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 443-778-2778. 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 | |
|---|---|---|---|
 |
Questions to ask to ensure you are in good hands Questions on what to ask to make sure your in good hands. |
1,753 |  |
| Asked | Publicly Submitted Question | ||
|---|---|---|---|
| 12/7/2011 | I had a double mastectomy in July for extensive DCIS and multifocal IDC 2mm, 1.8mm, 1.0mm, and .08mm. The SN biopsy was negative. The cancer and pre-cancer was all found in the upper right quadrant. My right breast was clean. My hormone receptors are >90 Estrogen, >90 Progesterone and Her2 negative. Grade 1, Stage 1a. My Oncotype score from the 2mm tumor was 8. I also had an elective total hysterectomy in September and am taking Arimidex for 5 years. I am 41. My question and concern is since all of my tumors were located in the same quadrant can I be sure they all had the same tumor characteristics and what if the 1.8 didn’t? It is a new concern I had not considered earlier. My doctors never mentioned they were different but there was no confirmation on my pathology report that each was tested. Please let me know your thoughts. Thank you. | ||
| Replied | JHU's Breast Center Reply | ||
| 12/8/2011 | congrats on having very favorable pathology results. cancer found in the same breast and particularly in the same quadrant is the same cancer. A time when it may be different is with the evidence of a primary cancer in the opposite breast. Even if there was no such thing as OncotypeDX, it would be very unusual for a patient with such tiny amount of invasive disease. | ||
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.