ARE MY MARGINS CLEAR?

[BREARMES]

I JUST HAD A MASTECTOMY AND HERE IS A COPY OF THE PATHOLOGY REPORT:1. DUCTAL CARCINOMA IN SITU,GRADE 3 NUCLEI,SOLID PATTERN WITH FOCAL COMEDO-TYPE NECROSIS AND ASSOCIATED COARSE MICROCALCIFICATIONS, AND EXTENSIVE "CANCERIZATION OF LOBULES"; PREVIOUS BIOPSY SITE CHANGES.
2. DCIS EXTENSIVELY INVOLVES THE UPPER-OUTER QUADRANT (2.3 CM LARGEST AREA OF INVOLVEMENT DEMONSTRABLE BY GLASS SLIDE MEASUREMENT).
3. DEEP MARGIN NEGATIVE FOR TUMOR; INKED ANTERIOR BREAST MARGIN CLOSELY APPROACHED BY DCIS (TO WITHIN 1 mm).
4. UNREMARKABLE SKIN OF NIPPLE.
5. PROLIFERATIVE FIBROCYSTIC CHANGES WITH FOCAL FLORID DUCTAL HYPERPLASIA OF USUAL TYPE. 6.NO LYMPH NODES IDENTIFIED.
PATHOLOGIC STAGE: Tis NX MX. ER AND PR STUDIES HAVE BEEN REQUESTED AND WILL BE INCLUDED IN AN ADDENDUM REPORT TO FOLLOW

[Cleveland Clinic]

Dear Brearmes,   This pathology report describes ductal carcinoma in situ, which is a noninvasive form of breast cancer. The prognosis is generally excellent. In general, surgeons prefer a margin of normal tissue surrounding the area of concern of at least 1 millimeter or 0.1 cm.  Other information is also taken into account when determining the adequacy of the surgical margin such as types of cells found at the margin (DCIS vs. invasive cancer) and whether there is additional breast tissue behind to remove.  Your surgeon would be best able to discuss this issue with you.

[BREARMES]

THANK YOU SO MUCH FOR RESPONDING