Posts Tagged ‘pathologist’

Tubular Carcinoma

Question: Pathologist gave a diagnosis of Invasive ductal cancer grade 1 (2/2/1), however when asked said it was a tubular cancer are these two different? thank you

Invasive Lobular vs. Invasive Ductal Carcinoma

Question: What is the difference between invasive lobular and ductal carcinoma? My first biopsy I had at my ultrasound said “invasive lobular carcinoma grade 2/3″ and my surgery biopsy said “invasive ductal carcinoma grade 2/3″. Does this make any difference?

Tumor Grade Changed from 1 to 3

Question: My core biopsy path report stated a tumor grade of 1. Four weeks later, the lumpectomy path report states tumor grade 3. Can the tumor really be progressing this rapidly? Thanks for your time.

Sclerosing Adenosis on Core Biopsy

Question: What is “sclerosing adenosis”? Is this related to breast cancer? That’s my diagnosis on my biopsy that my doctor did. Do I need to have surgery? She said no, but I’m concerned. It sounds worrisome.

ADH or no ADH on core?

Question: My core biopsy came back as “fibrocystic changes with a small focus of atypical ductal hyperplasia. calcifications are present within the focus of atypical ductal hyperplasia and in surrounding ducts.” My sister’s friend is a breast cancer nurse and recommended I get a second opinion at her hospital and so I had them [...]

ALH vs. LCIS

Question: I am 56 years old and I go for my mammogram every year and my doctor said there were some calcificatons in my right breast and recommends biopsy. So I had a needle biopsy that showed “lobular carcinoma in situ” that is what the report said. He said I needed surgery which I dont [...]

Continued Disagreement on Whether Certain “High Risk” Breast Lesions on Core Biopsy Require Surgery

I recently posted a pdf version of our course on “Controversies on the Management of High Risk Breast Lesions on Core Biopsy” that my Radiology colleague and I gave in San Diego last year.  The diagnoses we are referring to as “high risk” on core biopsy include atypical lobular hyperplasia/lobular carcinoma in situ, papilloma, radial [...]

DCIS and Need for Re-Excision Following Positive Margins

Question: Hello, and thanks for taking the time to answer my questions.
March 29th first biopsy done, clinical information and history: Bloody nipple discharge left breast for 20 months, papilloma suspected, mammogram clear. Diagnosis after excision: 1. Low grade DCIS 2. Focal proliferative fibrocystic changes and small intraductal papilloma 3. DCIS [...]

DCIS on Core but only ADH on Excision

Question: I am 40 years old and had my first mammogram 2 months ago. It showed a 5 mm area of micro calcifications. I had a stereotactic vacuum assisted biopsy and 8 samples were retrieved. The histopath came back as DCIS – cribriform, clinging, with a nuclear grade of 2 out of 3. The slides [...]

Our Course on High Risk Breast Lesions on Core Biopsy

I have uploaded a pdf version of our course on high risk lesions on breast core biopsy that we gave last year in San Diego.  We used an audience response system so if you follow through the slides you’ll see the questions we asked of the audience and the responses that we received in real [...]