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Re: Comedo Type DCIS

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Char I had absolutely no pain from my mastectomy. I will keep you in my prayers.

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nne

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Comedo Type DCIS

I have had my cyst removed and tested and the results on my left breast

it DCIS. I think I mentioned this in an earlier post. The margin was

3cm? But Doctor said he perfers 5 so they may go in later to clean out

more?

The DCIS is the " Comedo " type and I was wondering if anyone had this

type, and from what I am understanding it is a High Risk type of having

invasive cancer? If you have it or had it, what decision did you make

in treatment?

(I have my right breast done on Tuesday the 17th on three areas using

Large Core Needle Biopsy.)

Theres just so much out there to read and learn about its overwhelming.

Oh and also, when the took out my two cyst/lumps in my surgery I am

having some shooting pains in my armpit, does anyone know why? My

breast is very sensitive too, I hate my shirts touching it. If I have

to have a mastectomy of some type or lumpectomy, will I be

experienceing this pain more so?

hugs

char

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Hi Char,

3cm sounds like pretty large margins. I thought (at least for

lumpectomies) 2mm was considered a clean margin. Was it 3mm or 3cm?

I'm not sure if comedo in and of itself tells you anything. Your

pathology report should list the grade of the cancer. The higher the

grade, the more aggressive it is.

take care,

starshinespedestal wrote on 10/12/2006, 10:07 AM:

> I have had my cyst removed and tested and the results on my left breast

> it DCIS. I think I mentioned this in an earlier post. The margin was

> 3cm? But Doctor said he perfers 5 so they may go in later to clean out

> more?

>

> The DCIS is the " Comedo " type and I was wondering if anyone had this

> type, and from what I am understanding it is a High Risk type of having

> invasive cancer? If you have it or had it, what decision did you make

> in treatment?

>

> (I have my right breast done on Tuesday the 17th on three areas using

> Large Core Needle Biopsy.)

>

> Theres just so much out there to read and learn about its overwhelming.

>

> Oh and also, when the took out my two cyst/lumps in my surgery I am

> having some shooting pains in my armpit, does anyone know why? My

> breast is very sensitive too, I hate my shirts touching it. If I have

> to have a mastectomy of some type or lumpectomy, will I be

> experienceing this pain more so?

>

> hugs

> char

>

>

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>

I meant to say 3mm sorry. I dont see the grade on the pathology

report. When I asked the surgeon on my follow-up he didnt see it on

there either. I do however see something listed as this: Nuclear

Pleomorphism:3

Also he said I was Estrogen Receptor Positive, which I dont see that

on the report either. What I see is estrogen receptors: to be

performed and reported later.

So I dont know if I have a full report or not a current one or

something.

Definantion of Comedo:(But I dont know if this refers to the grade)

Comedo type DCIS. Comedo looks and acts differently from other in

situ subtypes. Comedo tends to be slightly more aggressive than other

forms of DCIS. These cells are closer to invasive breast cancer cells

in how they look and behave than other forms of DCIS. Comedo cells

look different under the microscope because the center of the duct is

plugged with dead cellular debris, known as necrosis. Necrosis seen

under a microscope in DCIS usually means that the cells are fast-

growing and are generally more aggressive or high-grade. Also,

microcalcifications (small abnormal calcium deposits) are frequently

seen in the areas of necrosis.

Hugs

char

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Pathology reports " evolve " . Not all the tests are performed,

initially. You will have to keep asking for the most current report

untill all the information is there. My Her2 test was not performed

until 2 months after the mastectomy, thanks to the fact that the

hospital does not do it routenely and the surgeon neglected to ask for

it. I had to remind him twice before he did. You really have to be

on the ball.

Ruth

>

> >

>

> I meant to say 3mm sorry. I dont see the grade on the pathology

> report. When I asked the surgeon on my follow-up he didnt see it on

> there either. I do however see something listed as this: Nuclear

> Pleomorphism:3

>

> Also he said I was Estrogen Receptor Positive, which I dont see that

> on the report either. What I see is estrogen receptors: to be

> performed and reported later.

>

> So I dont know if I have a full report or not a current one or

> something.

>

> Definantion of Comedo:(But I dont know if this refers to the grade)

>

> Comedo type DCIS. Comedo looks and acts differently from other in

> situ subtypes. Comedo tends to be slightly more aggressive than other

> forms of DCIS. These cells are closer to invasive breast cancer cells

> in how they look and behave than other forms of DCIS. Comedo cells

> look different under the microscope because the center of the duct is

> plugged with dead cellular debris, known as necrosis. Necrosis seen

> under a microscope in DCIS usually means that the cells are fast-

> growing and are generally more aggressive or high-grade. Also,

> microcalcifications (small abnormal calcium deposits) are frequently

> seen in the areas of necrosis.

>

> Hugs

> char

>

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Char -

Sounds like a Grade 3 which means the cells are " poorly

differentiated " in nature and could be invasive. I'm cetainly no

Dr. - but would highly recommend that you call either your

oncologist or maybe his/her assistant and " go over " your path

reports with them. What you are looking for is Stage, Grade,

margin, lymph node involvement, est. recep pos or neg and Her2nu pos

or neg. There may be something else, but I can't think of it right

now. At least the markers I gave you above will give you a better

understanding of your " make-up " and help you make decisions. I've

said this before, I know, but I used Dr. Love's Breast Cancer

book to help me decifer all the numbers when I got them. I'm sure

there is someone in the oncologist's office who could take the time

to sit with you, even over the phone, and go over these items. It's

important that you be as clear about everything as possible. There

are big decisions which will impact you and you sure are entitled to

know everything there is to know. Hope this helps.

Hugs,

Ellen

>

> >

>

> I meant to say 3mm sorry. I dont see the grade on the pathology

> report. When I asked the surgeon on my follow-up he didnt see it

on

> there either. I do however see something listed as this: Nuclear

> Pleomorphism:3

>

> Also he said I was Estrogen Receptor Positive, which I dont see

that

> on the report either. What I see is estrogen receptors: to be

> performed and reported later.

>

> So I dont know if I have a full report or not a current one or

> something.

>

> Definantion of Comedo:(But I dont know if this refers to the grade)

>

> Comedo type DCIS. Comedo looks and acts differently from other in

> situ subtypes. Comedo tends to be slightly more aggressive than

other

> forms of DCIS. These cells are closer to invasive breast cancer

cells

> in how they look and behave than other forms of DCIS. Comedo cells

> look different under the microscope because the center of the duct

is

> plugged with dead cellular debris, known as necrosis. Necrosis

seen

> under a microscope in DCIS usually means that the cells are fast-

> growing and are generally more aggressive or high-grade. Also,

> microcalcifications (small abnormal calcium deposits) are

frequently

> seen in the areas of necrosis.

>

> Hugs

> char

>

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Char -

Sounds like a Grade 3 which means the cells are " poorly

differentiated " in nature and could be invasive. I'm cetainly no

Dr. - but would highly recommend that you call either your

oncologist or maybe his/her assistant and " go over " your path

reports with them. What you are looking for is Stage, Grade,

margin, lymph node involvement, est. recep pos or neg and Her2nu pos

or neg. There may be something else, but I can't think of it right

now. At least the markers I gave you above will give you a better

understanding of your " make-up " and help you make decisions. I've

said this before, I know, but I used Dr. Love's Breast Cancer

book to help me decifer all the numbers when I got them. I'm sure

there is someone in the oncologist's office who could take the time

to sit with you, even over the phone, and go over these items. It's

important that you be as clear about everything as possible. There

are big decisions which will impact you and you sure are entitled to

know everything there is to know. Hope this helps.

Hugs,

Ellen

>

> >

>

> I meant to say 3mm sorry. I dont see the grade on the pathology

> report. When I asked the surgeon on my follow-up he didnt see it

on

> there either. I do however see something listed as this: Nuclear

> Pleomorphism:3

>

> Also he said I was Estrogen Receptor Positive, which I dont see

that

> on the report either. What I see is estrogen receptors: to be

> performed and reported later.

>

> So I dont know if I have a full report or not a current one or

> something.

>

> Definantion of Comedo:(But I dont know if this refers to the grade)

>

> Comedo type DCIS. Comedo looks and acts differently from other in

> situ subtypes. Comedo tends to be slightly more aggressive than

other

> forms of DCIS. These cells are closer to invasive breast cancer

cells

> in how they look and behave than other forms of DCIS. Comedo cells

> look different under the microscope because the center of the duct

is

> plugged with dead cellular debris, known as necrosis. Necrosis

seen

> under a microscope in DCIS usually means that the cells are fast-

> growing and are generally more aggressive or high-grade. Also,

> microcalcifications (small abnormal calcium deposits) are

frequently

> seen in the areas of necrosis.

>

> Hugs

> char

>

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Char -

Sounds like a Grade 3 which means the cells are " poorly

differentiated " in nature and could be invasive. I'm cetainly no

Dr. - but would highly recommend that you call either your

oncologist or maybe his/her assistant and " go over " your path

reports with them. What you are looking for is Stage, Grade,

margin, lymph node involvement, est. recep pos or neg and Her2nu pos

or neg. There may be something else, but I can't think of it right

now. At least the markers I gave you above will give you a better

understanding of your " make-up " and help you make decisions. I've

said this before, I know, but I used Dr. Love's Breast Cancer

book to help me decifer all the numbers when I got them. I'm sure

there is someone in the oncologist's office who could take the time

to sit with you, even over the phone, and go over these items. It's

important that you be as clear about everything as possible. There

are big decisions which will impact you and you sure are entitled to

know everything there is to know. Hope this helps.

Hugs,

Ellen

>

> >

>

> I meant to say 3mm sorry. I dont see the grade on the pathology

> report. When I asked the surgeon on my follow-up he didnt see it

on

> there either. I do however see something listed as this: Nuclear

> Pleomorphism:3

>

> Also he said I was Estrogen Receptor Positive, which I dont see

that

> on the report either. What I see is estrogen receptors: to be

> performed and reported later.

>

> So I dont know if I have a full report or not a current one or

> something.

>

> Definantion of Comedo:(But I dont know if this refers to the grade)

>

> Comedo type DCIS. Comedo looks and acts differently from other in

> situ subtypes. Comedo tends to be slightly more aggressive than

other

> forms of DCIS. These cells are closer to invasive breast cancer

cells

> in how they look and behave than other forms of DCIS. Comedo cells

> look different under the microscope because the center of the duct

is

> plugged with dead cellular debris, known as necrosis. Necrosis

seen

> under a microscope in DCIS usually means that the cells are fast-

> growing and are generally more aggressive or high-grade. Also,

> microcalcifications (small abnormal calcium deposits) are

frequently

> seen in the areas of necrosis.

>

> Hugs

> char

>

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>Ellen,

They did tell me I was at Stage 0,which is definantly a good thing. I

am still waiting for an oncologists to call for my appointment. I

called the office and they are sending another part of the report I

didnt get. Lymth nodes I wont know about until they go back in for more

removeal. I dont know the grade, I am estrogen recep.positive at 75%.

Wow have alot of estrogen flowing through me at 45years old...LOL

Thanks

char

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>Ellen,

They did tell me I was at Stage 0,which is definantly a good thing. I

am still waiting for an oncologists to call for my appointment. I

called the office and they are sending another part of the report I

didnt get. Lymth nodes I wont know about until they go back in for more

removeal. I dont know the grade, I am estrogen recep.positive at 75%.

Wow have alot of estrogen flowing through me at 45years old...LOL

Thanks

char

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