Breast Cancer Forum
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Breast Cancer


    I was diagnosed with breast cancer 14 years ago  (microcapillary intraductal carcinoma in association with a mucocele like lesion).  I had a lumpectomy and radiation.  This week I was diagnosed (in the same breast) with "infiltrating ductal carcinoma. Nottingham histologic grade 3.  Modified black's nuclear grade 3.  Carcinoma in situ component present, comedo type, modified black's nuclear grade 3.  No lymphatic/vascular invasion identified."  

Would this be considered a new cancer or a recurrence?   What is the prognosis for this type and grade of cancer given that it's in the same breast and I am no longer eligible for radiation therapy.  I'm most concerned about saving my life - not my breast.  However, I'd like to learn as much as I can to determine whether mastectomy is the preferable option over another lumpectomy, how much time I would have if I opted NOT to have chemo and just what lifespan I might expect with or without chemo.  I'm hoping for a very candid reply.  Thank you.  
1 Responses
242527 tn?1292452740
Dear Suina:  Both new primary breast tumors and tumor recurrences can occur after breast conservation surgery.  Whether it is a new primary depends upon the histology (how similar to the original tumor under a microscope) and the location in the breast (is it close or distant to the original tumor).   In most cases, mastectomy would be recommended.  Treatment and prognosis would be based upon the histology, size of the tumor, hormone receptors, lymph node status, etc. Your doctor will be best equipped to discuss this as it pertains to your situation.  
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