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Pathology report-approaching dcis
Hi,
My doctory just called me with the results of my biopsy. The report says APPROACHING the lowest grade of dcis. I asked my doctor if this means benign or malignant, and he said inbetween. I asked my doctor if I need a lumpectomy or a mastectomy and he said he doesn't know, and referred me to an oncologist. The report also says atypical ductal hyperplasia. Has anyone had the same result from a biopsy report ? Does anyone know if my findings will require surgery?
My doctory just called me with the results of my biopsy. The report says APPROACHING the lowest grade of dcis. I asked my doctor if this means benign or malignant, and he said inbetween. I asked my doctor if I need a lumpectomy or a mastectomy and he said he doesn't know, and referred me to an oncologist. The report also says atypical ductal hyperplasia. Has anyone had the same result from a biopsy report ? Does anyone know if my findings will require surgery?
Hi ncmichigan and butterfly2222,
After all that I have been through I am finally going to get a prize. I went to see a plastic surgeon today, and 1 month after my radiation is completed I am going to have implants for both breast and breast lifts. I start radiation next week. Again thanks so much for your support!
After all that I have been through I am finally going to get a prize. I went to see a plastic surgeon today, and 1 month after my radiation is completed I am going to have implants for both breast and breast lifts. I start radiation next week. Again thanks so much for your support!
Hi Ncmichigan,
My doctor has mentioned starting with Femara. I am taking a bone density test today to see if osteoporosis is a problem. The side effect I am concerned about is hair loss or hair thinning. Di you know women who have experienced that as a side effect from taking ht? The reason I am concerned is that I once had Telogen Effluvium and it causes hair thinning, and I don't want to go through that again. My doctor's did not mention the onco DX test. They probably did not mention it, because they said that I do not require chemo. I will ask my medical oncologist about it. I am going to see a plastic surgeon today, and I am looking forward to getting started with that part of my treatment. As always you have been very helpful. Thank You
My doctor has mentioned starting with Femara. I am taking a bone density test today to see if osteoporosis is a problem. The side effect I am concerned about is hair loss or hair thinning. Di you know women who have experienced that as a side effect from taking ht? The reason I am concerned is that I once had Telogen Effluvium and it causes hair thinning, and I don't want to go through that again. My doctor's did not mention the onco DX test. They probably did not mention it, because they said that I do not require chemo. I will ask my medical oncologist about it. I am going to see a plastic surgeon today, and I am looking forward to getting started with that part of my treatment. As always you have been very helpful. Thank You
Hi, Kate,
From what I've read tamoxifen is used more often to prevent recurrence of DCIS and the AIs (aromatase inhibitors) are used more often for preventing recurrence of IDC. You'd have to ask your doctor's if one or the other is best for both. However, I did read that Arimidex seemed to do slightly better at prevention than Femara but Femara had fewer side effects. There's also Aromacin, but I'm not sure if that's another option for you. Did any of your doctors mention the Oncotype DX test? It's supposed to give them an idea of what your risk of recurrence might be. I know it's helpful in determining if chemo is necessary or not, but I'm not sure if it's helpful in determining which drug is best. It may be something to ask your doctors about at least. I hope this is helpful to you and doesn't just confuse the issue even more.
I'm sure you'll find a good plastic surgeon and good luck with that part of your treatment.
Take care,
nc
From what I've read tamoxifen is used more often to prevent recurrence of DCIS and the AIs (aromatase inhibitors) are used more often for preventing recurrence of IDC. You'd have to ask your doctor's if one or the other is best for both. However, I did read that Arimidex seemed to do slightly better at prevention than Femara but Femara had fewer side effects. There's also Aromacin, but I'm not sure if that's another option for you. Did any of your doctors mention the Oncotype DX test? It's supposed to give them an idea of what your risk of recurrence might be. I know it's helpful in determining if chemo is necessary or not, but I'm not sure if it's helpful in determining which drug is best. It may be something to ask your doctors about at least. I hope this is helpful to you and doesn't just confuse the issue even more.
I'm sure you'll find a good plastic surgeon and good luck with that part of your treatment.
Take care,
nc
Hi Ncmichigan,
You bring up a good point regarding ht could possibly prevent a recurrence of dcis. I need to find out if my medical ocologist was basing his decision on my idc tumor or if he was basing it on my dcis. I am going to see my surgeon tomorrow, and get his opinion of whether he thinks I require ht. You mentioned that some women have little or no side effects. My doctor said that armidex or femora have less side effects than tamoxifen. Do you know which of the two armidex or femora has the least side effects?
Thank you so much for the info regarding breast reconstruction. I will study it. Also, when I see my surgeon tomorrow I will see what he recommends and which plastic surgeon he recommends. You and butterfly have been a blessing for me. In my hour of darkness you were both there to help, and I can't thank you enough!
You bring up a good point regarding ht could possibly prevent a recurrence of dcis. I need to find out if my medical ocologist was basing his decision on my idc tumor or if he was basing it on my dcis. I am going to see my surgeon tomorrow, and get his opinion of whether he thinks I require ht. You mentioned that some women have little or no side effects. My doctor said that armidex or femora have less side effects than tamoxifen. Do you know which of the two armidex or femora has the least side effects?
Thank you so much for the info regarding breast reconstruction. I will study it. Also, when I see my surgeon tomorrow I will see what he recommends and which plastic surgeon he recommends. You and butterfly have been a blessing for me. In my hour of darkness you were both there to help, and I can't thank you enough!
First of all, let me say how happy I am to hear your good news about your path report! I know you must be really relieved and I'm happy that bb and I were able to provide you support---that's what we're here for.
I'm not sure, but it sounds like you're refusing anti-hormonal therapy because one doctor says you don't need it. Are there other reasons for refusing? If not, what does your breast surgeon suggest? If two out of three docs recommend it, I'd certainly consider it. I know
there are side effects to consider, but some women have very little if any side effects. it seems to me that it's at least worth a try if it means preventing a recurrence of your DCIS.
If the side effects are severe you could always stop, but it would certainly be worth a try at least. You might want to consider a second opinion on it from another radiation oncologist and make a decision based on all the opinion.
I just read something today on WebMD re: fat injections after breast cancer.I tried to copy the we site info here but couldn't. Here's the article title and if you type it in at WebMD, I'm sure it'll come up:Fat Injections: Safe for Breast Reconstruction After Cancer?
Study Suggests Technique Known as 'Lipofilling' Has Low Complication Rate
It sounds like it's relatively new and mostly done in Europe. I'd discuss it with your plastic surgeon to see if it's even available and an option for you. If not, I I would think he/she would be your best source for all possible options and the pros and cons of each. From what I have read here, the cosmetic results are much better with your own fat/tissue, but it isn't always possible for all women. If it were me, I'd research it and check it all out and then go with the recommended option that has the best possible results with the least risk of complications. Just carefully review it all before deciding which direction to take. Sue Young has some great info on reconstruction and I hope she'll also fill you in on it.
Of course I wish you all the best in making your decision and hope it all works out for you.
nc
I'm not sure, but it sounds like you're refusing anti-hormonal therapy because one doctor says you don't need it. Are there other reasons for refusing? If not, what does your breast surgeon suggest? If two out of three docs recommend it, I'd certainly consider it. I know
there are side effects to consider, but some women have very little if any side effects. it seems to me that it's at least worth a try if it means preventing a recurrence of your DCIS.
If the side effects are severe you could always stop, but it would certainly be worth a try at least. You might want to consider a second opinion on it from another radiation oncologist and make a decision based on all the opinion.
I just read something today on WebMD re: fat injections after breast cancer.I tried to copy the we site info here but couldn't. Here's the article title and if you type it in at WebMD, I'm sure it'll come up:Fat Injections: Safe for Breast Reconstruction After Cancer?
Study Suggests Technique Known as 'Lipofilling' Has Low Complication Rate
It sounds like it's relatively new and mostly done in Europe. I'd discuss it with your plastic surgeon to see if it's even available and an option for you. If not, I I would think he/she would be your best source for all possible options and the pros and cons of each. From what I have read here, the cosmetic results are much better with your own fat/tissue, but it isn't always possible for all women. If it were me, I'd research it and check it all out and then go with the recommended option that has the best possible results with the least risk of complications. Just carefully review it all before deciding which direction to take. Sue Young has some great info on reconstruction and I hope she'll also fill you in on it.
Of course I wish you all the best in making your decision and hope it all works out for you.
nc
Hi Ncmichigan and Butterfly2222
I am considering to refuse to do hormonal therapy. My medical oncologist wants me to do it. My radiation oncologist said it is not necessary in my case. I know that I am er and pr positive. What I don't know is the percentage of how positive I am. Would the percentage make a difference in me requiring ht? I checked nccn and it said with a tumor less than .05 cm., grade 1, and no lymph node involvement I might not require it. Also, after 2 lumpectomy's I will require plastic surgery. Do you know if fat grafting or an augmentation with implants would be best?
I am considering to refuse to do hormonal therapy. My medical oncologist wants me to do it. My radiation oncologist said it is not necessary in my case. I know that I am er and pr positive. What I don't know is the percentage of how positive I am. Would the percentage make a difference in me requiring ht? I checked nccn and it said with a tumor less than .05 cm., grade 1, and no lymph node involvement I might not require it. Also, after 2 lumpectomy's I will require plastic surgery. Do you know if fat grafting or an augmentation with implants would be best?
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