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|Forum||Questions||Ask a Question|
|Understanding Pathology Results
Questions explaining and understanding pathology results.
|Asked||Publicly Submitted Question|
|3/20/2012||I'd like some information on standard of care for my breast cancer, based on my pathology report. |
IDC SBR Grade III, Triple Negative, Tumor is 6mm, Fish test pending
Associated DCIS, high nuclear grade, solid type, associated with index lesion forming 10% of tumor volume.
Clear margins (all greater than 2mm other than a 1mm margin by the DCIS.)
Sentinel Nodes all negative (three)
Ki-67: 30-35% of cells
I am meeting with the oncologist on Thursday to discuss the next steps, but the surgeon has said that the team is recommending 4 rounds of TC followed by radiation. Given that it's high grade and triple negative, I want to make sure that this is adequate. Is this the typical standard of care? (I'm 45 years old.)
Also, it is it acceptable to have the 1mm margin by the DCIS area only?
|Replied||JHU's Breast Center Reply|
|3/20/2012||Thank you for turning to the Johns Hopkins Breast Center. With FISH pending, not definitively TNBC. PLease wait and discuss with breast medical oncologist, as no disrespect to the surgeon. Consider a formal consult with a breast medical oncologist at an academic medical/cancer center, even if you need to travel a bit. Many clinical trials may be available, as well as tx recommendations specifically for TNBC and your individual case. If we can help, please call Sheila @ 443-287-BRST (2778) for an appointment. Hope this helps and best wishes!|
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