Some doubts about reports

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2012
2012 Member Posts: 7
edited June 2014 in DCIS (Ductal Carcinoma In Situ)

The report I received states that

Intraduct carcinoma of high nuclear grade.

No unequivocal stromal invasion detected in sections studied.

 Tumor diameter is 3.5 cm 

Is it also called DCIS ?

Also IDC stands for  invasive ductal carcinoma right? So in this case its not IDC right

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  • Beesie
    Beesie Member Posts: 12,240
    edited January 2012

    It does get confusing, doesn't it?

    But you do have it right.  Intraductal Carcinoma is the same as DCIS (Ductal Carcinoma In-Situ).

    IDC is Invasive Ductal Carcinoma and no, that's not the same thing.  

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  • CTMOM1234
    CTMOM1234 Member Posts: 633
    edited January 2012

    Yes, intraduct carcinoma = DCIS and invasive ductal carcinoma = IDC, both of which are graded from 1 - 3. High nuclear grade = 3.

    Based on the words "sections studied," I assume this is a biopsy report and not a final pathology taken as a result of a lumpectomy or mastectomy (in which thorough analysis of all sections are investigated for IDC -- See my signature)? 

    *edited to add, sorry for repeating what Beesie wrote, our posts crossed. She's the resident expert here. :) 

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  • 2012
    2012 Member Posts: 7
    edited January 2012

    Thank you Beesie for the clarification. At times it becoems confusing.

     I posted it after reading one of your other post and thought to post and get information about it.

    The report is of my mother and wanted to have a better understanding. The report does not specify any stage. But looking at the staging chart it seemed anything above 3cm is classified as Stage 2 with no node involvement.

    However, I noticed in this forum that even this could be stage 1 or say somewhere it was written DCIS is stage 0. Also read staging is not perfect but would like to know about. 

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  • 2012
    2012 Member Posts: 7
    edited January 2012

    CTMOM1234,

    This report was received after lumpectomy only. The entire lump was removed and resection margins were free. Even I felt I should ask why it is written so in the report. After reading you post it seems they generally study the entire specimen.

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  • ej01
    ej01 Member Posts: 155
    edited January 2012

    DCIS is always stage 0.    It will be a higher stage only if an invasive component is found.

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  • 2012
    2012 Member Posts: 7
    edited January 2012

     Thank you ej01.

     Also I wanted to know is will Oncotype Dx test do any help in this case. I just read that Oncotype Dx Test for DCIS was just introduced in December.

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  • redsox
    redsox Member Posts: 523
    edited January 2012

    2012--

    The study reported at SABCS that provided evidence for the Oncotype DX test for DCIS had eligibility requirements that were intended to allow only DCIS patients with disease thought to be favorable and low risk.  A 3.5 cm area of DCIS would have made you ineligible.  In the analysis of the group included in the study the variables of tumor size (larger is worse) and menopausal status (pre- is worse than post-) were still significant along with the DCIS Score. 

    Probably with the current evidence most doctors would recommend rads after a lumpectomy regardless of your results for the Oncotype DX test. 

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  • 2012
    2012 Member Posts: 7
    edited January 2012

    We had a MRM done after MO suggested. Pathology reports after MRM were clear. MO has prescribed Tamoxifen and said no need for Radiation or Chemo. However, Onco Surgeon said a chemo might be required due to the size of tumor. Medical Oncologist reconfirmed that there is no need for Radiation or Chemo.

     On reading this forum I came to know about Oncotype DX test. Wanted  to know if its beneficial in this case - or its a must to have it in this case etc.

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  • CTMOM1234
    CTMOM1234 Member Posts: 633
    edited January 2012

    A lumpectomy to remove 3.5 cm of grade 3 dcis would then be followed by radiation unless there is some underlying medical restriction. The oncotype test is new, but my understanding is the same as redsox's, given the grade and size of your mother's dcis, ineligibility.

    It is an inconvenience going for daily treatments and each one of us has our own recurrence statistics and risk aversion levels, but unless your mother is frail and/or elderly, it might be worth getting a second opinion given the grade and size of her bc.

    There is not a single day that I have regretted having the lump+rads. But, again, this is for my personal medical situation, had I not undergone rads, I would have instead undergone a mastectomy. 

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  • 2012
    2012 Member Posts: 7
    edited January 2012

    Yesterday, we again discussed this with our Onco Surgeon. He reconfirmed that Oncotype Dx test would not be required and since we had an MRM done nothing else would be required. And asked to continue on the Tamoxifen and regular checkup.

     Thank you all

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