When did you get the pathology?

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BioAdoptMom3
BioAdoptMom3 Member Posts: 198
edited June 2014 in Stage I Breast Cancer

I am ESTIMATED to be at a stage 1 or early 2 by my surgeon based on the size of my cancer, but the pathology from the biopsy is not back yet.  What I am wondering is if you got all your information like whether or not you were hormone receptor positive or negative,what your stage and grade were, etc. after just your biopsy, or did you have to wait till everything came back after surgery?  My biopsy was on January 7 and we meet with the surgeon this coming Thursday for the pre-surgical consult.  I am curious as to if he'll have some of that info yet or we'll have to wait longer. 

Thanks!

Nancy

Comments

  • momand2kids
    momand2kids Member Posts: 1,508
    edited January 2011

    Hi

    usually, the biopsy can give you an idea of what is going on--- maybe a size estimate or a type ...

    But, until you actually have the surgical removal of the lump or breast, you won't have all the information.  They can make some guesses via the biopsy, but the surgical pathology is the one from which you make your decisions.

    I had a biopsy which confirmed that the lump was malignant--then I had an MRI on both breasts, a lumpectomy (results were slightly different from biopsy--lump was a bit larger) but that is where I got my receptor information, grade, stage and from there we did the oncotype test to figure out if chemo would make sense.  

    My surgeon made some assumptions based on the biopsy (she said it probably had not gone into the nodes, she was right), but she wanted all of her information before we had surgery.  I had my lumpectomy around Thanksgiving that year, so things moved a little slowly--got the pathology results about 2-3 weeks later--then had to wait more over the holidays for the oncotype results.

     All the pre-testing and waiting is hard, but so worth it so you know exactly what you are dealing with.

    Maybe on the 7th you can speed up the surgical date......

    good luck

  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited January 2011

    It took a couple of weeks to get everything but the HER2 status, that took about a month.  That was from the day of lumpectomy/SNB.  The needle biopsy showed cancer, but no other details. 

  • D4Hope
    D4Hope Member Posts: 352
    edited January 2011

    My core biopsy showed that my tumor had hormone receptors and that the tumor was grade 3.

    The path report explained everthing else. I got my path report when I had my appointment with my GS after surgery, which was about two weeks later. Make sure you get a copy of your path report.

  • MarieKelly
    MarieKelly Member Posts: 591
    edited January 2011

    Nancy, your surgeon should have a lot of the info you're wondering about when you meet with him. My biopsy report was ready in just 4 days and it contained information about tumor type, histologic and nuclear grade, ER/PR status, Her2,  Ki-67 and the absence of necrosis, neurovascular invasion and calcification. The only additional information that the final surgical path report provided 2 weeks later was info about the tumor size, margins and lymph node status (from SNB).  

  • bevin
    bevin Member Posts: 1,902
    edited January 2011

    I  there.  I am at a large cancer center and had my biopsy at a very large mamography center. For me, I was provided  my her2 status, hormone status, grade and confirmation of mammogram results for malignancy with the biopsy. That pathology was available  2 business days after the biopsy. I did request copies of the pathology. Size from the biopsy is not confirmed, the results of the sonogram gave projected size but it was off a bit. All of this occurred within 1 day. Biopsy next morning as it was 6pm by the time I left...

    The lumpectomy surgery, scheduled one month later after many surgical consults then confirmed the actual size of the tumor, if the% of hormone sensitive, her2 and lymph node status and if there was vascular invasion , necrosis , the grade and a whole host of other data. That information I received 7 days after surgery, though I could have called and they would have given me the results on the phone I was told. The only thing that took about 3 weeks was the BRAC1 &2 gene. The Onco dx took 12 days - exact.

    I would encourage you to ask for copies of all tests, mamo, sono, pathologies from biopsy and surgery. Its good to have your own copies. A good surgeon will go line by line with you on the surgical results to ensure you understand everything.

    Good luck to you.

  • catbill
    catbill Member Posts: 326
    edited January 2011

    I got diagnosed  having mammo, US and biopsy all in one day (I knew it was BC at that time) on 9/29/10.  Hormone status, and ,9cm tumor size, stage and grade came 2 days later,  Updated pathology with HER2- status several days after that.

    Surgery on 10/26/10 showed tumor actually1.2 cm,  and negative nodes.  Pathology received 10/28/10 after I got home the hospital. ( I had BMX, and after hearing the path on the no cancer side, I'm glad I did.)

    Oncotype (8) came at time of first oncologist appt about mid-November.  It felt like it took a long time to get all the information.  I was relieved about no chemo only  after onc visit, but worried about doing chemo the whole time. (Oncotype=8, no chemo)  I'm taking generic Arimidex.

    I second d4hope...always get a copy of your reports.  I found I refer back to them often, and I bring my little folder of results to every MD appointment because one MD doesn't always have the results of what another MD has done.  I don't trust myself to remember, and what's really funny to me is that all MDs have same computer system (or links to it0 But I guess it's quicker to ask me.

    I think some of your pathology will be available for your appointment, but not all of it.  And remember the pathology can, and in may cases, does change after surgery (especially tumor size and grade).

    Thanks for reading my loooooong post.

  • mks16
    mks16 Member Posts: 415
    edited January 2011

    Nancy, my core biopsy results gave out only some information. Some of it turned out to be incorrect. For example, tumor was said to be grade 3, but the final path result after surgery set it at grade 2. Surgeon said such discrepancy was very uncommon.

    My biopsy result also said there was no LVI, but there was... not sure if the LVI developed in the 5 weeks time since the biopsy but that's probably unlikely. One of my sentinel nodes was affected with micrometastasis, which wasn't seen on US.

    US estimated the size of the tumor to be between 2 and 3 cm, but it turned out to be 1.6 cm. I received no hormone or HER2 status with my biopsy results, had to wait for post-surgery path report. 

    While biopsy will give you some idea of what you're dealing with, like catbill says, that can change with the final report so don't get too worked up about it, as it can turn out to be better than predicted. Best wishes to you!

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