Found on
Kalyla Dx 2/12/2008, IDC, 6cm+, Stage IV, Grade 3, 22/27 nodes, mets, ER+/PR+, HER2-
Log in to post a reply

Oct 14, 2008 03:10PM leaf wrote:

I have LCIS with 'pagetoid' spread into the ducts.  I have also seen a poster who had DCIS with pagetoid spread into the lobules, so I guess it can go in both directions.

This Stanford website says about LCIS:

  • Pagetoid spread into ducts is common
    • May completely fill ducts
    • May involve sclerosing adenosis

http://surgpathcriteria.stanford.edu/breast/lcis/printable.html
Classic LCIS.If knowledge can create problems, it is not through ignorance that we can solve them- Isaac Asimov Dx 12/8/2005, LCIS, ER+/PR- Surgery 1/24/2006 Lumpectomy: Left Hormonal Therapy 7/15/2006 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Log in to post a reply

Oct 20, 2008 01:07PM nico67 wrote:

This is my first post. I had bilateral mastectomy (10/13/08) for LCIS and DCIS in left breast. Path report shows LCIS with pagetoid spread into the ducts and no clear margin near the areola (less than 1 mm), no nods.

Do you think that I have to do radiation therapy? I was hoping to be done, I also have expanders for reconstruction, so I'm confused and upset about everything.

Leaf, please tell me what did you do.

Thank you

Log in to post a reply

Oct 20, 2008 05:20PM koshka1 wrote:

Hi...

I asked my oncologist about what pagetoid spread meant and he simply said...

"it is just what the cells look like"....

???

kosh

Dx 12/2007, IDC, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2-
Log in to post a reply

Oct 21, 2008 10:18AM leaf wrote:

Hi nico!  I do not have DCIS, so you have a more complicated situation than I have.  If you only had LCIS, then I doubt they would do anything more after mastectomy.  However, you have DCIS in addition.  I do not know about DCIS. It was my impression that if you got clear margins in the mastectomy, and do not have anything else (no invasive) that they normally do not do chemo or rads.  I hope someone will correct me if I am wrong.

I think I read somewhere that pagetoid meant something like 'soldiers standing in a row'or something like that...

Pagetoid spread into ducts is common
May completely fill ducts
May involve sclerosing adenosis

http://surgpathcriteria.stanford.edu/breast/lcis/

This site says (of LCIS): "neighboring terminal ducts usually show proliferation of similar appearing cells with pagetoid growth (continuous row beneath secretory epithelium), causing cloverleaf or necklace patterns" http://www.pathologyoutlines.com/breastmalignant.html#lcis

 Here's a picture

www.pathologyoutlines.com/imag...

But I don't think I could recognize pagetoid spread if my life depended on it....

Classic LCIS.If knowledge can create problems, it is not through ignorance that we can solve them- Isaac Asimov Dx 12/8/2005, LCIS, ER+/PR- Surgery 1/24/2006 Lumpectomy: Left Hormonal Therapy 7/15/2006 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Log in to post a reply

Oct 21, 2008 05:55PM nico67 wrote:

Thank you Leaf. After my neddle biopsy they said DCIS (but everything was "mushy" and just a tiny tissue), but after my mastectomy my path was LCIS with pagetoid spread into the ducts.

I have this breast specialist in Kansas  City, but it takes a long time to get an appointment, and it's so frustrating to wait and not know what's going to be next. My PS said that everything looks good and we can start fillings as soon as next week, I don't like my onc, he is very "let's go all the way"; I don't have anything invasive and no nods ,thank God, and here I am with bilateral mastectomy and he wants me to do rads and take Tamoxifen. I need a second  opinion, and somebody else's exprerience with this.

I

Log in to post a reply

Oct 22, 2008 03:58PM - edited Oct 22, 2008 03:59PM by leaf

If you aren't comfortable with your team, then I highly support the notion of checking out someone else, at least for comparasion.

I can't stand my BS, and I go to my onc for my exams.  I went to a major institution (NCI certified) for a 2nd opinion, and they were MUCH worse than my onc.  On some aspects, I knew more than the person at the major institution did.  My PCP knew more on some aspects than the major institution did.

I have gone to this same NCI certified institution for genetic counseling, and they were excellent.  I also went to this same NCI certified institution for another medical problem I have, and they  are/were excellent.  I graduated from this institution decades ago.  I was very disappointed with the high risk breast cancer consult I got there - they can't even find the consult!!

I'm a hospital pharmacist, and some of the oncs at the place I work are good, and some I wouldn't ever want to be their patient.  Some of the nurses say of these docs I can't stand and say their patients often love them.  I'm sure some of their patients do.  I just know how that doc treats the nurses and support staff.  They frighten the nurses so badly that  I know the nurses can't do a good job.

As in every profession, there are people who are good, and those that aren't so good.  There are also personality factors or style factors that are involved.  Dr. Susan Love, in her book, says that for breast surgeons, they did a survey, and found that the most satisfied patients were NOT the patients that understood most about their disease, but the patients where their style fit that of the surgeon.  Some surgeons and patients want the patient to have all the choice possible, and leaves it up to the patient; and other surgeons and  patients want more guidance. Its not good or bad, it just is.

But you need to have someone with which you can be comfortable.

You will probably feel rotten until you can at least compare your onc to other oncs.  Choice is good.

Classic LCIS.If knowledge can create problems, it is not through ignorance that we can solve them- Isaac Asimov Dx 12/8/2005, LCIS, ER+/PR- Surgery 1/24/2006 Lumpectomy: Left Hormonal Therapy 7/15/2006 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Log in to post a reply

Oct 22, 2008 08:48PM nico67 wrote:

I'm a family physician, and I know that each doctor has his own style, but it's so different when you are the patient and have so many information and you need guidance, knowing that you're working with statistics and chances. Today my surgeon told me that she thinks that my result LCIS with pagetoid into the ducts doesn'r require anything else. My onc is "rads and tamoxifen" .

I will have to wait to get another opinion (at least): I do feel rotten while waiting.

Thank you anyway.

Log in to post a reply

Jan 7, 2009 08:11PM PaulaLS wrote:

I was diagnosed with IDC 12/16/08.  Treatment was to be lumpectomy, sentinel node biopsy then radiation.  Another lesion was found on a pre-op MRI.  A stereotactic biopsy of that area was essentially benign however the BS was very concerned about the "Atypical lobular hyperplasia with Pagetoid extensions into ducts" on the Pathology report.  He said this was a rare finding and he wants to confer with the Oncologist, and radiologist, and bring it to the tumor board - so surgery is in limbo.  That didn't give me confidence.  I am ready for a second opinion and think I am ready for a mastectomy w/reconstruction.  Wouldn't that solve the problem?  I am anxious to get on with life.  Can anyone offer any advice and should I be really concerned about the Pagetoid extensions?

Paula Dx 11/11/2009, IDC, <1cm, Stage I, Grade 1, 0/1 nodes, ER+/PR+, HER2-
Log in to post a reply

Jan 8, 2009 05:33PM leaf wrote:

There is so much that is unknown with LCIS/lobular neoplasia.  I have LCIS 'with pagetoid spread into the ducts', and ALH.

This author opined "Lobular carcinoma in situ involving adenosis and lobular carcinoma in situ with pagetoid spread on core needle biopsies did not show a histologically more aggressive lesion on excision and, therefore, may not require additional surgery."http://www.ncbi.nlm.nih.gov/pubmed/12591964

This author seems to be saying there are different types of pagetoid spread.  "Solid involvement of ducts by lobular neoplasia and uncommon forms of "pagetoid" growth both resemble the appearance of atypical ductal hyperplasia or ductal carcinoma in situ."www.ncbi.nlm.nih.gov/pubmed/10...

Classic LCIS.If knowledge can create problems, it is not through ignorance that we can solve them- Isaac Asimov Dx 12/8/2005, LCIS, ER+/PR- Surgery 1/24/2006 Lumpectomy: Left Hormonal Therapy 7/15/2006 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Log in to post a reply

Jul 27, 2019 11:54PM BBJJBB wrote:

I had reconstruction and breast lift to correct breast asymmetry after 2 biopsies of my right breast. The surgeon did not order a mammo before the surgery. After the surgery the pathology report was LCIS with Pagetoid extension into a duct. The doctor only told me about the LCIS. I was sent to oncology immediately where I was told I should take Raloxifien. No tests were ordered to make sure there was nothing else growing in my breast.

In the meantime I moved to another state and found an oncologist. She looked at my records and immediately started a treatment plan. She said imaging should have been done. I am set up for mammo, ultrasound, genetic testing Tumor board review and apppt with a surgeon. I have elected to do a double mastectomy with reconstruction. It seems there are varying opinions about the significance of Pagetoid cells. Not sure what to believe. But I am glad I found an oncologist that cares

Page 1 of 1 (12 results)