Need Your Advice and Guidance

[Lin]

My best friend was just diagnosed with breast cancer and could use your help. Her 2 Nov mammogram came back with "suspicious micro calcification's in the area of a milk duct, she was sent to a surgeon who removed the suspicious area (marked by a pre-inserted wire) on 17 Dec. The path report came back with "several areas of hemorrhages, multiple foci of well-differentiated infiltrating ductal carcinoma, Grade I, extensive ductal carcinoma in-situ (DCIS), high nuclear grade, solid comedo type and micropapillary type. Tumor stage T1, N0 Mx". She shows ER+, PR+ & HER2 (3-4+). The surgeon now wants to go back in this Friday and take more tissue out of the same area and also 1 or 2 lymph nodes to see if it spread outside the breast. She asked for a breast MRI to determine if it was in another area of that breast prior to surgery, he agreed. These are a few of the concerns she has at the moment:
-- Since the cancer has already spread outside the duct area of the breast would it be wise to have a complete body PET/CT scan prior to
surgery.
-- Should she go to an Oncologist prior to having more surgery to
determine if perhaps chemo should be given prior to surgery since she didn't receive "clean margins" from first surgery.
-- Since the breast MRI is going to be one of the tools used to
determine if the breast should be removed and MRI's are known for some "false positives", how do you know what to rule out.

I realize the standard treatment when a lump is discovered is you do a
biopsy, lumpectomy then radiation but when you can't "see or feel" the cancer then it just seems that the standard treatment is not the one to follow. Any advice, suggestions or other questions that need to be
answered prior to another surgery would be most appreciated as she's in a little bit of a panic mode right now for she feels if she'd asked for the breast MRI before the first surgery she wouldn't have to have another surgery and she doesn't want to make another mistake that will affect her life.
God Bless and cyber hugs to all.
Lin (Pensacola, FL)