DCIS associated with invasive componet verse pure DCIS

[apicollo]

The pathology report says the histologic type of my tumour is mostly invasive ductal and some ductal in situ present, but in the mid portion of the tumour the invasive component shows some lobular changes.  tumor is seen across several blocks and, therefore, the gross size of 1.9x1.5x1.2cm will be used as the official size, stage 1, grade 1, NO, MO no vessel invastion clear margins, architectural pattern solid/cribriform. left breast at 11:00 o'clock.  What does across several blocks, some lobular changes, and solid/cribriform mean?  Does the pathology report mean the tumour was DCIS with an invasive part?  Also, my ultrasound and MRI measured the tumour at 1.3, but the pathology surgical report measures the tumour at 1.9: would the 1.9 be the DCIS portion and the invasive part with additional adipose tissue?  Or DCIS and Invasive  portion of the tumour together, only?  I have read my pathology report and find no  percentage that separates DCIS and Invasive ductal carcinoma.  I had a lumpectomy, radiation and now Arimidex.  How likely is this tumour with no vessel or nodal invasion present, onco type dx score in low recurrence, to metastasis?

[apicollo]

Thanks for you quick response. I have been on Arimidex for 4 months Femara first two months but the muscle pain was to severe.   Not to many effects in the first two months-of Arimidex- just a headache and some joint pain are my side effects.  My surgeon ordered my Onco-I was a 17 with 8 percent rate of distant mets in 10  years low chance of recurrence for me.  I will probably feel better when time passes as you say..  My doctors tell me I have a good prognosis. .  Thank for the good thoughts - my life is different but I am just beginning to feel some safety in my thoughts of survival.  Take care and thank you for chatting with me..  Annamaria

[zouzi]

Hi Annamaria.
I am glad that you are feeling more reassured.To answer your questions, my Surgeon did not find it necessary for me to have the Oncotype test.The Arimidex I am taking (It's been over one year already) is not giving me too much trouble.In the beginning I used to have mild headaches, but now I am fine...at times I feel fatigued, but when I do,I get on my treadmill and exercise even more than when I am not tired.It always makes me feel better.I don't know when you finished your radio therapy..but if you have just finished recently,  this could be the reason why you are feeling more tired when exercising.I felt the same way when I finished my radiation.My surgeon told me that radio therapy side effects can last for quite some time.. mainly feeling very tired.With time everything has improved,even the aches and pains caused by Arimidex have lessened considerably.I hope that everything will be just fine for you also.Take care now..and have a happy life...

[apicollo]

Thanks for  you reply.  I am also 61.  My interest in knowing what part is invasive and which is not was a calculator used to determine disease free time.  I think the invasive part was 1.3 of the 1.9 tumor.   I agree with you that the cancer is gone.  But, somehow I comfortable with that statement harboring alot of fear of recurrence and of course metastasis.  I felt much better after reading you reply to my post.  Felt a sense of relief in away-if there ever is a worry free moment with this disease.  How is the Arimidex working for you?  I have headaches and fatigue some of the time.  How about you?  Do you work out-I do and the fatigue seems to be intensified.  I have always worked out so to not work out does not work for me.  Did you do the Oncotype DX test?  If so you must have been in the low recurrence?  Best to you also Annamaria

[zouzi]

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