Pathology – unofficial report

Dr G called me tonight at home to check in and share some information from the surgery last Thursday. This is not the “full pathology report” which we should have by Monday, but it provides a general overview of what they know based on tissue samples.

What we knew Thursday:

  • Dr G felt confident that the sentinel node biopsy went well (meaning negative) and they got all the cancer out.
  • Based on the location of the TTT, my plastic surgeon Dr K felt that I was a good candidate for nipple sparring breast reconstruction, which is was what they did.

Pathology 11/19:

  • They removed 2 lymph nodes on my left side, both which were negative.
  • The right breast had some benign fibrocystic masses, which they removed.
  • The margins were negative, or clear.
  • The IDC tumor on my left breast measured 1.1 cm. This is double the size (while still being quite small) than what they expected it to be based on the biopsy, mammogram and MRI. This is not unusual for the actual size to be bigger than what was originally thought.
  • They found Ductal Carcinoma in Situ (DCIS) mixed in the left breast, close to the skin (top of breast) which was 3 ml away from the tumor. This was not expected, but is not uncommon, as it’s routinely thought that the origin of cancer cells begins with “in situ” before it develops into invasive ductal carcinoma.
  • It looks like when I have my expander exchange surgery, I will also have Dr G come and scrape more tissue to make sure she got all of the remaining DCIS on my left breast which is close to the skin just to be safe.
  • I will meet with my oncologist Dr H on Monday and we will go over the game plan for prevention and treatment.

xo

JG

ps. PW2013 has come to an end.

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