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	<title>Seattle Breast Pathology Consultants &#187; second opinion</title>
	<atom:link href="http://www.breastpathologyconsults.com/blog/tag/second-opinion/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.breastpathologyconsults.com/blog</link>
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		<title>New York Times Article on Second Opinions in Breast Pathology</title>
		<link>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/new-york-times-article-on-second-opinions-in-breast-pathology/</link>
		<comments>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/new-york-times-article-on-second-opinions-in-breast-pathology/#comments</comments>
		<pubDate>Mon, 02 Aug 2010 22:51:21 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Dr. Lawton's Blog]]></category>
		<category><![CDATA[atypical ductal hyperplasia]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[carcinoma in situ]]></category>
		<category><![CDATA[ductal carcinoma in situ]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=687</guid>
		<description><![CDATA[If you haven&#8217;t seen this recent article from the New York Times it&#8217;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 [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/new-york-times-article-on-second-opinions-in-breast-pathology/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Focal ADH on Core Biopsy</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/663/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/663/#comments</comments>
		<pubDate>Sun, 18 Apr 2010 19:21:49 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[atypical ductal hyperplasia]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[carcinoma in situ]]></category>
		<category><![CDATA[core biopsy]]></category>
		<category><![CDATA[ductal carcinoma in situ]]></category>
		<category><![CDATA[invasive carcinoma]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=663</guid>
		<description><![CDATA[Question:  Hello, I just received the results of my core biopsy, I would like you opinion on it. Proliferated fibrocystic changes comprised of ductal epithelial hyerlasia with focal atypia, duct single minute microcalcification seen in benign fibrotic tissue. Patient needs surgery consult for breast biopsy. At this point, what do you think my risk is for cancer? I [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/663/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Margins on Lumpectomy</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/margins-on-lumpectomy/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/margins-on-lumpectomy/#comments</comments>
		<pubDate>Thu, 18 Feb 2010 00:13:57 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[carcinoma in situ]]></category>
		<category><![CDATA[ductal carcinoma in situ]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>
		<category><![CDATA[surgical margins]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=641</guid>
		<description><![CDATA[Question:  Four weeks ago I had a core biopsy with ductal carcinoma in situ and recently had a lumpectomy.  My doctor said there was 2.2 cm of DCIS, high grade with necrosis, margins negative, estrogen receptor negative. He is suggesting radiation therapy but when I went for a second opinion, the pathologist said [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/margins-on-lumpectomy/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Core Biopsy of Atypical Micropapillary Hyperplasia and Need for Surgical Biopsy</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/core-biopsy-of-atypical-micropapillary-hyperplasia-and-need-for-surgical-biopsy/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/core-biopsy-of-atypical-micropapillary-hyperplasia-and-need-for-surgical-biopsy/#comments</comments>
		<pubDate>Mon, 08 Feb 2010 04:18:50 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[atypical ductal hyperplasia]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[core biopsy]]></category>
		<category><![CDATA[ductal carcinoma in situ]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=581</guid>
		<description><![CDATA[Question: I had a stereotactic core biopsy of cluster of calcifications in the upper inner left breast. Path diagnosis columnar cell change and hyperplasia with focal atypical micropapillary hyperplasia with microcalcifications. surgicial excision is recommended.  From my understanding this is not cancer but has the potential to be cancer down the road.  I [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/core-biopsy-of-atypical-micropapillary-hyperplasia-and-need-for-surgical-biopsy/feed/</wfw:commentRss>
		<slash:comments>2</slash:comments>
		</item>
		<item>
		<title>The Importance of Specialized Breast Pathology</title>
		<link>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/yet-another-reason-we-need-specialized-breast-pathology/</link>
		<comments>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/yet-another-reason-we-need-specialized-breast-pathology/#comments</comments>
		<pubDate>Tue, 08 Dec 2009 23:01:55 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Dr. Lawton's Blog]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=419</guid>
		<description><![CDATA[I hope you read this article on the importance of having a breast pathologist read your biopsy.  I have posted this before, but it&#8217;s such an important &#8220;white paper&#8221; report from Komen that I think it deserves more discussion.
When confronted with a breast health issue, many patients seek out a particular breast center or a [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/yet-another-reason-we-need-specialized-breast-pathology/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Change in Diagnosis on Core Biopsy</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/change-in-diagnosis-on-core-biopsy/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/change-in-diagnosis-on-core-biopsy/#comments</comments>
		<pubDate>Sat, 25 Oct 2008 00:10:45 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[atypical lobular hyperplasia]]></category>
		<category><![CDATA[core biopsy]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=458</guid>
		<description><![CDATA[Question: I had a core biopsy for calcium in my right breast that showed &#8220;focal atypical lobular hyperplasia&#8221; &#8211; my doctor recommended surgery but I chose to get a second opinion and that said my biopsy was benign and said there was no atypical lobular hyperplasia.  I would prefer not to have surgery but [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/change-in-diagnosis-on-core-biopsy/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>My Core Biopsy is Benign but I Need Surgery?</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/my-core-biopsy-is-benign-but-i-need-surgery/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/my-core-biopsy-is-benign-but-i-need-surgery/#comments</comments>
		<pubDate>Mon, 20 Oct 2008 20:19:13 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[core biopsy]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=430</guid>
		<description><![CDATA[Question: My mammogram had some new calcifications and I underwent needle biopsy.  My doctor said there was no cancer but that the calcifications weren&#8217;t in my biopsy. They say I need to have surgery but if everything is benign I don&#8217;t understand why? Can calcifications disappear?

Answer: I have seen this happen several times, unfortunately, [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/my-core-biopsy-is-benign-but-i-need-surgery/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>HER2 Testing Errors</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/her2-testing-errors/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/her2-testing-errors/#comments</comments>
		<pubDate>Sun, 19 Oct 2008 18:28:31 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[HER2]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=378</guid>
		<description><![CDATA[Question: My pathology results showed my cancer was 3+ but FISH was done too and it showed a 1.7 so my doctor said I am not positive and therefore don&#8217;t qualify for Herceptin. From what I read 3+ is positive.

Answer:  You are correct&#8212;a 3+ result by immunohistochemistry (IHC) is positive.  If the laboratory [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/her2-testing-errors/feed/</wfw:commentRss>
		<slash:comments>2</slash:comments>
		</item>
		<item>
		<title>Juvenile Fibroadenoma vs. Phyllodes Tumor</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/juvenile-fibroadenoma-vs-phyllodes-tumor/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/juvenile-fibroadenoma-vs-phyllodes-tumor/#comments</comments>
		<pubDate>Wed, 15 Oct 2008 22:05:02 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[fibroadenoma]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=415</guid>
		<description><![CDATA[Question: My daughter is 16 years-old and she noticed one of her breasts was growing larger than the other.  I took her to my gynecologist who said she felt a lump and wanted to biopsy it.  Since the lump was large they recommended surgery and the pathology report came back as a juvenile [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/juvenile-fibroadenoma-vs-phyllodes-tumor/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Make Sure You Get The Right Breast Cancer Information From The Web</title>
		<link>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/make-sure-you-get-the-right-breast-cancer-information-from-the-web/</link>
		<comments>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/make-sure-you-get-the-right-breast-cancer-information-from-the-web/#comments</comments>
		<pubDate>Sun, 12 Oct 2008 22:10:58 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Dr. Lawton's Blog]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[invasive carcinoma]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=381</guid>
		<description><![CDATA[One of the reasons I started this site was to make sure that patients had appropriate information about the pathology behind their breast biopsy diagnosis.  Unfortunately, there is a lot of misinformation out there which has recently come to my attention, thanks to friends and colleagues who I&#8217;ve spoken with.
I have found that there [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/make-sure-you-get-the-right-breast-cancer-information-from-the-web/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>ADH vs. DCIS</title>
		<link>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/adh-vs-dcis-2/</link>
		<comments>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/adh-vs-dcis-2/#comments</comments>
		<pubDate>Fri, 10 Oct 2008 04:47:17 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Dr. Lawton's Blog]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[ductal carcinoma in situ]]></category>
		<category><![CDATA[estrogen receptor]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=359</guid>
		<description><![CDATA[I wanted to take some time to write about one of the most challenging areas in breast pathology and one that I receive countless questions about&#8211;distinguishing atypical ductal hyperplasia (ADH) from ductal carcinoma in situ (DCIS).  While this may seem like an academic issue that doctors argue about it has MAJOR clinical implications for [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/adh-vs-dcis-2/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>LCIS vs. DCIS</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/lcis-vs-dcis/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/lcis-vs-dcis/#comments</comments>
		<pubDate>Tue, 07 Oct 2008 23:04:17 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[ductal carcinoma in situ]]></category>
		<category><![CDATA[lobular carcinoma in situ]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=345</guid>
		<description><![CDATA[Question: I am 52 years old, no family history of breast cancer, and I have started getting yearly mammograms.  My doctor found some new calcified areas in my breast and biopsied them.  The report said I had &#8220;ductal carcinoma in situ, low nuclear grade, solid type without necrosis.&#8221;  The calcium was apparently [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/lcis-vs-dcis/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Medullary Carcinoma</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/medullary-carcinoma/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/medullary-carcinoma/#comments</comments>
		<pubDate>Mon, 06 Oct 2008 00:23:49 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[invasive carcinoma]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=326</guid>
		<description><![CDATA[Question: My initial diagnosis was medullary carcinoma which my doctor told me was a &#8220;good type&#8221; of cancer. My friend referred me to a multi-disciplinary clinic and there they told me I did not have medullary carcinoma but a high grade invasive ductal carcinoma.  Needless to say I am confused&#8211;how can one person say [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/medullary-carcinoma/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>ADH vs. DCIS</title>
		<link>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/adh-vs-dcis/</link>
		<comments>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/adh-vs-dcis/#comments</comments>
		<pubDate>Sun, 05 Oct 2008 01:04:19 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[carcinoma in situ]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=322</guid>
		<description><![CDATA[Question: Can cancer just disappear? I get yearly mammograms and last month I had a core biopsy for some new calcifications that my doctor who does my mammograms was worried about and the diagnosis came back as &#8220;atypical ductal hyperplasia with focal ductal carcinoma in situ&#8221;.  She told me I needed to have surgery [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/ask_the_pathologist/adh-vs-dcis/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Taking Control of Your Diagnosis</title>
		<link>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/taking-control-of-your-diagnosis/</link>
		<comments>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/taking-control-of-your-diagnosis/#comments</comments>
		<pubDate>Sat, 04 Oct 2008 22:07:18 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Dr. Lawton's Blog]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=297</guid>
		<description><![CDATA[Most patients who undergo a breast biopsy or have breast surgery never get to know a very important member of their health care team-the doctor who gave them their diagnosis&#8211;the pathologist.
It&#8217;s relatively easy to find out who that person is by simply checking the bottom of your pathology report. Most hospitals nowadays have websites where [...]]]></description>
		<wfw:commentRss>http://www.breastpathologyconsults.com/blog/dr_lawtons_blog/taking-control-of-your-diagnosis/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
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