Pathology reports after surgery

I am under the same impression as you. No chemo

From my understanding (granted I am not an oncologist), chemo is considered when concerning pathology is present even for stage 1 (ER PR negative, ER+ PR - (pending oncotype), ER+ (pending oncotype) , or HER2 +, I am sure nuclear grade and the patients age and other health issues factor in too). The oncotype test is only done per my understanding for ER+ women to determine benfits of chemo.  The other issue that matters, even without nodes, is size of lesion.  For instance, someone with a microinvasion would likely be treated differently than someone with a 1cm lesion, even though with negative nodes both could be stage 1. This being said, it seems cancer medicine is progressively more individualized, so all definitive info needs to come from the breast surgeon and oncologist.  Best wishes to all dealing with these choices and decisions.

When my MO went all through my path report with me.  On every line (ie: size, grade etc) he said it indicated no chemo.  When he got to my KI67 which as less than 10% he also said no chemo.  He did say that had my KI67 been over 10% he would have recommended chemo for me.  My onccotype DX score was a 23 which is in the middle of intermediate. I am 48 yrs old.

Hi Lisa1313 - because I had DCIS ("in situ" pre-invasive breast cancer - basically it had not yet broken through the duct walls), my choices were lumpectomy + rads (which I didn't qualify for since I had multifocal/multicentric disease - it was basically in several different quadrants of the breast in several different points in those quadrants) or MX, which I had.  So I usually post in the DCIS forum but I had numerous talks with my onc about stage 1 treatments as I had both an MRI suspicious for invasive disease and just in general everyone thought I would be upped a stage post MX (which didn't end up happening) so that is why I thought it would be ok to post what she had said to me about stage 1 treatment here.  Hope I didn't overstep any boundaries. Again, my best wishes to stage 1 and 2 sisters on this thread (((hugs)))

CandDsmom, thank you for replying. I am trying to gather as much info as I can.

My doc said no chemo or rads with mastectomy and I just want to see if other doc feel the same.

I welcome anyone's stories or in site please keep them coming

Thanks

Lisa1313

Did others have to wait over a month to discuss their lumpectomy pathology with their MO? 

Suebak: I hope I'm not overstepping the boundaries of the board, but I'm a bit curious that your doctor doesn't want to see you sooner. May 29 is over a month away. Should they want to run more tests, that will take more time. I would think they would have some sense of urgency now that you've had your surgery and have your pathology.

Hi girls,I had a lumpectomy on April 1, path came back 2.3 cm lesion, no nodes involved and grade 3. I went back April 15 to excise one small area, they got all the first time but just wanted the margin a little bigger in that one spot. That pathology came back completely clear. My family doctor and surgeon told me if the nodes were clear I would probably only need radiation but the oncologist would make the final decision. Now the surgeon also told me after looking through my pathology , which he said came back great, that they may sit me for chemo as well simply because I am only 44 and the grade was high. He said if I was older they wouldnt. I was also told that I would need 4 weeks recovery after surgery to start treatment because they want the body to have healed from the invasion of surgeries. In this 4 weeks I am having my catscan and my bone scan so that everything will be on the oncologists desk when I go. My right breast where I had the surgery is hard, very hard. I was told that it is scar tissue and will take some time to settle, possibly up to a year. The doctor told me to put vitamin E cream on and around the incisions, and then I add baby powder to my arm and underarm, it feels smoother, I find the rubbing of clothes around the site of the lympnode disection gets irritated, the powder really helps.I am not sure I am much help but this is what I am experaincing right now. Sending lots of love, energy and inspiration to all of you girls. Love Hope Faith.