Surgical excision biopsy

noticed tonight I have extreme tightness just below where excision was, it hurts when I raise my arm up above my head. Will mention it to doctor, anyone else have anything similar?

Momallthetime - The 'Expand-A-Band Binder' was the brand that they had me in. I really can't recommend any place to purchase it since I didn't purchase it myself. I did find the manufacturer's website with sizing info https://www.eabmedical.com/wp-content/uploads/2016... . Good luck on your procedure.

Jamie

I got a phone message that my path results are benign. Hooray. My follow-up is next week, so I'll get path report then.

Momakat could I ask you about the bra that you ordered, did it arrive. Thx for the heads up about taking time, it's good to know. No seat belt across breast! I feel quite a lot of pain in the side of my breast, I do have a simple cyst there, I asked if they would take it out, no they won't. It's really pain. Not all the time, but it's there. And I still feel stuff where the needle went in. Momakat yep they always let you wait. They should have told you either way you should bring your hubby, how silly if it's bad then we'll tell you to bring your hubby.

Mystic so sorry about the Crohn, stress for sure didn't help.

Bellapamthanks so much. I was asked when I went for the BS consultation if I will be willing to give it up to science as you put it so well, I said of course, I certainly don't wanna take it home. I am reading that Hibiclens skin cleanser is good to use.

Bibi this DD is being watched closely because of her sister's status, she's on Mamo/MRI for now. Last year she was going every 6 mos. Do you believe at first she had sclerosing adenosis only seen in an MRI, she was scheduled only for Mamo/US but RO said well she's young let her have an MRI. Then biopsy and that's what it showed. Then 2 yrs later the PASH. But they said yearly now.

CBD oil is a big plus in the mets thread. I go there because of my DD, they use it for many purposes, including help in sleeping. It has to be taken cautiously of course. And hope it's legal where you are.

Mel, from what I know (limited human medicine knowledge to take with a grain of salt..)

SMMHC (smooth muscle myosin, heavy chain) is a stain that helps differentiate benign breast lesions and invasive carcinomas. It positive for benign lesions only, so this is good news.

P63 is involved in cell differentiation. The majority of invasive carcinomas is negative for this IHC, but metaplastic BC can be positive for it. Benign lesions are positive as well. The fact that only intact myoepithelial cells were positive for it reminds me of lesions we see in vet med that have a "ring effect" on the periphery of certain benign lesions. I would ask your dr more about this one though.

Calponin-1 is typically found in benign lesions (helps differentiate invasive tumors that mimic benign lesions)

In terms of cytokeratin, I can't offer much help. There are many types of cytokeratins, some are associated with the ability of cells to deal with stress, while others are associated with tumor progression. I would ask your doc about this too.

I think overall (if you were my four legged patient!) I would say it's good news. But I know there are many differences in vet med and human med. Are you able to call your dr tomorrow?

Mel, that last statement is something pathologists have to say.. that's part of the reason why ADH should always be removed, so it does not progress into DCIS. Will you be able to call your dr tomorrow?

Listen Mel, first when will you see doc again? Also, you could take this at least to another opinion, see what they say...it does lean more to benign, when i did some reading now, i thought i understood their question is that this circle sometimes - sometimes is near a in situ situation.

First you are upset, in shock, or whatever, no one wants this nonsense, there is too much to do. BUT being on the mets thread is no picnic. PLEASE I AM BY NO MEANS telling you to run and get treatment, JUST be cautious, get ALLLLLLLLL your facts, opinions, what's the risk what's not, what's the wait situation, then you could make an educated decision. You are definitely right that Tamoxifen would change your life, if you get as far as an appointment with Oncologist they could do an Oncotype look into your level of risk etc...you need to get some rest, so much has been going on. But this atypical thingy and the other details have to be explained to you.

Please do not be upset with me. Go to at least 2 more docs IF YOU CAN, you need to be satisfied.

Sending big hugs Mel!!! Hope some of the above info helps a little. I'm sure your brain is doing backflips right now.

I think the good news is you don't need to make any immediate decisions. Make sure you are at peace and happy with whichever path you take. And know we are all here for you!

No problem! Let us know what the drs say

Mel,

I'm so sorry that you're getting such mixed results. I'm so surprised by this process (mine and yours, and so many others), that it isn't black and white! I really though way back when I had my core needle biopsy, I'd get results, yes or no and move on! I had no idea there was so much complexity in these results. This was my first mammo and boy, has it been a learning experience.

I hope you can speak with your dr or a 2nd opinion dr. It's so much to process.

Hang in there!

Mel, I'm not seeing the part of the pathology or recommendations that are conflicting. The pathology revealed "a fragmented and incompletely excised papillary lesion". He is recommending that the rest of it be removed (re-excision is common when something hasn't been fully excised) due to the fact that "small areas of dcsi arising in atyical papilloma cannot be completely excluded". So he is recommending the re-excision based on a small risk, which seems to be a standard recommendation.

"There remains no clear, undisputed evidence that either hyperplasia without atypia and atypical ductal hyperplasia are precursors to either DCIS or invasive carcinoma" (read more about ADH and it's implications here: http://breast-cancer.ca/atyp-hyp/

I think a second isn't a bad idea, but I'm not seeing anything in your pathology report or in your doc's recommendation that are conflicting or confusing. Good luck!