Help understanding pathology results

mommck3
mommck3 Member Posts: 12
edited June 2018 in IDC (Invasive Ductal Carcinoma)

hi- I’ve recently received a call from my breast surgeon with “good” news. I had a double mastectomy, tumor was 3.1cm and no lymph node involvement and no radiation needed. I will now see my medical oncologist on 6/6 and learn if I need chemo and/hormone therapy. I was relieved after the call with my surgeon but then I just saw the actual pathology report and have more questions.

It looks like the IDC tumor grade is 3 total if 8-9 points, ER +, PR +, HER2-, no cancer in lymph nodes BUT report says present (excessive) LVI (lymphocascular invasion. If I google that it doesn’t sound “good”.

Anyone have any information on LVI present excessive pathogens findings and what they have learned from oncologist?

Thank you!

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Comments

  • moth
    moth Member Posts: 4,800
    edited May 2018

    In the management guidelines for my province, Grade 3 & lvi are both listed as independent factors that would make an MO lean towards considering chemotherapy, so I'd expect to at least be having a conversation about it.

    best wishes

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  • Anonymous
    Anonymous Member Posts: 1,376
    edited May 2018

    My tumor was 1.9 cm and I was Stage I but because it was a grade 3 and I had a "high risk" result on my Mammaprint, I did have to have chemo. I did 4 rounds of Taxotere and Cytoxan. I did not have any lymph node involvement so after my lumpectomy, I thought I was home-free until the pathology report and then the mamma print tests came back. I am glad I did the chemo. My last infusion was in January and I feel 100% back to normal. I also finished rads in March.

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  • PalBuddy
    PalBuddy Member Posts: 27
    edited June 2018

    I'm awaiting my Oncotype results (it's been 30 days so far!). I am Stage 1, Grade 3. I had 2 tumors (both about 1.5cm) and, apparently, a 3rd one was forming. (Guess that's the "aggressive" part of the Grade 3.)

    So, Grade 3 is a factor in the decision? Even with no Lymph Node involvement, eh? My MO keeps saying he doesn't think I will need it - but then we haven't seen the Onco results yet. And, that if I do need it, it won't be the hair-loss kind. Which is good, I guess, because he is not a fan of the cold caps...

    This waiting for results if fairly excruciating, though I am assured the cancer is not spreading in the meantime...I thought I'd be doing radiation by now.

    And, the chance of distant recurrence is weighing hugely on my mind. Before I was diagnosed, I though no lymph node involvement meant it hadn't spread, but I gather now that isn't quite what it means. They really don't know a lot still, do they?

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