Topic: Lymphovascular and perineural invasion

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

Posted on: Dec 15, 2021 11:46AM - edited Dec 15, 2021 11:46AM by waves2stars

Posted on: Dec 15, 2021 11:46AM - edited Dec 15, 2021 11:46AM by waves2stars

waves2stars wrote:

Has anyone here had this in their pathology report? Did it change your treatment plan? I have read conflicting research as to their prognostic value. My MO and RO both said Oncotype is more accurate for deciding treatment plan but is there a chart or formula somewhere for adding in escape pathways to estimate distant recurrence? Maybe I misunderstand and all tumors have the same pathways, but it just isn't mentioned on a path report.

DX @ 47. IDC 2.1 cm, DCIS 2.8 cm, Luminal B Dx 7/19/2021, IDC, Left, 2cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2-, FISHISHCISH Surgery 8/31/2021 Lymph node removal; Mastectomy; Mastectomy (Left); Reconstruction (Left): DIEP flap Dx 9/2021, DCIS, Left, 2cm, Stage 0, Grade 2, ER+, HER2- Hormonal Therapy 9/20/2021 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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