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Intraductal Papillomas
General questions about intraductal papillomas.
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AskedPublicly Submitted Question
7/28/2017-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 margins

The first surgery removed the tumor and surond tissues, lab report said that the margins are clean for invasive, but not DCIS. Suggested to do second surgery for nest.

How do surgeon know how much more need to be cut out for get clean margins if do the second surgery? How about wait and see without second surgery? any alternative ways besides surgery and radioactive treatment at this situation?
RepliedJHU's Breast Center Reply
7/28/2017you want a breast surgical oncologist who specalizes in breast cancer. so make sure the surgeon is a breast surgical oncologist. that said, they can tell by looking at the imaging studies and most importantly reviewing the pathology slides with the pathologist to see how much more tissue at specific margin locations that are anatomically known needs to be removed as a re-excision procedure. there was no mention of a sentinel node biopsy in this description. if such a procedure wasn't done the first time it needs to be done with this re-excision procedure. no alternatives to surgery.

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