Just found out 4 days ago
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pat report Intaductal &invasive ductal carcinoma nuclear grade 2 central necrosis with central necrosis next line invasive component is Nottingham grade 1 What does that mean please chemo rad breast removed tu
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You may want to look at the main site, which has a section about helping you understand your diagnosis. There is a lot of great information there.
Big hugs and sorry you got this news. Are you meeting soon with a breast specialist to discuss your next steps? From what VERY little I know, it would be tough to guess just from this part of the report what they'll decide as far as treatment, but hopefully they will meet with you soon to lay out a plan. I know I always feel better if there's a plan, even if I don't particularly like the plan!
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Hi DDOL,
Very sorry to hear that you have been diagnosed, but glad you have found this site. You will find a tremendous amount of information and support here & you can yell, scream, cry, laugh, complain, whine, etc. in a way that you usually can't.
As to your question regarding what your report means. An initial report from a biopsy only has some information. You have what is abbreviated as IDC, invasive ductal carcinoma - this is a very (I think the most) common form of BC - what it means is that the cancer started in the ducts or a duct of your breast but that it has also 'invaded' into the breast tissue. It could be that you have more than one tumor or one small one or one that is quite large (they can range from smaller than a CM up to around 12 CM). The nottingham score is a measure of how aggressive your cancer is - the scores rage from one to three with one being the least aggressive. Cancer that is confined to the breast will not kill you (because your breasts don't 'do' anything needed for your individual survival) so the first line treatment is usually surgery to remove the cancer from the breast (there are exceptions) either a lumpectomy or MX. When the surgery is done a more complete pathology can be obtained & they will also find out whether the cancer has spread to any lymph nodes (don't worry, if it has, they will remove those too). The path reports, other tests, etc. will have a big impact on the course of your treatment.
You should be having a consult with a surgeon soon & he or she will go over your path report with you - you will want to take somebody with you to that appointment if at all possible & have them take notes & help you remember to ask all the questions you wanted to ask. You also might consider recording the appointment. In the meantime, if you are feeling anxious, having trouble sleeping, etc., don't hesitate to ask your doc for anti-anxiety meds. This is not an easy thing to cope with especially before treatment starts. The main pages of BCO have some great info that will help but do not use DR> GOOGLE, he is a terrible statistician, diagnostician, and an all around scary boogy man. You don't need that. (((hugs))) -
thank you so very much for this info I will be asking a few questions as I go on this journey. My appt with the Cancer CINJ in on 2/20 . I will keep my updated Dated blessings DDOL
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yes your so right the waiting seems for ever My appt in this Thursday 2/20 just need to know what is next. I am sure we all feel are felt that way. Thank you so much
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Hi DDOL. Great response from ziggypop. These sisters are all awesome! I had mentioned to you about taking a journal to write down information during your appointment but totally forgot that our phones these days can record so definitely use it. I also like the 'stay away from DR GOOGLE and would add to steer clear of any horror stories you may read, yes even here on BCo, as few of us react the same to treatments, meds, etc.
You know where to find me, here or elsewhere so don't hesitate at all.
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thank you so much ziggypoo your words did make me feel so much better I feel like now I could ask other woman ( like yourself ) what to feel / how to handle all that will be going on :- I am looking forward to seeing the dr because the un known is hard. Blessing to you
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DDOL, on any of the threads you browse you can ask any of the sisters anything. You can also rant and scream because they have all been there and can relate and not beat you up.
Praying for a good outcome (as much as possible) during your doctor visit.
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after going to see the doctor I am sure I will have a lot of questions Right now I feel like it's all a nightmare Dear Lord I will be as strong as I can be as I sit there waiting to see what the next step is going to be.
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It is overwhelming! You will go through many stages of emotion and brain confusion because of all the information you will be digesting. I am sorry for the fear, pain and why me? you are feeling. Know that you can let it all out on this site…open ears and hearts reside here. We've all walked this path despite the "type" of breast cancer, stage or grade. Love and hugs. xo
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narsf, you brought tears to my eyes. So true. DDOL is a dear friend of mine and I ache because she is hurting so much right now.
DDOL, you will also make long-term friends here. Many sisters have long finished treatment but come back because of the friendships made.
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DDOL - It's really hard to hear & if I remember right my emotions were like a roller coaster ride from hell after being diagnosed. Take each day one at a time. You will find that you have strength that you never imagined and you'll find it because this is scary, but we're going to be here with you & it sounds like you have a great friend in patoo. You'll be okay. Many, many hugs.
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I feel like this is a nite mare and I want to wake up !! But when I do wake up its true
19 years ago I had 1st stage Lung cancer then 6 month after sick cancer. Thank our Heavenly Father. No chemo or rad :-). So when the doctor called me last week and said BC I wanted to fall down tell her she is wrong But can't do that :-( so now I go Thursday to the cancer doctor to understand this I don't want to go. Wish I could send my husband and 3 children and 8 grandchildren and let them tell me this isn't happening () this is where I am 2 days before going praying every moment I will wake up and it will be a nightmare
Blessings Sistet's
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o my yes. Everyday the hours seem longer not knowing what steps or how bad this BC. Is wearing me out. Can't eat sleep don't want to talk to anyone they say. O it will be okay They don't have any idea what us woman have be though or going through praying every moment thank you for understanding
Blessing Sister
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DDOL, so happy for positive news. We serve a wonderful God.
Blessings.
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Good job spelling it out for her ziggypop. I think all of us agree this forum is a Godsend. Nowhere else can you whine, complain and ask questions with no fear of reprisal. You are right DDOL the non-BC cancer people don't understand what you are going through but to be fair what is the appropriate response when someone tells you they have BC? They so want you to be okay I think they think if they say it often enough it will happen. Plus they are scared of you having it and them getting it. Honestly sometimes I felt like a leper which I know is beyond ridiculous but its kind of like people backing away slowly when you tell them you have BC. I also understand the responses they detected it early so....of course we all believe that; its what keeps us going. I was in a fog when I was first DX. I was braced for it though and just went through the motions until after my surgery. You are in the early phase of this - yes it is a nightmare - which I think the vast majority of us agree is the worst...the proverbial waiting. Once you have more information and surgeries, etc., have been decided the process will move along more quickly. My advice to you, I know just what you need someone else dispensing advice, is lean on family and friends for support. Let me throw in prayer(not a zealot) which will find that courage you never knew you had. I bet none of us thought we could endure this either but yet here we are and you will be too. Keep us posted and keep the faith. Diane
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God is good All The Time I have early stage breast cancer size of a pea:-). Dr is going to do a take lumpectomy then radiation of the whole breast for 6 weeks he will take a few node to see if it's gone anyplace else then chemo. But he feels it's so small that it's gone no place Amen
Thank you Lord Jesus Jesus your my ROCK
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God is good All The Time I have early stage breast cancer size of a pea:-). Dr is going to do a take lumpectomy then radiation of the whole breast for 6 weeks he will take a few node to see if it's gone anyplace else then chemo. But he feels it's so small that it's gone no place Amen
Thank you Lord Jesus Jesus your my ROCK
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God is good All The Time I have early stage breast cancer size of a pea:-). Dr is going to do a take lumpectomy then radiation of the whole breast for 6 weeks he will take a few node to see if it's gone anyplace else then chemo. But he feels it's so small that it's gone no place Amen
Thank you Lord Jesus Jesus your my ROCK
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DDOL - Small, contained, and treatable. All good things, as far as bc goes. I think you may need to run out and buy a lottery ticket. Glad that it wasn't something much worse. (Of course better would have been not having this beast at all... but as The Rolling Stones said years ago, 'You Can't Always Get What You Want', but in here you'll get what you need.) Stay strong and let us know how it goes....
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