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|Forum||Questions||Ask a Question|
|Understanding Pathology Results
Questions explaining and understanding pathology results.
|Asked||Publicly Submitted Question|
|2/8/2012||I met with my surgeon this morning to discuss lumpectomy vs mastectomy. Tumor is 2.5cm and is invasive ductal carcinoma. I do not understand the ER+ and HER2+ receptors being part of the same diagnosis. The surgeon tells me these two results almost never appear together. True? Mitotic rate is 2 with 11 divisions in a 10x field. I won't know about lymph node involvement until after the lumpectomy ... have I made the right choice?|
|Replied||JHU's Breast Center Reply|
|2/8/2012||hhhmmm. it is quite common to see ER+ and HER2+ receptors in a patient's pathology report. These prognostic factors do not impact the decision as to which surgery to do. They influence instead systemic treatment --- chemo, hormonal therapy, biologic targeted therapies. So if you have adequate breast volume then lumpectomy sounds very likely quite doable. We see and treat a lot of women with your exact pathology. It's important that the team taking care of you is experienced with triple positive breast cancer. if you want to come to us just call 443-287-2778.|
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