guidance or information needed after diagnosis

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Tigger59
Tigger59 Member Posts: 2
edited November 2017 in Surgery - Before, During, and After

Hi all...

Need some guidance or assistance.

My Mum had a lump on the top of her breast.. She went for a Mammagram, they picked up mass like lesion on the right upper quadrant. It measures 1 x 1.2. x 1 cm. She had to go for a biopsy. The went for FNA biopsy and had sample analyzed by Lab.

The biopsy results are below.

Diagnosis: Numerous groups of malignant cells present. features consists with a ductal Carcinoma. Fat cells present, occaional lymphocytes, polymorphonuclear leucocytes and red blood cells present.

Colclusion: Numerous groups of malignant cells present. Features consistent with a ductal carcinoma.


My question or guidance that I need.

Is that biopsy result sufficient for Specialist surgeon to say that they need to to a mastectomy..

We have not been referred to oncologist or know the stage of the cancer, etc,etc..


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  • gb2115
    gb2115 Member Posts: 1,894
    edited November 2017

    Welcome to BCO!! They might want to do more testing before recommending one type of surgery over another. Specific pathology also needs to be determined. Hopefully whoever sent her for biopsy will discuss results with her and discuss next steps!

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  • Tigger59
    Tigger59 Member Posts: 2
    edited November 2017

    Thank you gb2115..

    That is the problem, the biopsy report has just the diagnosis and conculsion above with some information about my mum. But it does give any other information..

    The Surgeon specialist,just told us that mum has breast cancer. And there is 2 options, remove portion infected or remove whole breast with gland. Then after that they can send to lab to analyse what stage and if spreading.. I find that part not right, aren't they supposed to analyse and tell us what stage, etc before operation procedure?

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  • bravepoint
    bravepoint Member Posts: 404
    edited November 2017

    Tigger - I didn't find out any of the other info i.e stage, grade, lymph node involvement, hormone receptor status til after surgery. I opted for lumpectomy because of where my tumor was located at 12 o'clock between my nipple and collar bone and also because my surgeon told me that I would need radiation even if I chose a mastectomy.

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  • gb2115
    gb2115 Member Posts: 1,894
    edited November 2017

    They tend to not officially stage until after surgery. They need to test the lymph nodes to check for spread. No one ever told me my stage until about 6 months in, but I figured it out on my own. But regardless of stage, my treatment plan would have been the same I think. So no, I don't think they necessarily need that to pick a surgery. I think sometimes hormone receptor status plus tumor size influences whether or not chemo is done first. I thought it was standard of care to check initial pathology with the first biopsy, but perhaps not. I had that info within 5 days of biopsy and 4 days of diagnosis. And I saw my surgeon about 3 hours before the path report came in. I remember she wanted to see that before any decisions were made and called me very happy about the results (hormone positive).

    So I don't know, that's how they seem to do things where I live, but many doctors practice differently!


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