Path Report help

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bella76
bella76 Member Posts: 113
edited August 2017 in Just Diagnosed

I've just been diagnosed 2 days ago with a new primary in my left breast after having breast cancer in 2011.

So far my path report says this, still waiting on Hormone information


There are core biopsies of breast parenchyma each showing infiltration by invasive carcinoma NST composed of infiltrating clusters of cells with moderate tuble formation, intermediate grade nuclear atypia and scattered mitosis (estimated BRE grade 2). No lymphovascular or perineural invasion is identified. There are occasional ducts showing intermediate grade duct carcinoma in situ (DCIS). Immunohistochemistry for hormone receptors is in progress.

I had a MRI which came back as normal, no mass seen or anything

few microcalcifications showed up on mammagram, It did show up on the ultrasound which is how they did the biopsy.

So far surgeon says it looks like it is 2cm and there is no nodal involvement although obviously we won't know for sure until surgery.


I actually found this lump way back while doing chemo the first time in 2011 and had an ultrasound and was told it was nothing.

Then 2.5 years ago I came in with the same lump and they did MRI, Mammo and Ultrasound and said it was nothing, just normal breast tissue.


Now knowing how long it has been in there I am freaking out that it has spread, what are the chances? Could this have been DCIS and recently changed to invasive? has it been invasive the whole time?



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Comments

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited July 2017

    bella - at this point it doesn't matter if it's been there. You have to deal with the now. Hope you don't have too long to wait for the rest of the of the report. As soon as you have a diagnosis and can get treatment lined up, it will be easier.

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  • bella76
    bella76 Member Posts: 113
    edited July 2017

    I know, I remember this is the hardest part.. the not knowing.

    Thanks for replying

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  • bluepearl
    bluepearl Member Posts: 961
    edited July 2017

    A lot will depend on the type of cancer you have and its features. The 2cm could included DCIS surrounding the tumour. Grade 2 means it is average growing....surprising it is even that after remaining so small for so long. I had an architectural distortion and despite another diagnostic mammogram, nothing showed up. Two year mammo, nothing showed up...next two year mammo.....bingo.....1cm tumour (showed up as 2.5 but there was DCIS as well)...so tumour was actually 1 cm. Pretty much the same with my second tumour but fortunately by then I was getting a yearly mammo and this new tumour was 7mm but a grade 3. UGH. Second time around was a bit easier but still rotten and I started making a big fuss over delays with a grade 3........went to a walk-in clinic, got doc in the morning, same afternoon rapid access breast cancer clinic phoned, had appointment there on the following Wednesday and following Monday, had the mastectomy. I don't like waiting. I think it may have helped to have had a nervous breakdown the first go so that may have actually paid off....lol....anyway, hoping for the best outcome for you and given its slow growth over 6 years, likely your nodes are fine and no Her+ or hormone...and no LVI is always good news.

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  • bella76
    bella76 Member Posts: 113
    edited July 2017

    bluepearl I hope I'm like you and the tumour is smaller and surrounded by dcis.

    I've found out I'm ER & PR% 90% and Her-

    Even though my nodes look clear I'm still worried as they start hurting as soon as I've ovulated and don't stop until 3 days into my period. I can't compare it to my other side as I don't have nodes there anymore.

    Does or did anyone else have this?

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  • bella76
    bella76 Member Posts: 113
    edited July 2017

    Appointment with my breast surgeon on Tuesday to discuss what we're going to do, I've pretty much decided I want a mastectomy.

    Don't want to risk not getting clean margins and having to have surgery again.

    Also hoping I can have immediate reconstruction and hopefully not get radiotherapy.

    Yes it's harder but I think it's the best choice, hope my surgeon agrees.

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  • bella76
    bella76 Member Posts: 113
    edited August 2017

    I'm booked in for a nipple and skin sparing mastectomy with immediate reconstruction with implant on Thursday August 10.

    The incision will be Inframammary which is good. She's going take take a couple of lymph nodes too

    Bone scan came back clear but CT scan showed some large maybe cysts on my ovaries and my CA125 tumor markers were elevated to 145. So my surgeon send me for an urgent pelvic ultrasound and it was decided that I had endometriosis!

    What a relief that was, I've never been so happy being diagnosed with something in my life. Phew

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