Help understand this Report (For my Mom)

Stillshell

Help understand this Report (For my Mom)

Stillshell

My Mom is 55 years old.  She is having a lot of problems with her memory and speech.  In fact her whole personality is changing.  She relies on us kids to help her understand what the doctors are telling us.  Problem was, I had 4 puking kids for the post op meeting with the surgeon.  I have the pathology report and now we have more questions.  My Mom tried to get the doctor to explain it.  But my Mom said that the doctor kept using big words and phrases she didn't understand.  (My Mom is one smart lady so this is hard for me to understand...)

Anyways I am going to give some details from the report if anyone can help I would really appreciate it.  A little background my Mom had Chemo first.  It was so hard she ended up on O2 almost the whole time.  She also has severe anxiety and depression.  She had a Sepsis infection at the end up her Chemo that almost killed her so she didn't finish the last two chemo treatments:

Surgery:

Total Mastectomy

Final Report

There are 4 Specimen Parts

1st:  Breast Right

-Residual Invasive Ductal Carcinoma with Focal Lobular Features 2.3 x 1.9x 1.8 (yT2)

-Focal Ductal Carcinoma in Situa-Solid Typewith Intermediate to High Nuclear Grade and Minimal Necrosis.

-Extensive Stromal Fibrosis and Focal Tumor Necrosis Identified, consistent with treatment effect.

-Invasive carcinoma is 3mm from the closest deep margin

-One lymph node showing Metastases Carcinoma (1/1 Metastatic Carcinoma Focus measures .9cm) with Extra Nodal Extension.

-Unremarkable nipple

2. Axillary Content Right

-1/14 Lymph nodes showing Metastases Carcinoma

-Metastatic Carcinoma Focus Measures .6cm

-No evidence of Extra Nodal

3.Breast Capsule Right

-No Maliganacy

4. Breast Implant (Saline)

tumor: Invasive Carcinoma

Lower Outer Quadrant

Tumor Focality:

Single Focus of Invasive Carcin

No: Skin, Dermis, epidermis, skeletal or muscle invasion.

Histologic Type: IDC

Nottingham Score:

Glandular (Acinar)/Tubular Differentiation:

Score 2

Nuclear Pleomorphism

Score 2

Mitotic Count

Score 3

Margins:

Margins uninvolved by invasive carcinoma distance from closest margin 3mm

Lymph Nodes

Total number examined 15

number of nodes with Macrometastases 2
number with Micrometastases 0

Size of largest metastatic deposit: .9cm

Primary Tumor yT2

Regional Lymph Nodes

n1a

Distant Metastasis M- Not aplicable

ER + PR + and HER2-

Anyway to figure out stages and the lymph nodes through this report?

mari65

I'm sure someone will help you understand this..You came to the right place...

sheila888

IIB

T2 N1 M0 T3 N0 M0

Tumor is between 2 and 5 centimeters, metastases to movable ipsilateral nodes, No distant metastases. Tumor is over 5 centimeters, No tumor is regional lymph nodes, No distant metastases

sheila888

Stage IIB: T2, N1, M0 / T3, N0, M0: One of the following applies:

• The tumor is larger than 2 cm and less than 5 cm across. It has spread to 1 to 3 axillary lymph nodes and/or tiny amounts of cancer are found in internal mammary lymph nodes on sentinel lymph node biopsy (T2, N1).
• The tumor is larger than 5 cm across but does not grow into the chest wall or skin and has not spread to lymph nodes (T3, N0).

The cancer hasn't spread to distant sites (M0).

Stillshell...According all the letters and numbers, your mother's BC looks like is

Stage IIB

hugs to you and good luck.

Stillshell

Thank you so much...that is what I thought too.