Can anyone tell me and my wife the surgical stage

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Emotional_Hubby
Emotional_Hubby Member Posts: 22

My wife just got done with surgery 2 days ago and we seen this in our app.

SYNOPTIC REPORT: Breast - Invasive Carcinoma

Procedure: Total mastectomy

Specimen Laterality: Left

Tumor Site: Invasive Carcinoma: Upper inner quadrant

Tumor Size: Greatest dimension of largest invasive focus greater than 1 mm: 19 mm

Additional dimensions of largest invasive focus: 18 x 17 mm Histologic Type: Invasive carcinoma of no special type (ductal) Histologic Grade

Glandular (Acinar)/Tubular Differentiation: Score 3

PATIENT NAME

Wife

Page 1 of 5

PATIENT NAME Wife CASE NUMBER

PATIENT ID

ORDER NUMBER

INTERPRETATION continued

Glandular (Acinar)/Tubular Differentiation: Score 3 Nuclear Pleomorphism: Score 3

Mitotic Rate: Score 3

Overall Grade: Grade 3

Tumor Focality: Multiple foci of invasive carcinoma Number of foci: 3

Ductal Carcinoma In Situ (DCIS): Present.

Positive for extensive intraductal component (EIC)

Size (Extent) of DCIS: Estimated size (extent) of DCIS (greatest dimension using gross and microscopic evaluation)

is at least (millimeter): 40 mm Additional dimensions (millimeters): 18 x 17 mm

Architectural Patterns: Solid, cribriform, comedo, clinging Nuclear Grade: Grade III

Necrosis: Present, central (expansive "comedo" necrosis)

Treatment Effect in the Breast: No known presurgical therapy Tumor Extension

Skin: Skin is present and uninvolved

Nipple: DCIS does not involve the nipple epidermis Skeletal Muscle: No skeletal muscle is present

Margins

Invasive Carcinoma Margins: Uninvolved by invasive carcinoma

Distance from closest margin: 4 mm (anterior) DCIS Margins: Uninvolved by DCIS

Specify closest margin: Anterior

Regional Lymph Nodes: Involved by tumor cells Total Number of Lymph Nodes Examined: 14

Number of Sentinel Lymph Nodes Examined: 1

Number of Lymph Nodes with Macrometastases (greater than 2 mm): 1

Number of Lymph Nodes with Micrometastases (greater than 0.2 mm to 2 mm and/or greater than 200 cells): 0 Number of Lymph Nodes with Isolated Tumor Cells (less than or equal to 0.2 mm and less than or equal to 200 cells):

0

Size of Largest Metastatic Deposit: 7 mm Extranodal Extension: Not identified

Treatment Effect in the Lymph Nodes: Not applicable Lymphovascular Invasion: Present

Dermal Lymphovascular Invasion: Not identified Pathologic Stage Classification (AJCC, 8th edition)

TNM Descriptors: m

Primary Tumor: pT1c

Regional Lymph Node Modifier: Not applicable Regional Lymph Nodes: pN1a

Distant Metastasis: Not applicable

Ancillary Studies: Previously reported

Microcalcifications: Present in invasive carcinoma, DCIS and non-neoplastic tissue

The synoptic report incorporates information from all relevant surgical material and includes all required data elements of the current CAP Cancer Protocol


Just wondering if this would equal 2a like it was in clinical staging .Thank you from me and my wife

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