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Old 11-01-2010, 08:12 PM   #5
chrisy
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Join Date: Sep 2005
Location: Central Coast, CA
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Re: Help needed in understanding my pathology report

Good answers laurel as always. I read a couple of things differently.

First I would not call the intraductal component IBC as that is typically the acronym for inflammatory bc. Intraductal carcinoma is generally referred to as IDC. Picky picky I know but they are two very different things and it gets confusing.

Not sure the phrase ending in "chronic inflammation" referred to cancer. because I didn't know the words before for sure but the word fibrosis seems to usually not be cancer. So definitely needs to be explained.

I did note residual foci of mucinous carcinoma which to me means that there was still some present. But I do agree mucinous is generally less aggressive

You've just learned the downside of getting lab reports on your own. So get on the horn with your oncologist first thing tomorrow.

Also just be aware that not everything mentioned on a path report is bad news but the words can sound scary anyway.

You will feel much better after discussing with your onc, getting your questions answered, and getting a plan of action

I read residual
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Chris in Scotts Valley
June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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