IDC

I had a lumpectomy, went to doctor yesterday and the path report follows.  Does anyone understand this?  Also, they told me I have to get surgery again in the same place for a DCIS.  I'm thinking it was a unclean border instead? I wanted a mastectomy but was glad to have my breasts after getting a lumpectomy.  But . . . it would sure be nice to have no breasts to worry about.  The waiting is definitely hard and I've also been told to "Be Positive!"; yeh, I wish I could be.

LEFT BREAST, SEGMENTAL MASTECTOMY:

INVASIVE DUCTAL CARCINOMA, MODIFIED BLACK'S NUCLEAR GRADE 2 (INTERMEDIATE GRADE).

INVASIVE CARCINOMA MEASURES 1.0 CM IN MAXIMUM DIMENSION.

DUCTAL CARCINOMA IN SITU (DCIS), MODIFIED BLACK'S NUCLEAR GRADE 2 (INTERMEDIATE GRADE),

CRIBRIFORM AND MICRO PAPILLARY TYPES WITHOUT NECROSIS, COMPRISING LESS THAN 5% OF

THE TUMOR VOLUME.

INVASIVE CARCINOMA IS 5.0 MM FROM THE CLOSEST DEEP MARGIN, 8.0 MM FROM THE CLOSEST

SUPERIOR MARGIN, 9.0 MM FROM THE CLOSEST INFERIOR MARGIN AND GREATER THAN 1.0 CM

FROM ALL REMAINING MARGINS.

Lymphovascular invasion is not present.

Extensive columnar cell change with hyperplasia and focal flat epithelial atypia.

Fibrocystic changes with apocrine metaplasia, stromal fibrosis and cystically dilated ducts.

(D) LEFT BREAST, SUPERIOR MARGIN:

A SINGLE 2 MM FOCUS OF DUCTAL CARCINOMA IN SITU, MICRO PAPILLARY TYPE PRESENT LESS THAN 0.5

MM FROM THE NEW

SUPERIOR RESECTION MARGIN.

Columnar cell change with hyperplasia

Fibrocystic changes with stromal fibrosis, cystically dilated ducts and duct epithelial micropapillary hyperplasia.

(A) LEFT AXILLARY SENTINEL LYMPH NODE #1 - IN VIVO 85, EX VIVO 128 - Received for frozen section is a 1.5 x 1.0 x 1.0

cm adipose tissue fragment containing a single 0.8 x 0.7 x 0.4 cm lymph node. The lymph node is trisected and submitted

entirely in A. CF/tlc

*FS/DX: ONE LYMPH NODE, NO TUMOR PRESENT. AS/mgd

(B) LEFT AXILLARY SENTINEL LYMPH NODE #2, IN VIVO 303, EX VIVO 387 - Received for frozen section is a 2.5 x 1.5 x 1.0

cm adipose tissue fragment containing a single 1.5 x 1.0 x 0.5 cm lymph node. The lymph node is serially sectioned and

submitted entirely in B1 and B2. CF/tlc

*FS/DX: ONE LYMPH NODE, NO TUMOR PRESENT. AS/mgd

(C) LEFT BREAST, SEGMENTAL MASTECTOMY- A 5.5 x 4.0 x 2.5 cm mastectomy specimen is marked with a short stitch

designating superior and a long stitch designating lateral. The specimen is serially sectioned into six slices, medial - slice #1 and

lateral- slice #6. Sectioning reveals a 1.1 x 0.9 cm firm tan circumscribed mass in slice #3. The mass is 0.7 cm from the superior,

1.0 from the anterior, 2.5 cm from the inferior and 0.9 cm from the deep margins. No additional gross lesions are identified. The

remainder of the breast parenchyma, predominantly consists of adipose tissue admixed with focal fibrous tissue. A portion of the

mass is submitted for research.

INK CODE: Green - inferior, blue - superior, black - deep, yellow - superficial, red - medial and lateral.

SECTION CODE: C1, mass with superior margin; C2, mass with deep margin; C3, inferior margin of slice #3; C4, C5,

remainder of mass with deep margin; C6, superior deep of slice #2 (please note that there is no true deep margin in this section);

C7, area marked by radiologist on slice #2; C8, C9, area marked by radiologist on slice #4; C1 0, superior half of slice #5; C11,

most lateral margin, representatives, perpendicular; C12, most medial margin, representative, perpendicular. CF/tlc

(D) LEFT BREAST, SUPERIOR MARGIN - A 9.0 x 6.5 x 1.5 cm portion of fibrous adipose tissue is marked with clips on one

surface designating the superior margin and a stitch at the lateral aspect. Sectioning reveals a focally fibrotic cut surface admixed

with adipose tissue.

INK CODE: Black - superior margin, red - lateral edge of specimen.

SECTION CODE: 01-08, representative sections, perpendicular. CF/tlc