Posts Tagged ‘core biopsy’

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

New Book Correlating Breast Radiology with Breast Pathology

I’m excited to announce that my radiology colleague from Harvard and I found out our book proposal correlating breast imaging with breast pathology has been accepted by publishers Lippincott Williams & Wilkins. This textbook/atlas should be out by Fall of 2014.

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 [...]

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 [...]

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 [...]

Recurrent Breast Cancer with No Residual Cancer Found at Mastectomy

Question:  Hi. I had a reoccurrence with my breast cancer in may of this year, they did a punch biopsy on it and it came back as IDC grade 2, ER and PR positive.  On the punch biopsy pathology report there are no notes on margins it just says Recurrent IDC is multifocal and surrounding [...]

New Speaking Engagements for Pacific Breast Pathology

Our course entitled “Ten Diagnoses in Breast Pathology You Cannot Afford to Miss” was accepted for a three-year run beginning in March 2013 at the United States and Canadian Academy of Pathology Annual Meeting.  We will be giving the course in Baltimore in 2013, San Diego in 2014, then Boston in 2015. I am giving [...]