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Breast Cancer (Expert Forum)
Pathology report
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
Pathology report
by Zaraza, Oct 09, 2005 12:00AM
post lumpectomy path report
pT1 pNO pMX
final diagnosis left breast excisional lumpectomy: infiltrating lobular classic, 1.5cm measured from slide, ductal carcinoma in-situ (25% of the total tumor)intermediate nuclear grade, DCIS pattern cribriform woth necrosis and micropapillary type. LCIS absent. resection margins free. all specimens were examinded fresh. will be taking a ct scan and then meeting with radiologist. surgeon feels i can do brachytherapy radiation treatment. i do not want to do chemo. was not able to determine from the report any reference to receptors. please explain the report to me please.
thanking in advance.
pT1 pNO pMX
final diagnosis left breast excisional lumpectomy: infiltrating lobular classic, 1.5cm measured from slide, ductal carcinoma in-situ (25% of the total tumor)intermediate nuclear grade, DCIS pattern cribriform woth necrosis and micropapillary type. LCIS absent. resection margins free. all specimens were examinded fresh. will be taking a ct scan and then meeting with radiologist. surgeon feels i can do brachytherapy radiation treatment. i do not want to do chemo. was not able to determine from the report any reference to receptors. please explain the report to me please.
thanking in advance.
Doctor's Answer
by CCF-RN,MSN-rf, Oct 10, 2005 12:00AM
Dear Zaraza: This means that the invasive cancer is lobular in type. The entire tumor size is 1.5 cm. 25% of the specimen is ductal carcinomal in situ (The grade and pattern describe the way the cells are growing and how they look on the slide). On this report, I see no reference to the size of the invasive part of the cancer or the hormonal status of this tumor. You may wish to clarify with your physician.
