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All TopicsForum: IDC (Invasive Ductal Carcinoma) → Topic: IDC - Biopsy Report Question

Topic: IDC - Biopsy Report Question

Forum: IDC (Invasive Ductal Carcinoma) — Just diagnosed, in treatment, or finished treatment for IDC.

Posted on: Sep 12, 2017 10:54AM

Sd2906 wrote:

hi, family member recently diagnosed and we are reviewing the pathology report from the biopsy before the MRI. what we can't figure out is the section below...

Final Diagnosis

- Invasive Tumor Measures at least 11mm

- Nottingham score of 8

- Lymphovascular permeation by tumor not seen

Clinical Information Section:

3.1cm mass, recent breast feeding, suspicious FNA

the question we have is many women reference a 2cm or 3cm tumor. Is the size of the tumor here 3.1cm or 1.1cm?

Thanks in advance!

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Sep 12, 2017 11:12AM MTwoman wrote:

Sd, if the tumor in question hasn't been removed yet (via lx or mx) then the size is an estimate based on imaging (which can be quite a bit off). It looks like they are saying the invasive component measures "at least" 11 mm out of the entire mass of 3.1 cm. That means that it could be upwards of 1.1 cm, but may not comprise the whole 3.1cm mass. The final pathology should list the size of the tumor, which is why staging is not complete until after the removal; in addition to sentinel lymph nodes being removed and tested.

Dx 12/10/2002, DCIS, Right, 1cm, Stage 0, Grade 2, 0/3 nodes, ER-/PR-, HER2- Surgery 12/20/2002 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 12/23/2003 Reconstruction (right): Nipple reconstruction Surgery Reconstruction (right): Saline implant Surgery Reconstruction (right): Tissue expander placement Surgery Mastectomy: Right
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Sep 12, 2017 11:35AM Sd2906 wrote:

Thank you. that's helpful. and it makes a lot of sense. it has not been removed and we received the diagnosis on Friday. The most bizarre part is that the lump is moveable vs. stuck in place.

Thank you again. We meet the surgeon tomorrow and expect to have the surgery at MSK.

details beyond what I listed is HER2-negative, no LVI, ER Positive 50%.

Pretty crushing for us but I do appreciate all the color from this message board. very helpful. I was hoping that the lack of lymphovascular penetration and the fact my wife doesn't feel anything or any pain near her lymph nodes meant it hasn't spread but reading these posts, it seems premature to be optimistic. The only way to know is with tests.

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Sep 12, 2017 06:09PM MTwoman wrote:

I'm sorry, but unfortunately yes, testing has the final say. It is difficult to wait as results come in and more test get ordered, for which you then have to wait again. But it is crucial to have as much information as possible to make the best treatment decisions. So sorry that you are both having to go through this steep learning curve. Please do ask for whatever help you need!

Dx 12/10/2002, DCIS, Right, 1cm, Stage 0, Grade 2, 0/3 nodes, ER-/PR-, HER2- Surgery 12/20/2002 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 12/23/2003 Reconstruction (right): Nipple reconstruction Surgery Reconstruction (right): Saline implant Surgery Reconstruction (right): Tissue expander placement Surgery Mastectomy: Right
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Sep 12, 2017 08:05PM - edited Sep 12, 2017 08:25PM by Sd2906

MT, I hate that I'm on this site and I hate asking questions. But I can't properly state my respect, appreciation, and admiration for all your responses. Your empathy is truly incredible and admirable. The women on this site are incredible heroes. Thank you for sharing your stories and offering advice despite the difficulties you may be facing or have faced.

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