Is this still Stage 4 what is Nottingham Score-Grade III: 8-9 points? How many possible points are there: This is from my pathology report
Lymph Node Sampling: Axillary dissection
Specimen Size: Greatest dimension: 7.6 cm
Additional dimensions: 5.2 x 3.4 com
Tumor Site: Upper outer quadrant
Size of Invasive Component: Greatest dimension 0.4 cm
Histologic Grade: Nottingham Histologic Score-Tubule formation: Minimal less than 10%
Difinition of Nottingham Score-Grade III:8-9 points
pN1a: Metastasis in 1 to 3 axillary lymph nodes (at least 1 tumor deposit greater than 2.0 mm)
Number of nodes examined: 15
Number of nodes involved: 1
pMX: Distant metastasis cannot be assessed
Margins: Margins uninvolved by invasive carcinoma
Margins uninvolved by invasive carcinoma - Distance from closest margin:0.7 mm
I had a score of 9 with a 5cm tumor removed, 1 node involved....stage 3. Stage 4 is metastatic cancer involved in the system, not just a tumor and a node. But to make sure, check out a book on breast cancer that has the EXACT defintitions. Sorry, I've already given mine away, otherwise I'd give more specifics.
Nottingham Score is a prognostic scoring tool.
Breast cancer is usually staged based on TNM staging chart.
Any biopsy report should mention the size of the tumour, cut section appearance of the specimen. The specimen should be carefully examined forthe clearance of the margins, the differentiation of the cells, the mitotic index of the cancer cells. In addition to this, hormonal markers analysis is also done.
When you say breast cancer of stage 4 it means advanced stage of breast cancer.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.