Author Archive

We Are Expanding Our Services

SBPC is now collaborating with a full-service immunohistochemistry and molecular pathology laboratory in the San Francisco Bay Area in order to provide more extensive services to our clients who want a second opinion.
We also now accept most major insurance as well as credit cards for payment on second opinions.
Contact us at info@breastpathologyconsults.com for more information.

See Our Poster Presentation on The Difficulty in Distinguishing Cellular Fibroadenomas From Phyllodes Tumors at the 100th Annual USCAP meeting in San Antonio, February 28th.

Nine of my colleagues and I who specialize in breast pathology from the US and Australia reviewed 21 difficult consult cases which were sent in for second opinion with a question of cellular fibroadenoma vs. phyllodes tumor.  Our abstract was accepted for presentation at the USCAP’s 100th annual meeting in San Antonio, TX. We attempt [...]

Calcifications on Core Needle Biopsy

Question: I had a stereotactic biopsy on 11/23/10 for pleomorphic clustered microcalcifications. These were identified on additional view mammogram. US also noted at least 15 small simple cysts, a 7mm benign appearing solid mass such as fibroadenoma or fibrocystic mastopathy and no masses in the region of the pleomorphic clustered microcalcifications. My Dr. [...]

Should Where You Live Determine Whether or Not You Need Surgery Following a Core Needle Biopsy?

Our book chapter on how women are treated disparately following a core needle breast biopsy of a “high risk” lesion has now been published in the current issue of Radiologic Clinics of North America. My colleague from Harvard Medical School and I want women to know that the current data in the breast cancer literature [...]

Prognostic Marker Changes in Metastatic Breast Cancer

There is a recent study published in the September 23 issue of Breast Cancer Research that looked at changes in prognostic markers (estrogen/progesterone receptor and HER2/neu) between primary breast cancers and metastatic lesions. If you click on the Breast Cancer Research link it will provide you with the abstract.  The full article is temporarily free from [...]

Upcoming SBPC Speaking Engagements

San Antonio, March 3, 2011:
“Practical Approaches to Challenging Breast Lesions in Everyday Practice”
Las Vegas, March 14-15, 2011:
“The Importance of Second Opinions in Breast Pathology”
“Breast Pathology for Non-Pathologists”
Chicago, May 3-4, 2011:
“Controversies on High Risk Lesions at Core Biopsy: Radiology and Pathology Perspectives”

Can Breast Cancer Be Diagnosed On a Bone Marrow Biopsy?

Question: My 75 y/o mother who was sent to an oncologist due to a bone scan that showed a hot spot on the right rib. A bone marrow biopsy/aspir was done and she was diagnosed with breast cancer with mets to the spine-results were ER/PR +. Mammograms, cat scans, Petscans were neg. She [...]

New York Times Article on Second Opinions in Breast Pathology

If you haven’t seen this recent article from the New York Times it’s worth a read.
I have posted before about the importance of getting your breast biopsy diagnosed from a pathologist who specializes in breast pathology.  This article points out how subtle the distinction can be between atypical ductal hyperplasia and low grade ductal carcinoma [...]

Estrogen Receptor Staining in Breast Cancer

Question: I recently had a breast biopsy with invasive ductal carcinoma, grade 3 and ductal carcinoma in situ. My report said “the carcinoma is estrogen and progesterone receptor negative (<5%) and negative for her2/neu over-expression (1+).” I read online that sometimes even less than 5% could still be positive for the estrogen receptor. [...]

Update on My Post: Why is There No Consensus on How to Treat Some Diagnoses Found on Core Biopsy?

I wrote an article a while back called “What Your Core Needle Biopsy Diagnosis Means” to help patients understand why sometimes even a “benign” diagnosis may require a surgical excision.  While writing that article, I spoke to many of my colleagues in breast pathology and breast imaging and found out that there is a marked [...]