Got my second biopsy results, need help

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Missmom79
Missmom79 Member Posts: 202
edited August 2019 in Just Diagnosed

this is my second biopsy results. I hate when the nurse can’t answer questions. They have found a lot of DCIS in my breast 2 weeks ago. Now she just called to tell my on the first breast biopsy was ductal carcinoma and on the axillary node there was minutee (very small) ductal carcinoma. I asked her did she mean DCIS or IDC and she just said ductal carcinoma. . I know that DCIS is non invasive but i dunno if she’s talking DCIS with micro invasion or IDC?

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  • moth
    moth Member Posts: 4,800
    edited August 2019

    Missmom - I think if there's anything in a node it's IDC because DCIS has to be by definition in situ, ie. in the duct. I'd suggest you get the copy of the written report.

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  • Missmom79
    Missmom79 Member Posts: 202
    edited August 2019

    i looked to see if the report was in my online chart and it’s not. I hate when they give you the results but don’t give you a whole lotta info on it. I was thinking DCIS microvasion? Guess not? They think I have inflammatory breast cancer and they just needed to find something more invasive because all they found 2 weeks ago was DCIS. So I guess they found what they were looking for. She said that the path report said “mynute” very small amount. Is that a good sign or I guess it doesn’t really matter huh

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  • Beesie
    Beesie Member Posts: 12,240
    edited August 2019

    While technically both IDC and DCIS are ductal carcinomas, the term "ductal carcinoma" is used for IDC and rarely if ever used for DCIS.

    DCIS is either called "DCIS" or is described using the words "in-situ", as in "ductal carcinoma in-situ" or by saying "you have an in-situ cancer".

    With the positive node and the term "ductal carcinoma", unfortunately I think you have to assume that the diagnosis is IDC. If the amount of cancer found in the node is less than 0.2mm, it's considered ITC, isolated tumor cells, and still counts as node-negative. If the amount of cancer in the node is larger than that, but less than 2mm, it's micro-mets, which does count as node positive but is noted as being a very tiny nodal invasion.

    Sorry about the news; I was hoping that your final diagnosis would remain DCIS.

    Edited to add this staging info. You can see that nodal ITC is considered pN0, i.e. node negative. And you can see the definition of nodal micro-mets as pN1mi and that this does lead to different staging than pN1, which would represent a larger nodal invasion.


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  • Missmom79
    Missmom79 Member Posts: 202
    edited August 2019

    i am so depressed right now. They also thinks it's inflammatory but we're waitimg to find something more invasive. I guess they did. But the nurse said very “mynute" meaning small. Maybe a very good thing yet but k don't have my path report. I have that it's not on my E chart. I think for very small hopefully considered node negative. Thank you for the info you've been very helped and was hoping you'd reply. Now can they gather how much is in the whole node just by taking a sample aka biopsy? Or they cannot tell until after surgery ?

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  • Missmom79
    Missmom79 Member Posts: 202
    edited August 2019

    also I was thinking they weren't effected much due to they were “borderline nodes" and the fatty hilium was still surrounding them which is a good sign isn't it? I read that if the fatty Hilium around the node was gone then that was a bad sign of malignancy. Am I correct on this

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