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Family Support
Questions about breast cancer & family support.
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AskedPublicly Submitted Question
6/9/2015Hi! My 89 year old Mum was recently diagnosed with invasive lobular breast cancer and has had a lumpectomy to remove the tumor. The pathology report has come back showing focal involvement of three margins, although the path report also shows a list of margins, all of which are "clear" even though two are "close" (<1mm). Her surgeon is now suggesting a single mastectomy, but to me this seems kind of radical in someone of this age with a slow-growing cancer. Her cancer is ER+, so it seems to me that doing no further surgery, and possibly doing nothing at all or maybe doing hormonal therapy, would be just as satisfactory. I am geographically far away from her and cannot go with her to her doctor's appointments so I am trying to provide what support I can by being her researcher!

Thanks for any information you can give me.
RepliedJHU's Breast Center Reply
6/9/2015sometimes some surgeons take additional slivers of margins after the lumpectomy is done in anticipation that for invasive lobular there can be margin issues. so find out if that was done. she does need clear margins meaning no cancer at any of the margins. based on age and ER status no radiation is needed. hormonal therapy might be recommended. mastectomy is a big surgery for a small residual problem.

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