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AskedPublicly Submitted Question
8/26/2017Hello, my 78 yr old mother had a clean mammogram last year, and this year was just diagnosed with a 7cm invasive ductal carcinoma grade 3, TNM 9. I am concerned because my mother seems to think this is no big deal, and her doctors are treating this as casual and very routine. Her doctor told her "don't worry, I can cure cancer". While I have no doubt that is true, I am not sure adequate staging has been done to fully assess the extent of the cancer prior to just planning a simple lumpectomy- out patient surgery. My mom had no idea that grade three was very bad, or that her tumor was very large- she said that the doctors said it was ok because they "caught it early"- how can I tell if she is being given the correct information? They want to do surgery this Tuesday, but I am very uneasy- any advice is greatly appreciated.
RepliedJHU's Breast Center Reply
8/27/2017it is nearly impossible to do a lumpectomy on a tumor that is 7cms in size. chemo is standard of care to be done FIRST to shrink the tumor before any surgery is done. double check the size. i am hoping that it actually is 7mm and not 7cms. Grade 3 is common. important to know the prognostic factors of the tumor-- ER, PR and HER2 . If it truly is 7cms then a staging work up is needed too-- to look at lungs, liver, bones. if it is only 7mm then no staging work up needed. And again if it is truly 7cms then an ultrasound of her underarm is needed to evaluate and possibly biopsy a node that may look suspicious. Bring her to us if at all possible. she needs to be in the hands of doctors who ALL specialize in breast cancer. 443-997-1513. its worth traveling for. you wrote "TNM9" - i don't know what the 9 means.

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