newly DX with lumpectomy----nottingham grade score--tubule formation=3 Mitotic count=2 nuclear=1 grade I 3-5--
ER/PR positive - pT1b >0.5cm--<1.0 cm pNo--neg + microcalcifications V/L neg
Invasive mammary Ca with both IDCIS and ILCIS features..
plan is radation--how do figure how TX --but how do they determine if Chemo also---is there any formula that is used---
sister and maternal grandmother had same on left side--
also had LCIS in 2003 only lumpectomy no Tx- all margins were clear---had TAH so not to take tomoxifen--
I was dx with IDC, along with associated DCIS of intermediate grade in 2003. My tumour was 2 cm, grade and stage 2, 4/18 lymph nodes positive.ER+, PR not done, HER-. I had a lumpectomy and a month later total axillary removal. At my hospital in England (a centre of breast care excellence) I was told that all tumours of 1 cm and over, and with node involvement, are strongly advised to have chemo. I had 6 x FEC, and then 5 and a half weeks of daily radiotherapy. You don't say if any of your lymph nodes were involved. This could be the deciding factor if the cancer has already spread there. Your parameters are different to mine, but I would be guided by your oncologist - he is the one with the facts and the experience.
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