I really need some help

JUSTME5

hey everyone.first of all , sorry for the bad english,Im not a native speaker.
In my mom's pathology was written:"ductual carcinoma in situ intermediate to hight grade"
now , apparently there's comedo necrosis and from what I understood usually if there's necrosis the dcis's garde is 3.
but I still dont understand it.According to the pathology, is the grade 2 or 3?

and another question - even if its grade is 3 ( or 2 for that matter) - whats the chance that after lumpectomy and radiation the disease will NEVER come back?is it even possible?
thank you so much !

Beesie

I just realized that you posted the same question in two places.  I just answered your other post.  Here's a copy of my answer:

Usually comedonecrosis is found when the DCIS is grade 3 but I've seen lots of women come through this board who've had grade 2 DCIS with a small amount of comedonecrosis.

As for your question "whats the chance that after lumpectomy and radiation the disease will NEVER come back?is it even possible?", the answer is YES, it is most likely. Most women do not have a recurrence. I believe that the average recurrence rate after a lumpectomy + radiation for DCIS is in the range of 8% - 10% - which means that 90% or more don't have a recurrence. What your mother's recurrence risk will be depends on her specific pathology, and on the size of the surgical margins. So in her case, her recurrence risk could be higher than the average, but it also could be lower. That's something that can't be known until after the surgery. But if it appears that her recurrence risk is too high after surgery (which could happen if it's not possible to get clear margins or if the area of cancer turns out to be very large and very aggressive), then the surgeon might recommend a mastectomy. That's what happened in my case.

But take one step at a time. Most women do have a very reasonable, low recurrence risk after a lumpectomy plus radiation.

Good luck to your mom!