Aa
Aa
A
A
A
Close
Avatar universal

conflicting pathology reports

I have dcis in my left breast. I have had two lumpectomies and was about to have radiation. When the radiation oncologist got her pathology report -it read that the margins were not clear enough for radiation. My pathology report after surgery in another hospital said my margins were clear for radiation. I am totally confused. What should I do?
4 Responses
Sort by: Helpful Oldest Newest
739091 tn?1300666027
Oh, and if you need any information on those surgeries let me know. Best wishes to you.
Helpful - 0
739091 tn?1300666027
If you decide to do that you need to know that you also have the right for immediate reconstruction or delayed reconstruction or no reconstruction. If you are planning on the radiation, you don't want to go the expander and/or implant route as implants and radiation don't play well together. There are tissue transfer options out that do tolerate radiation before reconstruction or delayed reconstrucion. I will break them down into two categories, muscle sparing or muscle moved.

Muscle moved tissue transfer options would be tram flap. I am not including lattisimus flap as that may involve an implant and alloderm with the muscle moved from your back to your front to help "sling" the implant.

Muscle sparing options would include: DIEP flap, Stacked DIEP FLAP, SIEA Flap, Bilateral Simultaneous immediate GAP flap, SGAP Flap, IGAP Flap, and Hip Flap.

Note** Plastic surgeons will only offer the surgeries they know how to perform. The muscle sparing reconstruction surgeries require specialized Micro surgeon/Plastic surgeons.

I chose DIEP flap and am thrilled with my reconstruction.

I hope I've given you some things to think about without overloading you.
Helpful - 0
Avatar universal
Yes, mastectomy is definitely an option I am considering. Probably a double mastectomy.
Helpful - 0
739091 tn?1300666027
Is mastectomy an option or would you feeling better getting a third opinion?
Helpful - 0
Have an Answer?

You are reading content posted in the Breast Cancer Community

Didn't find the answer you were looking for?
Ask a question
Popular Resources
A quick primer on the different ways breast cancer can be treated.
Diet and digestion have more to do with cancer prevention than you may realize
From mammograms to personal hygiene, learn the truth about these deadly breast cancer rumors.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.