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Tcook62
Tcook62 Member Posts: 14
edited February 2021 in DCIS (Ductal Carcinoma In Situ)

hello all.. I just got news yesterday from my family Dr. She couldn't tell me much. She said it was small and not in my lymph nodes. But that's it. My mind is blowing up with awful thoughts. I wonder if anyone can help me understand this report.....


AGI - ULTRASOUND GUIDED BREAST BIOPSY RTLaboratory: Ascension Genesys Ambulatory Imaging Grand Blanc10-Feb-2021 13:00AGI - Rt Ultrasound Breast Biopsy ADDENDUM The pathology results from the right breast 10:00 ultrasound-guided core biopsy shows invasive ductal carcinoma along with DCIS high-grade. Findings were conveyed by radiology support staff to the referring physician's office. Surgical consultation is recommended for further evaluation. Thank you for allowing us the opportunity to be involved in the care and management of your patient. ORIGINAL Indication: Right outer upper quadrant breast mass TECHNIQUE: Right breast ultrasound-guided core biopsy with tissue Marker placement and right breast postprocedure digital mammogram. FINDINGS: Written informed consent was obtained from the patient. Patient's questions were answered. The patient has a approximate 11 mm mass at 10:00 position 4 cm from the nipple at the site of architectural distortion. The right breast was painted and draped in the usual sterile fashion 1% lidocaine was injected in the skin and deeper tissues. Small incision was made with 11 number blade. Using a 14-gauge core biopsy needle multiple core biopsies were obtained through the nodule. A tissue marker was placed. Hemostasis was achieved with pressure. A postprocedure mammogram shows the biopsy clip in appropriate location. Patient tolerated the procedure well and was discharged home in stable condition. IMPRESSION: Right breast ultrasound-guided core biopsy with postprocedure mammogram. Thank you for allowing us the opportunity to be involved in the care and management of your patient. Signed by -Shah BirenAGI - MAMMMOGRAM RT POST BIOPSYLaboratory: Ascension Genesys Ambulatory Imaging Grand Blanc10-Feb-2021 14:00AGI - RT MAMMM POST BIOPSY ADDENDUM The pathology results from the right breast 10:00 ultrasound-guided core biopsy shows invasive ductal carcinoma along with DCIS high-grade. Findings were conveyed by radiology support staff to the referring physician's office. Surgical consultation is recommended for further evaluation. Thank you for allowing us the opportunity to be involved in the care and management of your patient. ORIGINAL Indication: Right outer upper quadrant breast mass TECHNIQUE: Right breast ultrasound-guided core biopsy with tissue Marker placement and right breast postprocedure digital mammogram. FINDINGS: Written informed consent was obtained from the patient. Patient's questions were answered. The patient has a approximate 11 mm mass at 10:00 position 4 cm from the nipple at the site of architectural distortion. The right breast was painted and draped in the usual sterile fashion 1% lidocaine was injected in the skin and deeper tissues. Small incision was made with 11 number blade. Using a 14-gauge core biopsy needle multiple core biopsies were obtained through the nodule. A tissue marker was placed. Hemostasis was achieved with pressure. A postprocedure mammogram shows the biopsy clip in appropriate location. Patient tolerated the procedure well and was discharged home in stable condition. IMPRESSION: Right breast ultrasound-guided core biopsy with postprocedure mammogram. Thank you for allowing us the opportunity to be involved in the care and management of your patient. Signed by -Shah Biren

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  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited February 2021

    Hi Tvook62. I’m sure others will be along to help, but I do want to point out that you have posted in the DCIS forum, but you have invasive ductal carcinoma. The DCIS is secondary to your invasive cancer and you will want to talk to folks here who were not solely diagnosed with DCIS. Your treatment for IDC will take care of the DCIS.

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  • LivinLife
    LivinLife Member Posts: 1,332
    edited February 2021

    Welcome Tcook! Melissa is right on there. IDC is your most concerning diagnosis. If you haven't already the IDC forum will be more helpful to you.... IDC is a cancerous condition whereas DCIS is a precancerous or noninvasive cancer depending on who you talk with....

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  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited February 2021

    Tcook62, do you have any additional information yet? Do you know the hormone receptors and HER status and grade of the invasive cancer? Do you have any follow up appointments set yet

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  • Tcook62
    Tcook62 Member Posts: 14
    edited February 2021

    no. My doc told me I had it on Thursday 02-18, said oncology would be in touch. Told me surgeon was on vacation. Sent me home. They were closed on Friday. Then there was Sat. And Sun. . I got onto my health portal to see. And that's how o found out anything at all. So they kind of set me up for a weekend of anxiety from Hell. I don't know anything about breast cancer. Learning quick though.

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  • Tcook62
    Tcook62 Member Posts: 14
    edited February 2021

    what the report said, was I have Invasive Ductal carcinoma with DCIS High Grade. They said it was 11mm, 4 cm from the nipple at 10:00. That's all it said.

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  • Tcook62
    Tcook62 Member Posts: 14
    edited February 2021

    tumor is 11 mm in size.

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  • Tcook62
    Tcook62 Member Posts: 14
    edited February 2021

    I would love for someone to help me understand what it said. So, you mean the tumor, is invasive, but the dcis or where its spreading to. The surrounding tissue, is pre cancerous??

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  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited February 2021

    Took - sorry you have to join us. Melissa is right, the DCIS is not the issue. You should go the forum "just diagnosed & waiting" (see link below for existing threads)

    No - the DCIS has not broken out from the milk ducts yet - but it's high grade so it is on the way. The IDC is already invasive - outside the ducts. Once you have more information and start a plan of action with your docs, it will get easier. Since it is 'invasive', you may or may not have chemo. They may or may not recommend a lumpectomy with radiation. Still too many missing pieces to give you good information.


    https://community.breastcancer.org/forum/5

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  • Tcook62
    Tcook62 Member Posts: 14
    edited February 2021

    tyvm. You explain it far better that what was going through my head. I'll be on the phone 1st thing in the am.. I dont want to wait 2weeks. I need to see someone NOW.. ty again..

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  • Beesie
    Beesie Member Posts: 12,240
    edited February 2021

    Tcook,

    Most invasive breast cancers start as DCIS. The cells initially develop as DCIS within the ducts of the breast, and then a few of those cells undergo a further biological change that allows them to evolve to become invasive ductal carcinoma (IDC). Once the cells are IDC, they now have the ability to break through the wall of the duct and move into the open breast tissue. While some of the cells go through this evolution to become IDC often there are still cells left in the duct that never evolved further than being DCIS - and this is why DCIS and IDC are often found together. Because the DCIS cells are confined to the milk duct, they can't move out of the breast and metastasize. But the IDC cells are in open breast tissue and from there they can spread - and this is why the invasive cancer is the more serious condition.

    Whenever someone has both IDC and DCIS together, the diagnosis is IDC, the staging is based on the size of the IDC and the treatment is based on the IDC. The DCIS needs to be surgically removed but otherwise can pretty much be ignored, since anything done to treat the IDC will be more than sufficient to treat the DCIS.

    This graphic from the information pages on this site shows how the cells develop/evolve:

    image

    Does that help?

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  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited February 2021

    Thanks Beesie. As usual your information is fantastic.

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