Duct carcinoma

MALIKAJ

• RE: DUCT CARCINOMAfrom 59 minutes ago Hi DJ-We're sorry you and your family are experiencing this worry. Unfortunately, we aren't doctors or medical professionals, so we're not qualified to interpret the report or make any kind of diagnosis or treatment suggestions. We suggest posting your report and question in our Waiting for Results forum, where our knowledgeable community can offer their feedback.

In reply to:

• DUCT CARCINOMAfrom MALIKAJ 7 hours agoI am writing on my mum's behalf. She and we are worried sick. No body wants to hear the C word but please can someone tell me if this is? My mum who's 70 has felt a lump on her left breast and seen a doctor. A mammogram was done on 12 March 18. The results/report wasA vague soft tissue shadow is seen in upper quadrant of left breast. The lesions is about 2.4cm X1.5cmX1.5cm size lesions is at zone I of left breast. Another oval shape calcific density is seen same quadrant.
  Right breast appears norma. no mass lesions. reight breast demonstrated fibro-fatty parenchymal architecture. there is no abnormal skin thickening. .
  IMPRESSION:
  • A soft tissur density lesion of leaft breast and small calcified fibroadenoma of same quadrant with calcific density
  • suggest FNAC of soft tissue lesion
  FINE NEEDLE ASPIRATION CYTOLOGY REPORTMICROSCOPYSmears are cellular and contain small cohesive cell clusters and singly dispersed cells exhibiting nuclear pleomorphism, hyperchrosmasia, irregular nuclear outlines and occasional nucleoli compatibale with maligant cells from a duct carcinoma. (Nuclear grade 2-3)FNAC L/S BREAST LESION - Duct carcinomaNuclaer grade 2-3Category S5I hope i have copied the info from the letters from the doctors correctly. What is the diagnosis and what are the treatments please? Any info greatly appreciated.
  Many many thanks DJ

Luckynumber47

Unfortunately you and your mom are still stuck in the hardest phase - you know somethings going on, you just don't quite know what's next. My comments are only my best guesses, I have no medical training.

It seems like your mom has IDC, invasive ductile carcinoma, the most common type. Grade 2-3 means they will strongly consider chemo, either before or after surgery. Chemo is very effective with aggressive cells.

The doctors may recommend lumpectomy, followed by radiation or they may recommend amastectomy, usually without radiation.

You still need to get info on hormone receptor status - whether estrogen and progesterone is positive or negative. That will decide whether she takes pills for 5-10 years after surgery. Also included in that part of the report will be her Her2 status. If it is positive the oncologist will add an additional, very effective drug to her chemo.

You will also need to know whether any of her lymph nodes are positive. The drs can sometimes tell from an ultrasound or an MRI. They will certainly take a sample during surgery to know for sure. That status also plays into the chemo decision.

From what you have posted so far, I would be very hopeful. There will be many dr appts ahead and many treatments but your mom should be just fine in the long run.