Posts Tagged ‘breast cancer’

Understanding Pathology Reports

Question: Please check my pathology results and advise me how I should proceed. Hope to hear from you at your earliest convenience. Thanks

Do You Need Surgery After a Core Needle Biopsy Diagnosis of a High Risk Breast Lesion?

This article about high risk breast lesions in HealthImaging highlights what my Radiology colleague from Harvard and I have been writing and lecturing about over the past several years. There remains significant controversy on how to treat high risk breast lesions that are diagnosed on needle core biopsy. Among these high risk lesions are lobular neoplasia [...]

Understanding Pathology Report

Question: Understanding my report: invasive ductal carcinoma -histologic grade: nottingham histologic score III/III (tubule score=3, nuclear score=3, mitoses=2) -size of largest focus: 09 cm Estrogen receptor-negative (0%) Progesterone receptor-negative (0%) HER2/neu-positive (3%) Ki

ADH at Surgical Margin

Question: I recently had surgery after my core biopsy for ductal carcinoma in situ. The pathology report said the cancer measured 4 mm but there was “focal atypical ductal hyperplasia at the lateral inked margin”. My doctor said not to worry about that, but that worries me that there is more tumor left in my [...]

Is Bilateral Mastectomy Necessary When Another Cancer Shows up in the Opposite Breast?

Question: I had a needle core biopsy LEFT breast…under Diagnosis it states …….-invasive mammary carcinoma (crush artifact present)……diagnosis confirmation by the Dr on april 1st 2013 Speciman that was sent was labelled “core biopsy left breast” and consisted of 3 cores of tan yellow core biopsies measuring from .3cm to .6 cm…….with one needle core [...]

What Do You Know About The Doctor That Diagnosed Your Breast Biopsy?

If you or someone you know has felt a breast lump or had an abnormal mammogram, you know it can be a very scary situation.  The immediate fear is “I might have breast cancer.” When confronted with a breast health issue, many patients seek out a particular breast center or a breast doctor well-known for [...]

Understanding Pathology Reports

Question: report says histologic sections show neoplastic breast tissue with epithlial and desmoplastic stromal components present. there are nests of maliglant epithelial cells invading the stroma and adjacent fatty tissues. the epithelials have hyperchromatic nuclei with 6 to7 mitotic figures seen per high power field. there are also moderate foci of tubular formation and the [...]

Understanding Pathology Reports

Question: i had a needle core biopsy and this is what the pathology said but i do not understand right breast -invasive mammary carcinoma -no lymphovascular or ductal carcinoma in situ identified –breast cancer prognosis profile –estrogen recptor 100% positivity(favorable) –progesterone rector 100% positivity(favorable) –ki-67-30% postivity(elevated, unfavorable) –her2 cen-17 ratio pending can you help me [...]

Can FNA or Core Biopsy Spread Cancer Cells?

Question: Do needle-core biopsies spread or “seed” cancer cells? I have two references at least that address this one in archives of surgery: medical journal on issue of needle core biopsies spreading cancer cells: Manipulation of the Primary Breast Tumor and the Incidence of Sentinel Node Metastases From Invasive Breast Cancer spreading cancer cells: Nora [...]

High Grade DCIS

Question: I would like to understand better this Final Diagnosis:left breast, retroareolar,stereotactic core biopsy: Ductal carcinoma in-situ,high nuclear,cribriform,solid and comedo types. Ductal carcinoma in situ is associated with calcifications and necrosis. Note:Immunostains for strogen receptor and progesterone receptor will be performed and reported in an addendum. ADDENDUM:ductal carcinoma in-situ is strongly and diffusely positive for [...]