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Intraductal Papillomas
General questions about intraductal papillomas.
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AskedPublicly Submitted Question
7/20/2017The tumor was 1.9 x1.5 x1.4 cm. Dignosis report after surgery is:
-Invasive cribriform adenocarconoma, BSR grade 2, 2.3cm in maximal dimension, association with intracystic papiliary adenocarconoma + DCIS of intermediate + cribriform type.
- DCIS involves anterior, inferior, + posterior surgical amrgins

Would you please explain me the result? dose it mean there are two types cancers in the tumor also at outside the tumor?

The report also said:
Tumor size: size of largest invasive carcinoma, great dimension of largest focus of invasion >1mm: 2.3 cm
size (EXtent of DCIS
Estimated size (extent) of DCIS: at least 23mm
Dose this mean the DCIS and invasive at same place and same size?

The report said the margins are clean for invasive, but not DCIS, the surgeon suggested another surgery to remove more tissue, could the surgeo know the size of tissue that has to be removed, or just try one more time and send to the lab, if not enough, then do another surgery? Can some DCIS grade 2 be left there witout more cut? I know there would be risk, how high? Can hormone therapy control it? ER+

Why do the margin need to be 2mm free with out DCIS?

PT2: Tumor >20mm but d50 mm in greatest dimension. What is this meaning?

RepliedJHU's Breast Center Reply
7/20/2017In invasive cribriform carcinoma, the cancer cells invade the stroma (connective tissues of the breast) in nestlike formations between the ducts and lobules. Usually some ductal carcinoma in situ (DCIS) of the cribriform type is present as well. DCIS is confined within the ducts. DCIS was present at the margins of the tissue removed. It is generally recommended that the width for a clear margin be at least 2 mm. Clear margins offer the lowest risk of recurrence in the same breast.

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