Posts Tagged ‘breast cancer’

Recurrent Breast Cancer with No Residual Cancer Found at Mastectomy

Question:  Hi. I had a reoccurrence with my breast cancer in may of this year, they did a punch biopsy on it and it came back as IDC grade 2, ER and PR positive.  On the punch biopsy pathology report there are no notes on margins it just says Recurrent IDC is multifocal and surrounding [...]

New Speaking Engagements for Pacific Breast Pathology

Our course entitled “Ten Diagnoses in Breast Pathology You Cannot Afford to Miss” was accepted for a three-year run beginning in March 2013 at the United States and Canadian Academy of Pathology Annual Meeting.  We will be giving the course in Baltimore in 2013, San Diego in 2014, then Boston in 2015. I am giving [...]

Terminology of Invasive Mammary Carcinoma

Question: Dear Dr. Lawton,
I had 2 pathologists look at my surgical pathology. It seems that they both saw the same thing, but disagreed on how to call it.
One pathologist called it invasive mammary carcinoma with lobular features, the other called it IDC with single file growth pattern. My single focal tumor showed single file [...]

Understanding Pathology Results

Question:  Can you help me understand this report?
Breast Right, biospy:
Infiltrating ductal carcinoma
SBR/Nottingham grade 2/3
Tubular score 2.
Nuclear score 2.
Mitotic score 2 (focal).
No evidence of angiolymphatic invasion
Cancerization og lobules
Ductal carcinoma in situ
Solid, papillary and cribriform patterns
Nuclear grade 2-3
Comedonecrosis present
Microcalcifications associated with in situ malignancy
Immunostains -
Estrogen receptor – diffuse strong positivity in 97% of tumor cell nuclei
Progesterone receptor [...]

Pacific Breast Pathology

Seattle Breast Pathology Consultants has joined forces with another breast pathologist to form Pacific Breast Pathology.  In addition to our existing second opinion consultation service, we will now be providing services to radiologists and surgeons for primary diagnostic interpretation of breast core biopsies and surgical specimens performed in California.  We also will have full service [...]

Tubular Carcinoma

Question: Hello: I am a 50 year old premenopausal female. I had a 2.5 mm tubular carcinoma diagnosed in Dec 2010 and had a simple mastectomy and neg SNB. I then had a prophylactic mastectomy in March of the other side. There were atypical hyperplastic lobular and ductal cell changes in the remainder of [...]

History of DCIS in One Breast, Now ADH in the Opposite Breast

Question: In 2006, I had lumpectomy and radiation in right breast following diagnosis of DCIS.  I was 38.  No family history.  First mammogram.  Margins were clear.  I have had MRIs every six months alternating with mammograms every six months.  Two weeks ago, I had a stereotatic biopsy that indicated ADH in the left breast [...]

DCIS Diagnosis on Biopsy Reversed by Third and Fourth Opinion

Question: I looked for a way to post on your ask the pathologists forum but was unable so here is my question.  I noticed a lump a few months ago and saw my primary care MD, sent for a mammagrom and US.  Mammagram totally normal, no calcifications, US saw the mass and a biospy was [...]

Be Cautious of the Information You Get on the Internet About Breast Pathology

I wrote a blog article a couple of years ago about how there is a lot of misinformation given out by many websites where patients can write in and ask questions related to breast pathology issues.
Unfortunately, in the past few years nothing seems to have changed. There are still many sites out there where [...]

Tubular Carcinoma

Question: Pathologist gave a diagnosis of Invasive ductal cancer grade 1 (2/2/1), however when asked said it was a tubular cancer are these two different? thank you