Here is the report i got today on Mom

birdee
birdee Member Posts: 7
edited June 2014 in Caring for Someone with Breast cancer
Well, we went to see the surgeon today and of course we really don’t know any more than we did after surgery. The reports that will tell us ER or PR aren’t back yet. We go back next week and she also had us make an appt with an oncologist for the week after.
I did get a copy of the report from the pathologist from the day of surgery and this is what it said. Maybe someone here can help me decipher it.

Diagnosis:
1: Right breast sentinel lymph node: single lymph node showing reactive changes with no evidence of malignancy.
2: Right Breast Mass: Invasive Mucinous Carcinoma
3: Right Breast Cancer, additional margins: no evidence of malignancy.

The doc said the margins where free so that is a good thing.

Here is the tumor evaluation:

A-tumor type: invasive mucinous carcinoma, no in-situ component is seen
B-Histologic grade: grade 1 out of 3 (well-differentiated based on following scores:
Tubular formation: score 2 out of 3
Nuclear grade: Grade 1 out of 3
Mitotic index: score 1 out of 3
C-tumor size :2.4 CM in largest diameter
D-margin of resection: free of malignancy
E-Desmoplastic reaction: absent
F-tumor necrosis: absent
G-momonuclear cell infiltrate: absent
H- angialymphatic involvement: identified in focal area
L-estrogen and progesterone receptors, her-2 over expression, dna indes/ploidy studies are pending.

So far, I think this looks pretty good. But I don’t really have a good understanding – but a 1 out of a 3 can’t be bad – right?

Hopefully, next week we will get the results we really need to know what treatment she needs.

Sorry to type all this out – I was hoping it might look familiar to some of you. I don’t really know what this invasive mucinous carcinoma is or how it rates compared to any other sort of breast cancer.

Thanks,
Birdee
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Comments

  • csp
    csp Member Posts: 2,765
    edited July 2006
    This doesn't look too bad Birdee
    grade 1 slow growing? I think (invasive mucinous carcinoma) er/pr pos her2nu pos
    so she will maybe need to do herceptan (sp)
    2.4cm my sis's was 3.7 so thats not way big and good news
    no necrosis (dead tissue or cells) good news again
    clean margins woo-hoo to that and neg. nodes

    The her2 is not the greatest news but with the new drug
    herceptan (sp) it is not as scary as it once was.

    I hope one of the other ladies will be by to help as I could only pick out some of it that I know about
    but all and all this sounds not so awful
    ( if having any BC can be not awful)

    Carrie
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  • jgrjunque
    jgrjunque Member Posts: 47
    edited July 2006

    You have a small, slow-growing mass that's not very aggressive, clean margins and clean nodes??? YOWZA!!! Mom is doing very well indeed! Congratulations!

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  • csp
    csp Member Posts: 2,765
    edited July 2006
    jgr,
    You are one of the people I was hoping would see this
    She is good at helping decifering this stuff Birdee

    (((((HUGS)))))

    Carrie
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  • nowheregirl
    nowheregirl Member Posts: 894
    edited July 2006
    Birdeee,

    You should throw a big party for your mom! Everything in her path reports does look good. Mucinous carcinoma is also called colloid carcinoma, it is a rare breast cancer formed by the mucus-producing cancer cells. Women with mucinous carcinoma generally have a better prognosis (expected outcome) than women with more common types of invasive carcinoma. No positive nodes and clear margins, grade 1 out of 3, you can't ask for more!
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  • jgrjunque
    jgrjunque Member Posts: 47
    edited July 2006
    Quote:

    She is good at helping decifering this stuff


    Dr. Google is my friend! (What ever did we do before the days of instant access to information???)
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  • birdee
    birdee Member Posts: 7
    edited July 2006
    You are all great!!
    Thank you so much for putting my mind at ease!
    Now we just wait to find out the ER PR HER stuff and we will be on our way...thanks again!!
    Birdee
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  • cowgirl
    cowgirl Member Posts: 777
    edited July 2006
    Birdee there are many things that are good news.

    -margin of resection: free of malignancy
    E-Desmoplastic reaction: absent
    F-tumor necrosis: absent
    G-momonuclear cell infiltrate: absent

    Her SNB sounds good too. Sounds like a great outcome so far! Tell her it is good news.
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  • Annie62
    Annie62 Member Posts: 1,081
    edited July 2006
    Birdee,
    What a great daughter you are to post for your mom. When she's up to it, have here come visit this website. It's the best place for support!

    Take care,
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  • ladyleen4
    ladyleen4 Member Posts: 72
    edited September 2006
    Wonder if you all could help me understand my mom's path report

    73yo

    Positive for invasisve adenocarcinoma
    Histologic type: ductal
    Tumor size: 6.4cm
    tmor site: upper inner quadrant
    Nottingham grade(G1-3) 1 (nuclear grade 1, mitosis score 1, tubule formation 2)
    vascular space invasion not identified
    skin/nipple involvement not identified


    Positive for In-Situ Carcinoma
    Histologic type: Ductal low grade
    Resection margins
    invasive carcinoma negative
    in-situ carcinoma negative

    Regional Lymph nodes
    Number of Sentinel nodes positive for metastasis 1 of 2
    Axillary node Dissection
    Number of nodes examined 9
    number positive for metastasis 5
    Final lymph node count ( positive/total) 6/11
    Greastest metastasis diameter 0.5CM
    Pathologic stage T3 N2

    Thanks for any help
    Eileen
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  • maryannecb
    maryannecb Member Posts: 1,453
    edited September 2006
    The good thing is it is low grade-not fast growing.

    The size and number of nodes make her at least stage three. She would be stage four if you get evidence of distant spread(ie to her bones, lungs or liver).

    The receptor status is not completed yet. At her age she will most likely be pos for ER/PR which would make her eligible for the hormonal tharapies. Usually the low grade tumors are not Her2+ which is also good.

    Her plan will depend on the final staging which you will know after scans and tests are completed. Chemo and rads are usually offered for this stage but if she is not well otherwise sometimes chemo is not possible.

    Wait for more info and it does get easier once you have a plan.

    Fists up!
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  • ladyleen4
    ladyleen4 Member Posts: 72
    edited September 2006

    Bone scan and pet scan show hot spots on spine and pelvis, both sides. They tried to do a bone marrow biopsy, but the dr. couldn't get the needle to penetrate her bone. He said that she had the hardest bones he's every ecountered! Harder than any woman, especially one with bone mets, and probably harder than most of the men he's dealt with. Is that a good thing? She is 73yo and not on any medications for anything, no heart problems, no blood pressure or diabetes, only this !@##@# breast cancer. I too have had a mastectomy, back in '97, so far so good, but am finding myself feeling aches and pains in my hips and collar bone and am wondering if this is just sympathy pains for my mom??

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