time frame from biopsy to surgery

[jetrsa]

I had a mri on August 3, 2007 with a biospsy on August 27th. Biospy results showed DCIS of solid and comedo type, nuclear grade2-3 and infiltrating carcinoma, nuclear grade 2, at least microinvasive. Er pos 30% and PR negative.  Also HER2 positive.  I have been seeing a surgeon since Sept 10th,  questions regarding lumpectomy and radiation, had non-hodgkins lymphoma with rad and chemo 13yrs ago- long and short, radiation not option and now have opted for bilat mast with implant reconstruction.  Concerned about time frame to surgery and prognosis. Doctors all reassure me that this is early and we have months- but can't do surgery until December and am worried regarding metatasis.   Know I will need chemo and herceptin per medical oncologist.  Is this appropriate time frame from diagnosis to surgery?

[jetrsa]

Thank you for your reply.  I did go see another surgeon and surgery will be much sooner.  I am going  to a  big breast center in Cleveland,  and as they are all very good, their schedules seem to be  really booked.  Thanks for the advise.  I just wish these doctos understood the emotional aspect of it all.   I hope everything is going well for you.

[Irishgal2]

My biopsy said DCIS also.  My lump was 1.5cm on the Mammogram and Ultrasound.  I wanted it out asap.  I got the results on the Friday and was operated on the Monday.  It is not until the lump has been removed and sent to Pathology that the full lump and surrounding tissue can be analysed to ensure that there was no invasive cancer.  My lump when removed as actually 2cm and had Grade 3 invasive vascular cancer with DCIS Grade 3 and DCIS Grade 2 just outside the lump but my margins were clear.  If it was me, I would get the lump removed within a few weeks to be safe and so I know the full extent of the problem.  You will be in limbo if they do not do the operation until December, too long. HER2 positive can also mean the cancer can be aggressive.  It is your body and your life so put the Surgeon under pressure.