DCIS - Just Diagnosed - Looking for Info

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sedmokc
sedmokc Member Posts: 3
edited June 2014 in DCIS (Ductal Carcinoma In Situ)

I am new to this too. I was just diagnosed with DCIS. Core needle biopsy done and received the pathology report.  The information below listed in the pathology report.  Not exactly sure what this means.  After reading a lot of the postings it appears that many times the DCIS has spread a lot further than originally thought.  I am concerned the first initial results are not accurate. I meet with surgeon for first time next week.  Any information would be greatly appreciated.

DCIS, nuclear grade 2, micropapillary type with asscociated microcalcifications. 

Estrogen = positive 100%, staining 3+

Progesterone = postitive 100%, staining 3+

Gross Description: 12 o'clock is a 1.5 x 1.5 x 0.4cm aggregate of multiple cores and fragments.  

I assume the area is bigger since the core needle biopsy only was a sample.  

 Thanks,

Sharon  

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Comments

  • Moderators
    Moderators Member Posts: 25,912
    edited January 2012

    An informational place to start is the section on DCIS on Breastcancer.org. This section describes the characteristics DCIS-- featured on your pathology report -- that might affect your  treatment plan, including  Hormone Receptor Status.

    Other sections that might be helpful on the breastcancer.org site  include a Pathology Report Checklist and Your Diagnosis: Questions to Ask Your Doctor. This may be something you want to look at and bring to your upcoming doctors visits.

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  • cinnamonsmiles
    cinnamonsmiles Member Posts: 779
    edited January 2012

    If you go to csn.org, the American Cancer Society has some really well written and thorough information, too. You could also call them and let them know you have just been diagnosed. They can email you the information about cancer and breast cancer, staging, treatments, side effects and other misc. info. I really found that helpful but didn't find out until I was done with all my surgeries.

    DCIS is Stage 0. The earliest stage of breast cancer, which is really good. DCIS is only found in the milk ducts, which is good. What my surgeon told me about my DCIS, is that was riddled throughout my milk ducts, based on the large sample from the lumpectomy. She also said that DCIS can be like a tornado. It can be in one spot, skip a portion, then pick up again in another spot. But others, have just a smaller spot. I think I read about one woman whos cancer was gone with the biopsy. They didn't find any more cancer with the surgical excision!

    If  you look for posts by a lady named Beesie on here, you will find very good information. You could look through the postings here on the DCIS forum, too. If you want to look up just Beesie's posts, click Member List in the upper right corner, type her name in, and you can see her past postings.

    DCIS is either treated surgically by lumpectomy or mastectomy. Some have radiation. Others will take a medicine to stop the body from using estrogen for five years because the cancer cells if hormone positive, use the hormones to grow. Chemo is not standard treatment for DCIS, so as long as your cancer stays DCIS, you should not need chemo.

    Try to take someone with you when you go to your dr. appts. You will be so emotional and get so much information, it will be good to have four ears, not just two. Write down any questions you have and any you have about your pathology report.

    I am very sorry you have found cancer, but DCIS is a good cancer to get. What an oxymoron, right?

    I am sure more women will respond.  Please let us know how you are doing. We are here for each other to get through this all!

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  • stac
    stac Member Posts: 111
    edited January 2012

    Sharon, Sorry about your recent diagnosis, but welcome to this site and do keep us posted.  Let us know what happens when you meet with your BS.  Yes, until you have surgery (lumpectomy or whatever you decide on after your consultations), you don't really know.  There is a lot of support and information here for you as you have already observed.  We are on the ride with you so let us know what happens and feel free to PM me if you just want to vent or want another sounding board. You are in my thoughts and prayers.

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  • Iz_and_Lys_Mum
    Iz_and_Lys_Mum Member Posts: 126
    edited January 2012

    Hi sedmokc



    So sorry to hear about your diagnosis, but i am now 18 months out from mine. Im just awating my final reconstructive surgery,but would like to say there is light at the end of the tunnel and just hang on in there. There is a whole load of support available here, with lots of very informed ladies who will help you every step of the way. And everyone is happy to answer any questions you have, there is always someone who has felt the same :-).



    Xxx

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  • cycle-path
    cycle-path Member Posts: 1,502
    edited January 2012

    After reading a lot of the postings it appears that many times the DCIS has spread a lot further than originally thought. I am concerned the first initial results are not accurate.

    I'd say that SOMETIMES the DCIS has spread a lot further. It happens, but from what I read here I wouldn't say it's particularly common. 

    I assume the area is bigger since the core needle biopsy only was a sample.

    I don't believe it's possible to tell that from the biopsy report you quoted, but when you meet with the surgeon s/he should be able to tell you the likelihood that the area is larger. Sometimes they actually manage to remove all the DCIS when they do the core biopsy, and sometimes it's just a sample. They can get an idea of this from how much of the tissue in the biopsy was normal versus DCIS.

    Start writing down the questions you want to ask the surgeon. The better prepared you are with questions, the more satisfied you'll be when you leave the appointment. And let us know how it goes! 

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  • CookieMonster
    CookieMonster Member Posts: 1,035
    edited January 2012

    Sharon - the core needle biopsy is just to see if there is any cancer there or not. IF they found DCIS, they'll want to remove it. IF it was discovered through mammogram and microcalcifications, then those might show the extent of the DCIS, but in some cases it extends beyond the area of microcalcifications. Also, if the area of DCIS is big, it's possible that some invasive cancer is hiding inside of it, but you won't know any of this until you have the next step.

    DCIS does sometimes show up as a spot here, a spot there, with nothing inbetween, it's not always a continuous line of DCIS.

    I hope that makes sense. Feel free to ask for clarifications if you have more questions.

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  • Lavendarlady
    Lavendarlady Member Posts: 30
    edited January 2012

    I too was just diagnosed with dcis five days ago. Called my surgeon for results and she gave them to me over the phone. Apologized because she usually prepares her patients better if she thinks it's anything. She seemed as surprise as me. Cells are med to high grade. Multi focal. I believe my gp explained this as having two locations of it within the duct. I'm still a bit confused until I meet her this coming tues to go over the results. Was very shaken up. I'm getting my head around it slowly and am glad to have found this site. My first time joining any type of group. I am 42 have a great husband, 3 sons (14,11,8) and a lot of close friends and family. They are great support. Havent mentioned anything to kids yet until I know more and may not use the c word. Or I will change it to a new word that sounds better! Thanks in advance and hope auto correct didn't screw this up too bad :)

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  • stac
    stac Member Posts: 111
    edited January 2012

    Lavendarlady, Sorry about your diagnosis.   It is a shocker, isn't it!  Welcome to this site!  You will find lots of support and good information here.  Keep touching base because it is a roller coaster ride for sure and the support and info helps on the journey.  Wishing you the very best as you proceed and am glad to hear you have a supportive husband, family, and friends.  To me that makes all the difference!

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  • cycle-path
    cycle-path Member Posts: 1,502
    edited January 2012

    Lavendarlady, your kids will probably take their cues from you. If you're anxious they'll probably become anxious. If you're able to act nonchalant, they'll figure it's not a big deal and won't stress.

    You may not be able to control your emotions, and you may not want to -- about that I can't say. But most people really will respond according to how you present the news to them, and I think that's even more the case when it comes to kids.

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  • crystalphm
    crystalphm Member Posts: 1,138
    edited January 2012

    I am sorry about your diagnosis...I am 20 months out now, and doing well. Your surgeon will give you options when you meet them, and there is much information on this board to read. Don't overwhelm overwhelm yourself though, I personally was in such a state of shock and horror, I did no reading and just did what my doctor said, and I have no regrets.

    Only afterwards was I able to read without horrifying myself, and now I am even more convinced the surgeon did a wonderful job of helping me find what was right for me.

    lavendarlady

    It would be best if you told your sons before they hear it from someone else. Kids are stronger than we think, and you could give them suggestions how they can be more supportive to you during this time. They will want to help you, most kids do. And it is a huge part of their own growing to learn even cancer can be faced and dealt with and beat!

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  • gc123
    gc123 Member Posts: 3
    edited January 2012

    Another newbie here!  Seems like there a at least a couple on here.  I'm hoping we can support each other through this.  There are so many strong women going through so much more than DCIS.   

    Newbie - learning to navigate this site.Age 60 -Diagnosed with DCIS - Jan 9. Lumpectomy - Jan 18th.Path report - microinvasion PT1mi
    margins
    invasive cancer: Negative. Closes distance to margin 5.5 mm from inferior
    DCIS present New superior margin. Closet distance to other margins < 1mm from lateral inferior and posterior margins.Extent margin involvement for DCIS UnifocalExtensive intraductal component Present DCIS present in 5 of 11 slidesLymphatic/vascular systems cancer cells not foundSurgeon suggest re excision to get clean margins and node biopsy.She did say that if I was older she would just recommend radiation.From what I have read percentage is low for microinvasion to occur with dcis
    also percentage is low for node involvement.I am going for a second opinion just to help make this decision.
    Another surgery - lumpectomy
    Mastectomy? Do I choose this - because if I still don't get clear margins - will surgery just keep picking away at this breast.
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  • stac
    stac Member Posts: 111
    edited January 2012

    Welcome gc123.  Yes there is great support here as you ride the waves of this.  Someone mentioned it before, but I'll mention it again because one member in particular has given some very informative posts on the DCIS forum.  If you want to find out more details on DCIS, in addition to what the moderators suggested, consider clicking "Search" on the top right of this page.  Then when you see the member list (as an option under search) type "Beesie".  Then for Category/Forum select "DCIS" and then scroll through the various topics to see which ones may be most applicable to you and tag the purple highlighted words for the complete text of that post.  She has an informative post that suggests various questions to ask when considering lumpectomy, mastectomy, etc.  Your asking good questions already and I think in addition to getting a second opinion some of those posts may be helpful to you.

    Wishing you wisdom as your take each next step. ((((HUGS)))) 

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  • Lavendarlady
    Lavendarlady Member Posts: 30
    edited January 2012

    I'm still here. I meet my surgeon tomorrow. I'm glad the site is here but am finding I am more relaxed if I stay off the Internet. But I will continue to check back. In the day time I am braver but as the evening comes I am terrified. On one hand I'm glad it's dcis, that's its stage 0 and non invasive but the cell grade and multi focal scare me. So do the treatments. I guess I will just learn more tomorrow. I would have told the kids sooner but my oldest started exams for the first time. They are finished in a couple of days. And I know kids are strong. I just wish they didn't have to be. My gp has told me its going to be fine but I will have to have surgery and whatever else I choose. I am certainly not opposed to removing the breast just don't want to make a decision out of panic, needs to be out of knowledge. I was getting myself convinced this biopsy was going to be fine. I have a friend going for surgery in a weeks time. Breast biopsy, and she's terrified. Havent told her my results yet but I guess I will tomorrow after I learn more. I can't believe the women I know who have had bc. It's crazy. They seem to be healthy now and were caught early most of them. So to the newbies, I am right there with you. And to those of you with past experience thanks for your advice :)

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  • stac
    stac Member Posts: 111
    edited January 2012

    Lavandarlady, Good to hear from you!  Let us know how it goes tomorrow. We are with you!

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  • Lavendarlady
    Lavendarlady Member Posts: 30
    edited January 2012

    Still a little confused but understand more of my original biopsy. They took an area 6cmx2cmx1cm, like a column around the wire used to locate the suspicious area. It's all microscopic so I guess that is good. So I understand there were other dcis in that tissue. Or was it some Other type of cells? Hmmm not sure. I mean how large are milk ducts anyways? It's non invasive so within the ducts. I might have to call my surgeon back. Anyways going back in within a few weeks for excisional biopsy to get a larger area of tissue to try and get a sample with clear margins. If clear then fine and have radiation, unless i still want a masectomy. If not clear definitely,masectomy. Both have the same chance of reoccurance. She said 3%. They don't do reconstruction on the same day in our hospital. They find they have better results separately. I live on the east coast of Canada. She said twenty years ago they wouldn't have considered this cancer But now treat it as such because 50% of women went on to develop invasive bc. I'm guessing I would have developed it since the cells are med to high grade and multi focal? Or is that the hard part? Not being able to predict? So that was my appt todAy. Glad my husband was with me to take it all in. I do what I always do...start thinking of three questions ahead without understanding the initial Concept. I'm an over thinker!

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  • Lavendarlady
    Lavendarlady Member Posts: 30
    edited January 2012

    I asked about testing for estrogen receptors. Not sure of the actual term. But she said being non-invasive they didn't test for it. But I see all over the Internet about hormone testing for dcis. I was surprised by this. Any thoughts? Is dcis always microscopic? Is it always non-invasive? Is it so different for every individual?

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  • fitzdc
    fitzdc Member Posts: 1,467
    edited January 2012
    I hope I can help with 2 of the questions.   And as mentioned above Beesie is the go-to person for info. 1. DCIS is always non-invasive. 2. Hormone receptors - Your pathology report will include the results of a hormone receptor assay, a test that tells you whether or not the breast cancer cells have receptors for the hormones estrogen and progesterone. Hormone receptors are proteins - found in and on breast cells - that pick up hormone signals telling the cells to grow.

    A cancer is called estrogen-receptor-positive (or ER+) if it has receptors for estrogen. This suggests that the cancer cells, like normal breast cells, may receive signals from estrogen that could promote their growth. The cancer is progesterone-receptor-positive (PR+) if it has progesterone receptors. Again, this means that the cancer cells may receive signals from progesterone that could promote their growth. Roughly two out of every three breast cancers test positive for hormone receptors.

    Testing for hormone receptors is important because the results help you and your doctor decide whether the cancer is likely to respond to hormonal therapy or other treatments. Hormonal therapy includes medications that either (1) lower the amount of estrogen in your body or (2) block estrogen from supporting the growth and function of breast cells. If the breast cancer cells have hormone receptors, then these medications could help to slow or even stop their growth. If the cancer is hormone-receptor-negative (no receptors are present), then hormonal therapy is unlikely to work. You and your doctor will then choose other kinds of treatment.

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  • sandyjps
    sandyjps Member Posts: 1
    edited February 2012

    Hi Sharon,

    So sorry to here of your diagnoses but wanted to let you know that although this may be so overwhelming for you right now with all the decisions you have to make... you will get through this!

     What's right for one woman isn't necessarily right for another....one of the many reasons that physicians won't tell you what to do.

     I was diagnosed with DCIS in one breast found through my mamo/biopsy last year. There was so much calcification in the one breast that lumpectomy wasn't an option and to be honest I wouldn't have chosen to have that. I'm in my early 50's and didn't want to chance it coming back. When I was told that there was a 40% chance that I could get it in the non cancerous breast it was a no brainer to have them both removed and I can tell you that I am very happy with my decision. The calcification started at the nipple so I chose to have them removed as well and had reconstruction with the expanders at the time of my bilateral mastectomy.

    Yes it was a process and not always easy however, I found that the more positive I was the easier it was to get through. I would definatly recommend you get more then one opinion and if you have insurance you should absolutly go to the best surgeons. I live over an hour away from both of my surgeons which wasn't easy but I don't regret it as it gave my family and myself so much comfort in knowing I was in the best hands.

    I am doing great now....had my one year check on Wednesday....it turned out that I didn't need chemo, radiation or hormone therapy so I feel very very fortunate.

    Wish you all the best!

    Blessings~

    Sandy

     

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  • Lavendarlady
    Lavendarlady Member Posts: 30
    edited February 2012

    Hi all. Just an update. First surgical biopsy resulted in multi focal med-high grade dcis and didn't have clear margins but they were close. Second surgery resulted again in no clear margins. Lots of mi ros optic all different grades of dcis, spread out all over. Mastectomy recommended. I was leaning towards this anyways. Just not sure one or two. Trying to get in to the city to see if they'll take me for a diep consultation. Heard there is a long waiting list and I am from outside the area. But I am in good shape not overweight don't smoke no asthma, healthy otherwise which seem kinda funny. My outlook is great because I am thankful it so far has stayed dcis and right now I am a candidate for no further treatment. It just seems they keep thinking one thing and it turns out to be a bit of a surprise. They really didn't think this was anything then they seemed so sure they would get clear margins. Immafraid of the results when they send the breast away to be tested. If I can't get in for the diep they do the tram in my local hospital or I will have to do saline. I just really want to wake up with a breast all in the same surgery. Well thanks for listening gals :)

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  • CookieMonster
    CookieMonster Member Posts: 1,035
    edited February 2012

    Lavendarlady - HUGS, I totally get the stress of this. I had 3 lumpectomies with unclear margins, finally had a UMX with DIEP. It was OK. recovery was a lot longer, of course, but I'm pleased with the results.

    Health wise I'm similar to you, I'm a bit overweight but am working on that too, had lost almost 35 pounds before surgery (in the previous year or so). My breast surgeon thought the same as yours. The pathology found just one more spot of DCIS and we finally got clear margins. I sort of think of it as trading 7 weeks of radiation for 6 weeks of DIEP recovery.

    Feel free to PM me if you want to talk more as well. It sounds like our situations are/were similar.

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  • Lavendarlady
    Lavendarlady Member Posts: 30
    edited March 2012

    Oops cookie monster I just sent u a private message but i kept getting an error message. Did u have to have any other treatments? So if I read this correctly did u have some invasive spots outside the duct? If so u sound just like my friend. She had no further treatment but had lymph nodes removed. I am wondering if I should have a sentinol node biopsy done....they aren't recommending it. My dcis is extensive but still within the ducts after two surgeries and no clear margins, and it is quite small all varying grades but mostly high grade. I am just waiting for my consult appt for the diep. If I am a candidate it should b no later than June so we are happy with that. Even though I am nervous about being under anaesthetic so long but looking forward to having it done at the same time. Well my alarm just went off, have to get the day moving, thanks for your response. How are you feeling these days?

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  • CookieMonster
    CookieMonster Member Posts: 1,035
    edited March 2012

    HI there Lavendarlady - I don't know what happened with the PM.

    I did not end up needing radiation or chemo. After the UMX the margins were well clear so no rads. WIth my first lumpectomy, they found a 1.1 cm line of IDC (Invasive) in the middle of the DCIS. That meant that I needed an SNB. If there's no invasive cancer then it hasn't spread to the ducts so no SNB is needed. My nodes were clear and I didn't have any of the more aggressive types of breast cancer that are almost automatic trips to chemo land. My oncotype score (which they'll only do if it's IDC and not in the nodes, I think) was low which indicated low risk and no need for chemo too. It was barely ER+ so I'm on Tamoxifen for the next 5 years.

    The thing about DCIS is that supposedly it likes to skip in the ducts. A bit here, then nothing and then another bit there, so for me when they kept finding more bits, it made sense to just go with the UMX (as much as I didn't want to in the beginning).

    Hope I answered everything for you. Lately, I'm about 95% physically, but I'm still mentally having some issues - lacking focus and motivation. Let me know if you have other questions.

    -Judy

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  • Smyth101
    Smyth101 Member Posts: 2
    edited March 2012

    Hi!  I too am 42 years old with 3 kids - (boys: 12, 10 & 8).  I was diagnosed on 2/22 with DCIS.  My first mammogram (ever!!) was on 1/31/12.  Doc called me back to do further mammo.  Then I met with raidiologist who said I should see a surgeon & get a biopsy.  Had needle biospy & diagnosis said Atypical Ductal Hyperplasia.  My surgeon (who specialises in Breast Cancer) said we should do a segmental resection (lumpectomy) & further biospy.  Low & behold, it came back DCIS.

    Needless to say - it has been a whirlwind 2012 already. My husband has been great (despite losing his father in early January!!!)  i did explain to my boys what has been going on, as they are very keen to when "things arent right".

     I had an MRI done of both breasts & it was clear.  I also had some genetic testing done, as breast cancer does not run in my family, but other cancers do.  Waiting for those results.

    Totally on the fence as to what my next course of action should be. Doc says we can do another lumpectomy (he wants to get clearer margins) and 7 weeks of radiation, or I can do the masectomy with reconstruction.  He says he highly recommends the mastectomy if the genetics test comes back positive.  If negative, it is totally up to me.

    I can  not give too much advice, as I am going through all of this blind - but I thought if you needed someone to go through everything with, I could help - as it would help me also.

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  • Lavendarlady
    Lavendarlady Member Posts: 30
    edited March 2012

    Hi there. I think I got the pm thing worked out. And yes smyth101 I felt the same. Was leaning towards mastectomy as opposed to radiation because I kept thinking what if something was missed. Then I had accepted the radiation after much thought only to be told my dcis is extensive so mastectomy was recommended! It really is a rollercoaster like the other ladies say. I am just awaiting my consultation appts in the city. My husband and I are squeezing in a trip south for a week. Now to see if I'm a candidate for the diep. Lots of hurry up and waiting. The more I heard of other women with dcis and doing the radiation the more comfortable I felt with it. I like to hear from my friends mothers who have done that or mastectomy 30 years ago and are still fine! And I had to take a break from the Internet for awhile until I could google without scaring myself which was after I knew exactly where I stood. The second lumpectomy for myself wasn't clear margins so that took some of the decision making out of my hands. Then it was what type of reconstruction. If I don't have enough belly fat for diep I guess I will have to do the implants. Now I wonder one breast or two! Feel free to private message me anytime! I'm checking back to this forum more now....oh and something that has helped me a lot is kris carr's books- crazy sexy cancer and crazy sexy diet! Her website is crazy sexy life! I was truly inspired after learning her story. Her books and site are fun and cheery and not just for cancer patients! I'm retreading them with my highlighter :)

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  • slalu
    slalu Member Posts: 21
    edited March 2012

    I really don't understand why women are having mastectomies for dcis.Unless the breast is small

    and breast conservation won't work, the treatment is removal of  dcis and radiation, unless

    margins are not good. I had extensive dcis, grade 3,<1 cmm.Maybe large dcis needs more

    aggressive  treatment?

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  • 1openheart
    1openheart Member Posts: 765
    edited March 2012

    slalu....I had a UMX after initially thinking I was going to go with breast conserving surgery plus radiation therapy.  But, after learning that I had two foci of DCIS (that we knew about prior to my UMX) that spanned a large area and removing them both would take over half of my breast, we decided on going the UMX route.  Mine was high grade, like yours with lots of necrosis.   And truth be told, I was not crazy about having radiation on my left side, but would have done if my areas would have been smaller.  Post surgery path report found another large area of DCIS in different quadrant than other two and an area of ADH in yet another quadrant.  So, I had something going on in all quadrants.  

    This is such a personal decision with so many individual variables not to  mention the seemingly different treatment protocols and recommendations in differing parts of the country.

    Just know that we all make the best decision we can at the time given the information we have.  I see you were diagnosed in 2007.  Have you had any further problems since then?  What kind of follow up do you do?  Are you on Tamoxifen?  I am.   

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  • Iz_and_Lys_Mum
    Iz_and_Lys_Mum Member Posts: 126
    edited March 2012

    Hi lavendarlady



    I was interested to see your post re hormone testing for DCIS because I have read the same information. I didn't know to ask around the time of my surgeries, however I asked my BS and GP this month and apparently they do not test DCIS for hormone receptors as standard here in the UK. The other difference Ive noticed from the boards is that vitamin d etc levels aren't taken into account at all.



    I had pretty much the same treatment options as yourself and Smyth101. I had a lumpectomy and could have stuck with rads, but opted for what felt to me like the safer option of MX and recon with TE's. Even though the reconstruction has been painful and long winded, I am so happy with my choice - I wanted to not worry about it. There was further DCIS in my path report after the MX. But it is a very personal choice, I think you will just know the right way to go. Good luck with your choices.



    Smyth, I hope your boys will deal with it ok. I might be able to help with a few tips if you ever need them, my girls are 3 and 6. My 6 year old struggled especially but weve been able to work through it quite well.



    Lavendar, I hope you enjoy your trip



    Love and hugs xxxxx

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  • Lavendarlady
    Lavendarlady Member Posts: 30
    edited March 2012

    lz and lys mom, i was told they dont test for hormone receptors or give tamoxifen for dcis in nova scotia...it might be more so because of my age...the side effects aren't worth it they say...and to be honest i really didn't want to take it...now if i pushed it im pretty sure i could have it sent away somewhere and have it done. i find my doctors have been very accomodating so far and very supportive. i think the research on vitamin d is very promising. my own surgeon had mentioned the fact to me. and i have always "dabbled" with my vitamin d, fish oil, and acidiophilis...now i am faithful to them. make sure its d3 not d2. i believe d2 is synthetic. i buy the purest of vitamins i can and now i have added wheat grass to my regimen. i think i will be a vegetarian in the near future. i get a few eye rolls but i know what makes my body feel healthy and now i am taking charge. i have also suffered with fibrocystic breasts for so long. they are driving me insane today. if the surgery was offered to me today i'd say take them both! i will most likely try the diep if i am a candidate and if not implants. there is no wrong choice...we all have to do what is right for us and move on. the waiting is crazy for everything!

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  • Lavendarlady
    Lavendarlady Member Posts: 30
    edited March 2012

    slalu, there seems to be no standard case of dcis....it is so varied. i have a lot of it throughout my breast and a lot of it is high grade. the biggest points were extremely small, so it would be too much tissue to take out and too easy to miss. so i am more than happy to have it removed. not feeling any sadness over my breast yet but wondering if it will hit at a later point. i am a 32D and am wanting a nice B with reconstruction but not sure what this belly fat holds....how to eat healthy and gain wait..lol

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