Lumptecomy on Friday some questions please advise

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rosierosie
rosierosie Member Posts: 71

I have to go for surgery on Friday, I have DCIS cribriform pattern, invasive low nuclear grade. my tissue pathology report came back from the biopsy as estrogen receptor postive and same for the progesterone positive. What does that mean? I am having a lumpectomy. my doctor said it was treatable. I asked him if I needed reconstruction he said he felt I had enough tissue to work with, does that mean alot of my breast will not be taken out. I guess there is no sure answer , where do they cut . sorry if anyone can ease my mind The hospital said I can take a xanax in the morning. I just so scared I just don't understand the whole procedure. thank you

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  • twiggyOR
    twiggyOR Member Posts: 270
    edited February 2016

    http://www.breastcancer.org/treatment/surgery/lump...

    Rosie, here is a link to some lumpectomy info from BCO. The end results will depend on the size and location of your tumor, the size of your breasts, and your surgeon among other things.

    You should also be able to find an article about understanding your pathology report on BCO.

  • rwiley4529
    rwiley4529 Member Posts: 62
    edited February 2016

    I had a lumpectomy on my left breast in 2014. The tumor was close to my chest wall. My surgeon made the incision around my areola. One and a half years later, it's hard to find the scar. Obviously, because tissue was removed from my breast, it is now smaller than the non-surgical breast. In my case, it's not real noticeable, so I have not opted for any kind of prosthetic, but they are available if you need/want to go that route.

    My full treatment plan consisted of lumpectomy, chemo, radiation, and Arimidex. I recently met with a plastic surgeon to discuss reconstruction. The plan is to do some fat transfer from my belly to my left breast. Radiation causes the breast tissue to firm up, so he will also do a lift on the non-surgical side. In the plastic surgeon's words "your right nipple is heading south".

    Loopy

    It took me awhile to think about reconstruction, and there is no right or wrong decision regarding it... only what is right for YOU.

    Since your cancer is estrogen and progesterone receptor positive, what that means is that those hormones feed the tumor. Your doctor will probably want you to take a medicine that will suppress production of those hormones in your body. There are a few different kinds of meds, with different applications and different side effects. You'll need to discuss all this with your oncologist.

  • ChiSandy
    ChiSandy Member Posts: 12,133
    edited February 2016

    Also, if your nodes are clear, it's highly unlikely you will need chemo, since you have low-grade DCIS that is hormone receptor-positive. (They usually don't test DCIS for HER-2). And you might not get radiation either. If you had to get DCIS, this is the kind to get. What your breast will look like after will depend on the size and location of the tumor relative to the size of your breast. My breast actually got bigger (at least for the next year). Good luck with the surgery and ask any other questions that occur to you

  • rosierosie
    rosierosie Member Posts: 71
    edited February 2016

    The report I got back is after I had the stereotactic biopsy it comes in the patient portal this what is says can you explain it to me if you can

    A}Diagnosis breast with calcs (core needle biopsy/ies)

    Ductal carcinoma in situ cribriform pattern low nuclear grade containing rare microcalcifications

    comment

    extra deeper levels were prepared and reviewed in arriving at diagnosis

    B/ Breast left without calcifications (core needle biopsy Ductal carcinoma in situ cribriform pattern low nuclear grade

    Report notes

    The in-situ carcinoma demonstrates

    Estrogen receptor (ER-cloneEPl; positive=/> 1%) POSITIVE

    progresterone receptor (PR-clonePgR636. positive=>1% POSITIVE

    does this mean I need hormone therapy or do I have to wait until after the surgery to see what happens any advise I would appreciate thank you again for all your help

  • rosierosie
    rosierosie Member Posts: 71
    edited February 2016

    Does anyone know what these report means?? thank you

  • Numb
    Numb Member Posts: 432
    edited February 2016

    I can't fully understand your report but I understand parts of it. 

    Breast with calcifications means there are thickened bits there rather than a specific lump

    Ductal carcinoma insitu means that this effects the ducts and isn't the spreadable type so that's good.  I don't know what cribiform means though.

    You are estrogen and progesterone positive and this is also a good sign because it means that your cancer is hormone related and you can get medication to block these hormones from feeding the cancer and you may not have to have chemo.

    Hope this eases your mind.



  • Numb
    Numb Member Posts: 432
    edited February 2016

    Cribiform just describes the pattern of the cancer and resembles Swiss cheese in that there are little holes in it.  It is usually low grade, so that's another plus for you.

  • LillianM
    LillianM Member Posts: 3
    edited March 2016

    Have had two in the past 2 years. You'll do fine. It will be about three days of discomfort but manageable with Tylenol. You'll be surprised that they can take small amounts, the key is clear margins. You may need follow up for that but the way they do things these days is quite efficient. Of course there are unusual cases, but mostly pretty smooth. Wishing you clear margins and easy recovery.

  • rosierosie
    rosierosie Member Posts: 71
    edited March 2016

    I had my surgery on Friday, and the SNB, everything went good. the SNB did not hurt at all, I only had two needles, and it was painless, they put the blue dye when I was put under., the wire that they put in my breast was uncomfortable. So I must say all the fear I had about the SNB biopsy it did not hurt, if that helps anyone. I had a lumpectomy I have DCIS non invasive, low nuclear grade, I don't if thats why I did not have pain? The worst part was when i woke up from surgery I was crying, I saw the DR, and he gave me the OK sign, and he told the nurse everything was ok. I have to see him next week I guess thats when i know for sure,The hosp told me to remove the bandages today. i feel ok a little sore,I so glad it was caught early. I want to thank everyone for their support and wish everyone a speedy recovery.

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