What does it mean?

[Orneville]

My biopsy report says for the rigth breast :
1- invasive ductal carcinoma, grade II/III
2- minor ductal carcinoma in situ, cribriform, low to intermediate grade with one focus showing necorisis.
3- micorcalcifications seen in association with carcinoma

I was dianosised with LCIS about 3 years ago, and have mamograms and ultra sounds every 6 months. The last report in June 02 showed of the right breast showed decreasing size of the mulitple cysts.

What is concerning me is the invasive grade II/III.

Thanks for any and all information.

[Orneville]

Thank you,
I have an appointment with my surgeon this Thursday, and this past Friday had a Breast MRI done to establish my stage. I am an emotional wreck, and have not been able to talk to my Primary Care, radiologist or surgeon due to the holidays. I do appriciate this forum as a way to talk to those in the same situation. It does help the emotions.

Orneville

[CCF-RN,MSN-JS]

Dear orneville,  Your biopsy report is saying that there is an invasive cancer component to the biopsy specimen that was removed.  The breast is made up of a series of ducts and lobules.  From this specimen they have seen evidence that cancer cells have invaded the wall of the duct.  The grading is an attempt to determine how agressive the cancer is. A common system looks at different features of the specimen and then gives a score which determines the grade.  The grades are usually one to three, with three supposedly being more aggressive.

The next step in your  situation would be discussion with your surgeon regarding the various options for how this can be treated.