RADS for small size, high grade DCIS?

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rn4babies
rn4babies Member Posts: 409
edited June 2014 in Radiation Therapy - Before, During, and After

I just had my post- op lumpectomy appt with my surgeon.  He said my needs for RADS is "fuzzy" at this point. I had a 4mm lesion, Grade 3 with comedo necrosis, solid and cribriform. I had good margins with no signs of microinvasion and all of the DCIS was removed with the core biopsy. I did have ADH in both pathology reports. I fall in the middle of the Van Nuys Index. Has anyone had similar stats to mine that can tell me whether or not they still had RADS? He still wants me to meet with a medical oncologist for his opinion. I have a VERY strong family hx. and I'm 47 years old. Thanks for your input!

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  • gunner
    gunner Member Posts: 80
    edited September 2011

    I was like u chose to have rads declined tamoxifen 5 years later my bc comes back at lumpectomy

    Site I have since had a mastectomy with reconstruction, not to mention they found IDC during my mastectomy hidden in the DCIS, I did not need chemotherapy so now I have an implant and am on

    Tamoxifen. If I had to do it all over probably would have skipped lump straight for mastectomy.

    Good luck, elizabeth

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  • rn4babies
    rn4babies Member Posts: 409
    edited September 2011

    Gunner......How big was your original DCIS? Why did you decline Tamoxifen? Was it recommended for you with ER/PR positive?

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  • cycle-path
    cycle-path Member Posts: 1,502
    edited September 2011

    rn, did they get all the ADH when they did the lumpectomy? It doesn't make any difference AFAIK, I'm just curious.

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  • rn4babies
    rn4babies Member Posts: 409
    edited September 2011

    It was in the path report. I'm assuming they got it all. My surgeon didn't seem to be at all concerned about it.

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