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 [...]

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 [...]

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 [...]

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 [...]

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 [...]

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 [...]

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

Question: What is the difference between invasive lobular and ductal carcinoma? My first biopsy I had at my ultrasound said “invasive lobular carcinoma grade 2/3″ and my surgery biopsy said “invasive ductal carcinoma grade 2/3″. Does this make any difference?

Question: My core biopsy path report stated a tumor grade of 1. Four weeks later, the lumpectomy path report states tumor grade 3. Can the tumor really be progressing this rapidly? Thanks for your time.

Question: Hello, and thanks for taking the time to answer my questions.
March 29th first biopsy done, clinical information and history: Bloody nipple discharge left breast for 20 months, papilloma suspected, mammogram clear. Diagnosis after excision: 1. Low grade DCIS 2. Focal proliferative fibrocystic changes and small intraductal papilloma 3. DCIS [...]