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|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|
|8/14/2012||I was diagnosed 77 days ago with dcis in bth beasts by mamogram seeing microcalcifications followed by core needle biopsy=left breast one area grade |
2-3 micropapillary and solid with comedo necrosis. Right breast two areas, first area grade 2 cribiform, no comedonecrosis, second area atypia hyperplasia.
At tine of diagnosis I was 39, recently turned 40. I am a very healthy, non smoker, non drinker, perfect weight and active women. I am having a very difficult time trying to decide what is the best course of teatment. Should the patholgy be taken into consideration when making this desicion. I tested BRACA neg. Most of the surgeons I have seen have advised a bilatteral mastectomy,with sentinol node biopsies(scared of getting lyphodema) I would just like to have it removed first and go from there, will they let me. Any advice would be greatly appreciated, thank you.
|Replied||JHU's Breast Center Reply|
|8/14/2012||the spot with ADH needs to have more tissue removed to determine if cancer is or isn't present there. not all the ADH needs to come out either to determine this. so if the cancers in each breast are limited to one spot then bilateral lumpectomies are certainly possible. that also means bilateral radiation too. sentinel node biopsy would be needed if and only if invasive cells were found by pathology. this means tht at time of lumpectomy no sentinel node would be needed and if and only if invasive cells were found by pathology in the lumpectomy specimen would sentinel node biopsy then be warranted. if you want to come to us just call 443-287-2778.|
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