12 cm tumor with no lymph node involvment

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barrthorp
barrthorp Member Posts: 7

Dr said this is an odd case. To have a tumor that is an ulcerated and fungating invasive DC that is 13.5 x 10 x 6.4 cm, and no lymph node involvement, and also no vascular invasion is unheard of. Is this something that i should have retested by another Dr.? I am also triple neg. Here is my pathology report. Just think it is quite odd to have such an aggressive Large cancer no invading nodes or vessels.


13.5x10x6.4 cm idc ulcerated and fungating invasive ductal carcinoma. With invasion into the deep skeletal muscle focally extending to the deep inked margin of resection. 12 lymph nodes negative for metastatic carcinoma.


nottingham combined 3 tubule formation, 3 nuclear pleomorphism, 3 mitotic rate

tumor focality-single focus

ductal carcinoma in Situ-not identified

lobular carcinoma in Situ-not identified

vascular/lymphatic invasion-not identified

pNO:no regional lymph node metastasis

total lymph nodes examined:12

margins invovled by carcinoma Deep, extent of involvement: focal

distant metastasis:cannot be assessed.

pathologic staging: pT4b pNO

Ki67 (30-9) 95%

occupying apprx 70% of the breast

the mass grossly appears to invade the aforementioned skeletal mucsle and come within less than 1mm of the margin of resection. the mass is contiguous with the aforementioned area of exophytic tumor extention of the anterior skin surface and comews within 0.5 cm of the margin. the mass grossly appears to involve all 4 quadrants of the breast. residual fibrofatty breast parenchyma is present predominantly along the superior aspect of the specimen with a scant amount along the medial and lateral aspects. The center of the mass is yellow, soft, and necrotic. No intaparenchymal or laterally located lymph nodes are grossly identified.

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