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Concerns about Breast Cancer Family History Questions on genetics, family history & breast cancer. |
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| 11/16/2011 | Thank you for your fast reply. Since writing, she received the path report which said "within the epidermis and papillary dermis, there are small nests and cords of cells, some of which are arranged as small glands around a central lumen. Many of the cells have enlarged vesicular nuclei with conspicuous nucleoli and moderate amounts of pale staining cytoplasm." The diagnosis is listed as Paget's Disease, Invasive, and the gross description is 2x2x5 MM. She hears what "her breasts are telling her", as you put it, and is expecting to be told to have double mastectomy and chemo. Right now she doesn't want to do reconstruction. She's 73 and in good health otherwise. Why didn't her chemo (I forget protocol but it was termed "chemo light" by the oncologist) eradicate the Paget's? And since the Paget's is called invasive, does this mean there is a tumor that didn't show up in imaging? Finally, what are her expected 5 and 10 year outcomes? I think this will factor into her decision about doing reconstruction or not. | ||
| Replied | JHU's Breast Center Reply | ||
| 11/16/2011 | Each patient is unique, each cancer is unique, and thus treatment is complex and individualized. So we would be happy to consult with her as a second opinion if desired, to be able to address specific, detailed questions. Please call Sheila @ 443-287-BRST for guidance on scheduling. Certainly her own breast medical oncologist would be most familiar with her case and would be happy as well to answer your questions in detail. It's difficult in this forum to go into such depth. Sincerely, best wishes. | ||
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