Pathology 2nd Opinion

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Stix
Stix Member Posts: 723
edited June 2014 in DCIS (Ductal Carcinoma In Situ)

Does anyone know where I can send my slides for a second opinion?

I want to send it to the best pathologists in the USA.  I would greatly appreciate

it.

Thank You In Advance. Laughing

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  • Moderators
    Moderators Member Posts: 25,912
    edited January 2013

    Viktoria, until members post with their own recommendations, you can find more information about the why, when and where of getting a second opinion in the Getting a Second Opinion section of the main Breastcancer.org site.

    • The Mods

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  • Rockym
    Rockym Member Posts: 1,261
    edited January 2013

    I sent mine to Johns Hopkins.  This is the link to their website www.pathology.jhu.edu/department/services/secondopinion.cfm.  I filled out the forms and then my oncologist's office (who had the slides) sent them for me.

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  • ballet12
    ballet12 Member Posts: 981
    edited January 2013

    Mt. Sinai in New York City is supposed to be good on differential diagnosis between ADH and DCIS.  i'm treated at Memorial Sloan-Kettering in New York City, which also has an excellent pathology department.

    I mistakenly thought you lived in Maryland (but your initials say Michigan), so I mentioned Johns Hopkins in an earlier post.  Is U of Michigan Medical Center good for second opinions?

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  • jacee
    jacee Member Posts: 1,384
    edited January 2013

    I had my slides sent to a Johns Hopkins Breast Center. It cost $250 for the 2nd opinion (which by the way was the same as the original). My insurance covered it.

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  • LAstar
    LAstar Member Posts: 1,574
    edited January 2013

    I visited with a second MO that was part of a different hospital where more research is done.  He thought it might be useful (and might just keep me from fretting) if the pathologists there examined my slides again for an independent assessment.  I just got the news today that nothing invasive was found -- yay!

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  • Stix
    Stix Member Posts: 723
    edited January 2013

    Thanks thanks and thanks for your info.  Yes, i live in Michigan

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  • Timbuktu
    Timbuktu Member Posts: 1,906
    edited January 2013

    I sent mine to sloan.  I got a different diagnosis!  You are very wise to get another opinion.

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  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited January 2013

    I sent mine to Emory and MD Anderson.  Emory found a small (3 mm) IDC that had been missed by 3 prior pathologists (MD Anderson confirmed).  

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  • Stix
    Stix Member Posts: 723
    edited January 2013

    thanks

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  • Timbuktu
    Timbuktu Member Posts: 1,906
    edited January 2013

    Wow!  I guess that's why MD anderson is number one in the country.

    It's amazing how haphazard the process is.  The dr looks through a microscope and decides.

    I have a friend who is a pathologist.  He did his residency at U of Chciago and his fellowship at Sloan.

    He was hired at Northwestern.  First day he looked at a slide and said the man did not have pancreatic cancer.

    He was going by the rule s he'd learned.  His supervisor came over and said "here we call that cancer".

    Unbelievable!

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  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited January 2013

    Yeah...that is pretty unbelievable!  I got quite an education on how "grey" the interpretation of DCIS vs ADH vs LCIS was between path's - quite a bit of disagreement between the pathologists on that one. It made a big difference for me as to whether I needed rads bilaterally or not (close margins after MX bilat).   And I will be forever grateful for the pathologist at Emory who combed through my slides and found the tiny IDC. I had quite a bit of DCIS, so I've been told that was a lot of slides to look through.  The small ones are easy to miss, I guess. 

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  • Survivorpagets
    Survivorpagets Member Posts: 7
    edited February 2013

    may I ask what was the size of your DCIS?

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  • april485
    april485 Member Posts: 3,257
    edited February 2013

    I have been reading a lot about a Dr. Lagios (I think the sp is correct) in this forum. He is apparently one of the premier pathologists for DCIS and is very highly recommended. He has saved lots of people from rads and AI's/Tamox that he felt were not necessary based on his research.

    Here is the link http://www.breastcancerconsultdr.com/perspectives/contradictory_treatment/contradictory_treatment.html

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  • deb1973
    deb1973 Member Posts: 96
    edited April 2013

    M.D. Anderson also has a remote pathology 2nd opinion service.

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