Interpretation of pathological report

[Jini05]

9 cores of soft tan white yellow hemorrhagic tissue with a combined length of 11.4 cm and measuring 0.2cm in diameter.  Totally submitted in cassettes 1A-1C.

My breast pathological report states that DCIS , High Grade and focuc suspicious for invasive carcinoma with calcifications identified.  Grade of Invasive Carcinoma:  Not identified, Hormones Receptors Ordered: No, Nuclear Score: Grade 3: Marked Variation, Coagulation Necrosis:  1+ Little or none including a few small punctate foci (<10% of coci), Lympathic or Blood Vessel invasion: No, Calcifications:  Yes,  Location: associated with benign breast tissue and DCIS.
Comment: Multiple histological levels have been examined sections show high grade dcis, calcifications are identified. On block 1A there is a focus suspicious for invasice carcinoma with desmoplastic type stroma and inflammation, however definitive features of invasion are not identified.  Immunohistochemical staining for smooth muscle myosin heavy chain and p63 have been performed and non-contributory due to technical issues. Can someone please interpret this report for me?  Please tell me the type of treatments available?

[bluebutterfly2222]

Hi,

bluebutterfly here... Thanks for updating us on your situation!

By the way, here is a link to your original thread:

http://www.medhelp.org/posts/Breast-Cancer/Pathological-Report-Interpretation/show/1436395?personal_page_id=1970858#post_6544206

We prefer that people keep their related posts in one thread, so that: 1) all of their information will be available in one place, which helps us to provide better answers; 2) we will be able to see the answers that have already been given, so we do not to duplicate our efforts; and 3) so that readers interested in a particular thread will know when additional developments have been  discussed.

It would be helpful if you would copy your latest post, and in the future, add any additional questions or comments, to that origninal, more complete thread. (Just click on the link to go there). Thanks!

Regards,
bb

[Jini05]

Hi Japdip

I hope you are doing fine as for me I am fine.

Went to the surgeon and he told me he would do a lumpectomy and send the tissue he will withdraw to the pathologist for further test.  I will have a wire localization and an injection for the sentinel lymph node on the  morning of the surgery and have the surgery right after.  He has proposed that I do 5 weeks of radiation but this will depend on the pathologist report.

Thank you so much for all your support and I am now thinking of the two procedures that I will have to undergo before the surgery that is the wire localization and the injection for the sentinel lymph node.  Can you please clarify me on this?

Thanks can you please let bluebutterfly know about that.

[japdip]

Duplicate post .... answered previously !