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Lumpectomy with Sentinel Node Biopsy Questions about Lumpectomy with Sentinel Node Biopsy. |
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| 1/21/2006 | Original Biopsy er-,pr weakly positive Her2neu- Over 5cm multifocal tumors Grade 3 Clincal trial 4 FEc 4 Taxotere & Xeloda Lumpectomy 1/17/06 SNB Nodes (1st) Negative (2nd) Positive metastic carcinoma Two tested.Focal residual in-situ and invasiveductal carcinoma with calcifications and chemo artifact. Tumor At least 1 cm, Nottingham grade 2of 3 moderately differentiated. Lymphatic /vascular invasion: Not identified. DCIS less than 10% of lesion High Grade. Central necrosis: ABSENT..Pattern of DCIS-CRIBIFORM..Extensive microcalcifications. Sclerosing adenosis and atrophic change. Margins DCIS and invasive carcinoma present 1mm from the superior margin. 3mm from posterior (deep) margin.. All other margins widely negative. No lymphovascular invasion is identified. Immunohistochemistry testing. Sugeon stopped taking more nodes because she has taken all her chemo all-ready Also claims clear margins for her. Any comments appreciated.. Prognosis???.. | ||
| Replied | JHU's Breast Center Reply | ||
| 1/21/2006 | ask if the superior margin can be surgically improvedor not. the surgeon would know the answer to that. also ask about having her case presented at tumor board to discuss if more nodes should be sampled. actual diameter of tumor now wasn't mentioned, nor her2neu, hormone receptors and such which all play a role in prognostic assessment. meet with the oncologist to discuss those things and ask about prognosis. | ||
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