when do you find out what stage your in?
hank you to all for the kind words from when I first posted a day after being diagnosed. I go tomorrow for my first visit with a surgical oncologist at Moffitt and for my bilateral breast MRI on Friday. What I am wondering though is when they diagnosed they just told me invasive ductal carcinoma grade 3 and that was it. When do you find out stage, if it is hormone receptive and all that other stuff? Also, the first two days after finding oit every pain i could swear was cancer but now my moods and appetite are fabulous and I feel great. So bizarre to think cancer us growing inside me. Anyway one step at a time.
Comments
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you get that information after they do lumpectomy or a mastectomy. They have to get the whole tumor out in order to Stage it.
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Stage depends on both tumor size and nodal (or more distant) involvement, neither of which can be determined before surgery. In some cases, the tumor on imaging appears so large, and the lymph nodes determined via some form of biopsy to be involved, that staging is assigned via imaging & biopsy and neoadjuvant (pre-surgery) chemo is given to shrink the tumor to a more manageable size for excision if a lumpectomy is elected, or to determine effectiveness of chemo (pathological response) whether or not mastectomy is the ultimate surgical choice.
Often, though, core biopsy alone can determine grade (as it did for your and my tumors) as well as hormone-receptor and HER2 status (as it did mine). Because of the “guesstimated” size, I was tentatively staged as IA (they assume nodes will be negative until biopsy—either sentinel node or axillary dissection—proves otherwise. The tumor equivalent of "innocent until proven guilty”). However, sometimes that information will change—there are instances in which the final surgical pathology yields different results from the initial biopsy. (In my case, the size turned out to be larger than originally thought, though still within Stage I parameters).
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thank you so much for all the info..I guess I'm just so worried about this grade 3 thing ..I just have to remain positive and take it one step at a time
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