You have described essentially the exact scenario I have recently been diagnosed with by lumpectomy. Microinvasive papillary carcinoma in setting of extensive DCIS, ER/PR+, HER2- The foci were so small that it was decided at tumor board that I do not need a sentinel lymph node biopsy, particularly since I had a needle biopsy of an enlarged lymph node at the time of my breast tumor biopsy, and this lymph node was benign, described as reactive, and happened to be on the same side as my COVID vaccinations 5 months before. I will anticipate whole breast radiation and (at least) 5 years of treatment with likely Letrozole. Ki67 was 5%. I was actually scheduled for the sentinel lymph node biopsy (no telling whether the needle biopsied lymph node was the sentinel node) but the tumor board consensus is that this was not likely necessary. I had been given the option of a sentinel lymph node biopsy at the time of my lumpectomy but my breast surgeon and I both felt that the likelihood was higher it would be negative (so I could keep my lymph node) and tumor board ended up concurring with that decision. The immunohistochemical stains used in pathologic analysis in me were calponin and p63, which did show absence of myoepithelial cells in the solid papillary carcinoma and microinvasion, but the solid papillary carcinoma did not show high nuclear grade and the contours were smooth without desmoplasia. It is completely fascinating to me to see actual slides and hear the histologic interpretation of what I suspect could be like my own slides. Is finding microinvasive ductal carcinoma in the setting of DCIS becoming more common - or are there just ever-better tools to diagnose it? My own tumor was completely non-palpable, by me, my radiologist and my breast surgeon. It was found only on routine screening mammogram (my first abnormal mammogram so far and I am 65 years old).
My bc exactly the same as yours, but had to have a 2nd biopsy bcz of my teams not agreeing with the 1st I had node positive at the lumpectomy but neg in MRI'S & US even the IDC/DCIS was neg in all images but, the US . ITS THE TECHNOLOGY . Definitely
Treatment should never be inadequate. You should have all options of treatment explained to you so an educated choice can be made between your physicians & you . Seeking a second opinion, or 3rd, is always an option if uncertain about the diagnosis or treatment plan.
You have described essentially the exact scenario I have recently been diagnosed with by lumpectomy. Microinvasive papillary carcinoma in setting of extensive DCIS, ER/PR+, HER2- The foci were so small that it was decided at tumor board that I do not need a sentinel lymph node biopsy, particularly since I had a needle biopsy of an enlarged lymph node at the time of my breast tumor biopsy, and this lymph node was benign, described as reactive, and happened to be on the same side as my COVID vaccinations 5 months before. I will anticipate whole breast radiation and (at least) 5 years of treatment with likely Letrozole. Ki67 was 5%. I was actually scheduled for the sentinel lymph node biopsy (no telling whether the needle biopsied lymph node was the sentinel node) but the tumor board consensus is that this was not likely necessary. I had been given the option of a sentinel lymph node biopsy at the time of my lumpectomy but my breast surgeon and I both felt that the likelihood was higher it would be negative (so I could keep my lymph node) and tumor board ended up concurring with that decision. The immunohistochemical stains used in pathologic analysis in me were calponin and p63, which did show absence of myoepithelial cells in the solid papillary carcinoma and microinvasion, but the solid papillary carcinoma did not show high nuclear grade and the contours were smooth without desmoplasia. It is completely fascinating to me to see actual slides and hear the histologic interpretation of what I suspect could be like my own slides. Is finding microinvasive ductal carcinoma in the setting of DCIS becoming more common - or are there just ever-better tools to diagnose it? My own tumor was completely non-palpable, by me, my radiologist and my breast surgeon. It was found only on routine screening mammogram (my first abnormal mammogram so far and I am 65 years old).
My bc exactly the same as yours, but had to have a 2nd biopsy bcz of my teams not agreeing with the 1st I had node positive at the lumpectomy but neg in MRI'S & US even the IDC/DCIS was neg in all images but, the US .
ITS THE TECHNOLOGY .
Definitely
@@TrudyContos-gq1bw Was your 2nd biopsy negative? 🙏
Great presentation!
Thanks your great presentation
Very informative.
Thanks
But, there is a huge surge on women and lung cancer since the past few years ...
God bless and lots a luck
I am 76 will I receive adequate treatment
Treatment should never be inadequate. You should have all options of treatment explained to you so an educated choice can be made between your physicians & you .
Seeking a second opinion, or 3rd, is always an option if uncertain about the diagnosis or treatment plan.