Scarff Bloom Richardson of 8 out of 9!
Hi,
I have revisited my path report as I approach the end of active treatment (lump/Chemo/rads) and am concerned abotu recurrence given the score of 8 on the SBR scale. I was told I was a stae IIa but am feeling very susceptible. Anyone else? OR can you provide some insight?
V
Comments
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VVH - here is how I see it. It is not clear from your dx line what type of cancer you had that was invasive, but I will assume that some component of your DCIS was invasive, so IDC. Also looks like you had nodes removed and had some that were positive. To be IIA, you had a mass less than 2 cm and some positive nodes. Your staging is separate and distinct from your grade - which was 3 based on the 8/9 on the SBR scale. The link is to a good explanation of the SBR scale:
Depending on which parts of the scale you had higher scores on, the fact that you have a grade three, while potentially more aggressive, actually is more likely to respond to chemo. Your cancerous lump was removed and the area radiated, your cancerous nodes are out, and you had chemo to bat clean-up. All good stuff. Are you hormone receptor positive? If so, have you started anti-hormonals? If you are not ER/PR+ then eating well, exercising, limiting alcohol and anything else you can do to minimize risk factors are the thing to do now. We all worry about recurrence and I know the end of treatment is hard - makes all of us nervous, but know that you have done all the appropriate treatment that you could do, and hope for the best.
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VVH:
I also got an 8 out of 9 on the S-B-R index - wish I'd done half that well in most of my mathematics tests at school.
The most it really says is the recurrence would be expected to happen fairly soon if it happens at all...but your tumor may also have some grade 2. Mine had grade three (there is where I got my eight from), grade two and necrosis. Tumors are heterogeneous things.
I find that every time I try to make a generalization about my bc, some other fact gets in the way. Best to use your intuition, IMO, on what treatment you most believe in and can live with.
Best of luck.
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I love this quote, "Anyone diagnosed with cancer should learn to have a healthy disrespect for statistics. Statistics are maths. It's the science which still eludes us." Is it your own or someone else's? I'm restarting a page of quotes. I had one I'd been adding to for yrs, but alas,the old computer crash... So I've started again. This time with everything saved to a flash cube. Thanks!
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I had the same stats and treatment as you, except I have you beat, as I was 9 out of 9. That was 5 1/2 years ago and I am still going strong. It is good you did chemo, as it works best on fast growing cells. Now, do the things SpecialK recommended: take an anti-hormonal if estrogen positive, get down to and keep a fighting weight, exercise, try to eat better, and drink less alcohol, ask your doctor about taking a daily low dose aspirin (which may reduce recurrence) and then go out and enjoy life.
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Thank you Ruth; I really appreciate it. VVH
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