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	<title>Pacific Breast Pathology &#187; second opinion</title>
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	<link>http://www.pacificbreastpathology.com/blog</link>
	<description>Pacific Breast Pathology weblog</description>
	<lastBuildDate>Fri, 16 Dec 2011 21:08:18 +0000</lastBuildDate>
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		<title>New Speaking Engagements for Pacific Breast Pathology</title>
		<link>http://www.pacificbreastpathology.com/blog/sbpc-news/new-speaking-engagements-for-pacific-breast-pathology/</link>
		<comments>http://www.pacificbreastpathology.com/blog/sbpc-news/new-speaking-engagements-for-pacific-breast-pathology/#comments</comments>
		<pubDate>Mon, 05 Dec 2011 23:03:52 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[PBP News]]></category>
		<category><![CDATA[atypical lobular hyperplasia]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[core biopsy]]></category>
		<category><![CDATA[flat epithelial atypia]]></category>
		<category><![CDATA[lobular carcinoma in situ]]></category>
		<category><![CDATA[papilloma]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[radial scar]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.pacificbreastpathology.com/blog/?p=990</guid>
		<description><![CDATA[Our course entitled &#8220;Ten Diagnoses in Breast Pathology You Cannot Afford to Miss&#8221; 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 [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/sbpc-news/new-speaking-engagements-for-pacific-breast-pathology/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Can Hyperplasia Cause a Mass and Breast Pain?</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/can-hyperplasia-cause-a-mass-and-breast-pain/</link>
		<comments>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/can-hyperplasia-cause-a-mass-and-breast-pain/#comments</comments>
		<pubDate>Sun, 27 Nov 2011 23:13:12 +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.pacificbreastpathology.com/blog/?p=982</guid>
		<description><![CDATA[Question: Hello, I went to my family DR. about pain I had started having in in my left breast, if I would push underneath my breast, pain would shoot through to my back.  My Dr. Sent me for a diagnostic mammagram, followed by  ultrasound, a mass was found deep within the breast tissue [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/can-hyperplasia-cause-a-mass-and-breast-pain/feed/</wfw:commentRss>
		<slash:comments>3</slash:comments>
		</item>
		<item>
		<title>Pacific Breast Pathology</title>
		<link>http://www.pacificbreastpathology.com/blog/dr_lawtons_blog/pacific-breast-pathology/</link>
		<comments>http://www.pacificbreastpathology.com/blog/dr_lawtons_blog/pacific-breast-pathology/#comments</comments>
		<pubDate>Wed, 05 Oct 2011 18:12:22 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[PBP Blog]]></category>
		<category><![CDATA[PBP News]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[core biopsy]]></category>
		<category><![CDATA[invasive carcinoma]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=936</guid>
		<description><![CDATA[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 [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/dr_lawtons_blog/pacific-breast-pathology/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Tubular Carcinoma</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/tubular-carcinoma-2/</link>
		<comments>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/tubular-carcinoma-2/#comments</comments>
		<pubDate>Mon, 05 Sep 2011 00:46:45 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[estrogen receptor]]></category>
		<category><![CDATA[immunohistochemistry]]></category>
		<category><![CDATA[invasive carcinoma]]></category>
		<category><![CDATA[invasive ductal carcinoma]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>
		<category><![CDATA[treatment]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=927</guid>
		<description><![CDATA[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 [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/tubular-carcinoma-2/feed/</wfw:commentRss>
		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>DCIS Diagnosis on Biopsy Reversed by Third and Fourth Opinion</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/916/</link>
		<comments>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/916/#comments</comments>
		<pubDate>Sun, 31 Jul 2011 22:36:22 +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[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>
		<category><![CDATA[treatment]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=916</guid>
		<description><![CDATA[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 [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/916/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>ADH or no ADH on core?</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/874/</link>
		<comments>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/874/#comments</comments>
		<pubDate>Wed, 15 Jun 2011 18:37:48 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[atypical ductal hyperplasia]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=874</guid>
		<description><![CDATA[Question:  My core biopsy came back as &#8220;fibrocystic changes with a small focus of atypical ductal hyperplasia. calcifications are present within the focus of atypical ductal hyperplasia and in surrounding ducts.&#8221; My sister&#8217;s friend is a breast cancer nurse and recommended I get a second opinion at her hospital and so I had them [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/874/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>ALH vs. LCIS</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/alh-vs-lcis/</link>
		<comments>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/alh-vs-lcis/#comments</comments>
		<pubDate>Tue, 31 May 2011 20:28:45 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[atypical lobular hyperplasia]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[carcinoma in situ]]></category>
		<category><![CDATA[core biopsy]]></category>
		<category><![CDATA[lobular carcinoma in situ]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=861</guid>
		<description><![CDATA[Question: I am 56 years old and I go for my mammogram every year and my doctor said there were some calcificatons in my right breast and recommends biopsy. So I had a needle biopsy that showed &#8220;lobular carcinoma in situ&#8221; that is what the report said. He said I needed surgery which I dont [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/alh-vs-lcis/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>DCIS and Need for Re-Excision Following Positive Margins</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/845/</link>
		<comments>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/845/#comments</comments>
		<pubDate>Tue, 10 May 2011 18:02:00 +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[ductal carcinoma in situ]]></category>
		<category><![CDATA[estrogen receptor]]></category>
		<category><![CDATA[invasive carcinoma]]></category>
		<category><![CDATA[papilloma]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>
		<category><![CDATA[surgical margins]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=845</guid>
		<description><![CDATA[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 [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/845/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>DCIS on Core but only ADH on Excision</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/841/</link>
		<comments>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/841/#comments</comments>
		<pubDate>Sun, 08 May 2011 21:41:08 +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[estrogen receptor]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=841</guid>
		<description><![CDATA[Question: I am 40 years old and had my first mammogram 2 months ago. It showed a 5 mm area of micro calcifications. I had a stereotactic vacuum assisted biopsy and 8 samples were retrieved. The histopath came back as DCIS &#8211; cribriform, clinging, with a nuclear grade of 2 out of 3. The slides [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/841/feed/</wfw:commentRss>
		<slash:comments>2</slash:comments>
		</item>
		<item>
		<title>Flat Epithelial Atypia</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/flat-epithelial-atypia-2/</link>
		<comments>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/flat-epithelial-atypia-2/#comments</comments>
		<pubDate>Mon, 11 Apr 2011 02:17:32 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[Ask the Pathologist]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[core biopsy]]></category>
		<category><![CDATA[flat epithelial atypia]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=790</guid>
		<description><![CDATA[Question:  Hello, I have a question.  What does flat epithelial atypia mean and if it isn&#8217;t cancer, why do I need surgery? I am scheduled for surgery next week and I don&#8217;t feel comfortable. Thank you.

 Answer:  Flat epithelial atypia is the currently-accepted term for an atypical change in the breast ducts [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/flat-epithelial-atypia-2/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Second Opinion Pathology Talk</title>
		<link>http://www.pacificbreastpathology.com/blog/dr_lawtons_blog/second-opinion-pathology-talk/</link>
		<comments>http://www.pacificbreastpathology.com/blog/dr_lawtons_blog/second-opinion-pathology-talk/#comments</comments>
		<pubDate>Thu, 24 Mar 2011 17:22:44 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[PBP 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[immunohistochemistry]]></category>
		<category><![CDATA[invasive carcinoma]]></category>
		<category><![CDATA[invasive lobular carcinoma]]></category>
		<category><![CDATA[pathologist]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=763</guid>
		<description><![CDATA[I recently gave a talk on second opinions in breast pathology at the 21st Annual Conference of the National Consortium of Breast Centers in Las Vegas. A modified version of that talk is available here as a pdf:
Second_Opinion_Pathology
The first part of the talk covers some of the data in the literature and the second part [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/dr_lawtons_blog/second-opinion-pathology-talk/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>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.</title>
		<link>http://www.pacificbreastpathology.com/blog/sbpc-news/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/</link>
		<comments>http://www.pacificbreastpathology.com/blog/sbpc-news/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/#comments</comments>
		<pubDate>Wed, 15 Dec 2010 21:06:29 +0000</pubDate>
		<dc:creator>drlawton</dc:creator>
				<category><![CDATA[PBP News]]></category>
		<category><![CDATA[fibroadenoma]]></category>
		<category><![CDATA[phyllodes tumor]]></category>
		<category><![CDATA[second opinion]]></category>

		<guid isPermaLink="false">http://www.breastpathologyconsults.com/blog/?p=721</guid>
		<description><![CDATA[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&#8217;s 100th annual meeting in San Antonio, TX. We attempt [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/sbpc-news/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/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Calcifications on Core Needle Biopsy</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/714/</link>
		<comments>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/714/#comments</comments>
		<pubDate>Thu, 02 Dec 2010 02:01:22 +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=714</guid>
		<description><![CDATA[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. [...]]]></description>
		<wfw:commentRss>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/714/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>New York Times Article on Second Opinions in Breast Pathology</title>
		<link>http://www.pacificbreastpathology.com/blog/dr_lawtons_blog/new-york-times-article-on-second-opinions-in-breast-pathology/</link>
		<comments>http://www.pacificbreastpathology.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[PBP 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.pacificbreastpathology.com/blog/dr_lawtons_blog/new-york-times-article-on-second-opinions-in-breast-pathology/feed/</wfw:commentRss>
		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>Focal ADH on Core Biopsy</title>
		<link>http://www.pacificbreastpathology.com/blog/ask_the_pathologist/663/</link>
		<comments>http://www.pacificbreastpathology.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.pacificbreastpathology.com/blog/ask_the_pathologist/663/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
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