lmphovascular invasion

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Helen-Jackie
Helen-Jackie Member Posts: 85
edited June 2014 in IDC (Invasive Ductal Carcinoma)

Hi Ladies

 I just got back my pathology report and I live in Canada so options or tests might be different than in the USA, although i would go there if i needed to.

So. I have been reported to have ER+,PR+,Her 2- and a 1.2 cm tumor size with no lymph nodes involved..  the margins were all nice and clear at 3mm to 4mm. I am 51 still getting very regular periods.

so that is all good, but the report also said lymphovascular invasion present ant that there was a very focal point noted. So that freaked me out, because I was being lead to believe by the surgeon that i was in a good position, probably not even needing Chemo, But then he never spoke or perhaps read the fine print of this pathology report that noted lymphovascular invasion. being present.

So now i am freaked that perhaps the cancer spread thru the blood system and stuff on the net said that prognosis is worse by alot, and there is a greater chance of recurrance elsewhere in the body.. yikes

I am wondering if anyone else had a similiar report and how they are doing, what treatment did they have and when. Also did your patholgy report  get further tested on this point by another techinique other than H&E staining.. ie d2-40, (not w40lol) or c31,c34 etc.

I thought they can get better reliability to these additional test but not sure if they will test it further.. what did your oncologists say...

thanks ,,love to all

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  • Leah_S
    Leah_S Member Posts: 8,458
    edited August 2009

    Helen-Jackie, your surgeon's job is to do the surgery. You need to speak to a medical oncologist. Testing can be done to see if chemo will help you (called oncotype testing). I think it is done in Canada. Also, since your tumor was ER+ you wil probably be given anti-hormonals (tamoxifen ;or aromitae inhibitors). The standard for that is 5 years.

    Best of luck.

    Leah

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  • Kate2z80
    Kate2z80 Member Posts: 66
    edited August 2009

    See my topic "Lymphatic invasion", which I put up a few weeks ago in IDC.  Sounds like we are very simlarly situated.  I have been frustrated by how little info there is out there about this.  Seeing my onc in two weeks and am leaning toward doing "light chemo", which was suggested by my second opinion onc, who specializes in early breast cancer treatment at a large metropolitan group.  My local onc was not convinced that there was actually invasion, as it is highly subjective and can be fthe result of the surgical process.  My second onc opinion included a second pathology review, which was helpful.  I recommend both.

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  • Kate2z80
    Kate2z80 Member Posts: 66
    edited August 2009

    FYI, Oncotype testing tests only the cancer cells and does not factor in whether there may be LVI.  I was not comfortable relying on that score as the sole basis of my decision.

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  • pj12
    pj12 Member Posts: 25,402
    edited August 2009

    Hi Helen-Jackie,

    My stats are similar to yours (see below).  And my path report noted LVI.  I had the  OncotypeDX and my score was in the mid-range for recurrence but report said I would not benefit from chemo.  Even before that my MO and SO both said no chemo and acted like I was crazy to ask about it.  I am older, 62 yrs, so that may make me less of a candidate but I am in otherwise perfect health with no problems to preclude chemo if it was indicated.

    I do not think Oncotype is available to patients from Canada. 

    My tumor was grade 2 with low mitosis rate which one Dr told me was a very good point.

    I had lumpectomy with 36 radiation TX.  Now taking Arimidex and putting a lot of faith in it. 

    I'm glad to not have had the chemo experience and nervous to have skipped it.  Guess we are never satisfied.

    Good luck,

    Pam 

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  • Helen-Jackie
    Helen-Jackie Member Posts: 85
    edited August 2009

    hi

    thanks for the note.

    when u got your second pathological opinion did it also report LVI. i know there are additional testing that can be done on this LVI. there is also some type of anti lymphatic treatments suggested online but i couldnt ever figure out what they were.

    these tests are known as cd-34 etc.

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