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i need to know what is the treatment in this case ? chemotherapy or not ?

toblina63
Posts: 16
Joined: Sep 2012

we have already three treatment of FEC chemotherapy before the mastectomy surgical

*now this is the result of pathology:

Gross:
Spceimen consisted of MRM measured 32*22*2
cm, skin ellipse measured 17*13 cm showing
incision measured 7 cm long leading to
cavity with no remenants of previously
resected tumor tissue measured 9*8*6 cm.
Surgical margins are grossly free, least
margin measured 0.5 cm. dissection of
axilla revealed 15 lymph nodes, largest
measured 2 cm in diameter with grayish cut
section.

Microscopic:
Sections examined from the specimen
received revealed breast tissue with
inflammatory reaction and granulations,
site of previous resection.
No remnants of previously resected tumor.
Sections from the nipple and areola are
free.
Surgical margins are free.
Sections examined from the axillary nodes
revealed metastatic deposits formed of
monotonous hyperchromatic cells surrounded
by moderate desmoplasia in 5 of 15 lymph
nodes with capsular infiltration.

Diagnosis:
Right breast, MRM, NO REMNANTS OF
PREVIOSLY RESECTED TUMER TISSUE, FREE
SURGICAL MARGINS, AXILLARY LYMPH NODE
METASTASIS OF METASTATIC LOBULAR
CARCINOMA, L.N 5 / 15 , WITH EVIDENCE OF
CAPSULAR INFILTRATION.

any comments of useful replay ?

toblina63
Posts: 16
Joined: Sep 2012

any comments

Gabe N Abby Mom's picture
Gabe N Abby Mom
Posts: 2415
Joined: Sep 2010

Toblina, we are each of us so very different, and there are many factors beyond your pathology report that will determine your need for chemo or no chemo.

This is truly a question for your doctor. What is the oncologist recommending? Why is he recommending that particular plan? What kind of results does he expect from that recommendation? Those are some (I think) critical questions that you should be asking to help make your decision. If you are not satisfied with your oncologist response, you can always get a 2nd or 3rd oncology opinion.

Good luck in making this decision, it is a difficult one.

Hugs,

Linda

VickiSam's picture
VickiSam
Posts: 8220
Joined: Aug 2009

Sorry Toblina for coming on the journey that none of us wanted to be on. Like my Sister in PINK, Linda has stated .. We are different. Get in as quickly as possible to see
your Oncologist.. My suggestion -- bring a family member, friend as well as a tape
recorder with you. Allow yourself time to absorb the information that is being given to you; take someone with you if possible to hear when you can't possibly absorb it all.

Please know that you will get through it. The waiting is really one of the hardest parts. Once you have a treatment plan in place, things will start to go a lot faster. We on this board know about the waiting and the myriad of emotions one goes through -- so let us wait with you.

Post whenever you feel the urge and we'll keep you company. I think at this point it is easy to get overwhelmed with all the new things happening in your life. It might help to take things one step and one day (sometimes even one hour) at a time. Get your results, talk to your doctor, give yourself some time to digest, etc.

We are here to support you.... but, first you need to get some direct information from
your doctor, and Quickly.

Strength, Courage and HOPE for a Cure.

Vicki Sam

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