When did you get the pathology?
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
-
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
-
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.
-
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.
-
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).
-
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.
-
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.
-
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!
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team