Path report explained

For my own sake I decided to review the path report. I kind of understand most of it but a lot of people have asked me about certain things so maybe this will explain. The Breast Cancer Network of Strength organization has a great brochure that is available to download called “Understanding Your Pathology Report.” Check it out!

Infiltrating Ductal Carcinoma (IDC) – that’s what has been found in both breasts. This is the most common breast cancer. It starts in a milk passage or duct, breaks through the wall of the duct, and invades the tissue of the breast. From there it may be able to spread to other parts of the body. It accounts for about 8 out of 10 invasive breast cancers.*

Ductal carcinoma in situ (DCIS): This is the most common type of non-invasive breast cancer. DCIS means that the cancer is only in the ducts. It has not spread through the walls of the ducts into the tissue of the breast. Nearly all women with cancer at this stage can be cured. Often the best way to find DCIS early is with a mammogram*.  Minimal DCIS noted in the left breast – “1 duct” documented on path report.

Nottingham Grade III of III:  Grade three is the least differentiated and most aggressive of the breast cancer tumors. The features are not normal and are likely to spread and grow quickly. The tubule formation in grade three is less than 10 percent. There is a marked variation in the changing of the cells. There will also be a notable cell division (15 or more) in grade three tumors.**

Nottingham Score 8 of 9:  It is a total score based on 3 different sub-scores. The 3 sub-scores are assigned based on 3 components of how the breast cancer cells look under a microscope. (The details of these 3 components are not critical for you to understand). Each of the 3 components is assigned a sub-score of 1, 2, or 3, with 1 being best and 3 being worst. Once the 3 sub-scores are added, a Nottingham score is obtained: the minimum score possible is 3 (1+1+1) and the maximum possible is 9 (3+3+3).***

There are still other results pending. Estrogen and/or progesterone receptors as well as the Her2 FISH status. These basically refer to what is triggering or affecting the growth of the cancerous cells can can make an impact on treatment options. I can tell you that my first tumor was negative for all.

The size they have documented is also interesting. 19x16X17 mm on the right and 12x14x10 mm on the left. My first tumor was 2.6 cm. Remember 2.54 cm equals 1 inch. I hate meteric and without converting it 1 cm could be 3 feet for all I know! LOL

Sorry if I overwhelmed anyone. It just helps Perry and the kids to be able to see this information to understand. Knowledge is power!!

* From the ACS: What is Breast Cancer page
** From the E-How site on Grades of Breast Cancer
*** From Nottingham Score for Breast Cancer on Onolink

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