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Hey, Grace!
Sounds like we have very similar diagnoses. I had 2 foci of IDC with the largest at .3 cm (3 mm). I didn't get clear margins on the DCIS surrounding the IDC on my lumpectomy on 12/27/06 so just had a re-excision this part Tuesday (1/23). SNB was clear. I'm waiting on pathology report for this re-excision. I haven't had FISH done yet but IHC was 2.8+.
I haven't seen the man who will be my oncologist yet but my sister spoke to hers about me. (She was dxed with ILC 2 cm with 1+ node last January - her mastectomies were in March.) He said that based on the San Antonio conference, he doesn't use tumor markers anymore.
His recommendations "unofficially" for me were radiation treatments and hormone therapy. In my case, because of familial uterine cancer he would recommend shutting ovaries down chemically and then give me an A.I. rather than tamoxifen.
Good luck,
Skeetur
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12/01/2006 Initial Dx via stereotactic biopsy - DCIS, grade 3
12/27/2006 Lumpectomy w/ SNB: 2 foci of IDC (largest .3 cm, Grade 2, Notthingham score 6) amid large area of DCIS: No clear margins on the DCIS; re-excision recommended
ER+(55%)/PR+(60+)/HER2+ (2.8+ via IHC?)
01/23/2007 Re-excision Lumpectomy: No clear margins on the DCIS; mastectomy recommended
03/02/2007 Bilateral mastectomy w/ expander implant insertion
03/19/2007 Emergency surgery to fix broken blood vessel in left breast
03/30/2007 Met w/ oncologist; oncologist checking on HER2 status with pathologist and doing some consulting on my case - no treatments for now!
05/02/2007 Next appointment w/ oncologist
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