Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.
If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-997-8282. It is possible to get an appointment for a second opinion within a few days of contacting us.
We hope you find the information helpful!
|Forum||Questions||Ask a Question|
|Types and Stages of Breast Cancer
Questions about the different types and stages of breast cancer.
|Asked||Publicly Submitted Question|
|4/1/2010||I am 47yo female, menopause, and diagnosed with invasive lobular carcinoma. Residual 0.2 cm in diameter. Overall grade on the Nottingham Histologic Score - Cannot Grade Residual. Glandular/Tubular differentiation - Score 3, Nuclear Pleomorphism - Score 2, Mitotic Count - Cannot Grade, 10 HPF. Lymph-Vascular Invasion - YesNode Negative (sn) Primary Tumor (pT) - pT1a and Regional Lymph Nodes pNO(i-)ER / PR +, and HER-2/neu negative.Procedure performed on 3/11, bilateral simple mastectomy.Question: There is limited information in the oncology journals related to tumors of this type, 1cm. I am currently evaluating the need for chemo. What area should I focus on to assist with making this determination? I am healthy, exercise, non smoker, 5'7", 125lbs, and food intake primarily fruit, vegetables, lean meat and fish. Family hx of breast cancer, maternal. Currently waiting on brac analysis results.Thank you in advance for your assistance.Faye|
|Replied||JHU's Breast Center Reply|
|4/1/2010||sounds like caught early. stage 1. good news. favorable prognostic factors. go to www.breastcancer.org and use the breast cancer coach. you will see my face there. i'll walk you through information about your pathology report and how decisions are made with the help of pathology tools to determine if your specific cancer cells are more likely or not to want to recur. you can also go to www.networkofstrength.org and view it there too. look in literature about oncotypeDX. L|
Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.
The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.