Posts Tagged ‘surgical margins’

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 [...]

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 [...]

DCIS and Need for Re-Excision Following Positive Margins

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 [...]

Accelerated Partial Breast Irradiation and Ductal Carcinoma in Situ

In a recent issue of the journal Cancer there are two interesting articles looking at two types of radiation therapies vs. no radiation for a subset of patients with DCIS.
This has long been a controversy amongst breast care specialists.  Does all DCIS following lumpectomy need to be treated by radiation? Or is there a subset [...]

Margins on Lumpectomy

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 [...]

LCIS and Surgical Margins

Question:  I had a core biopsy in July which showed LCIS and had my surgery in late August which also showed only LCIS.  My doctor said I don’t need any more surgery, but my pathology report said “margins are 1-2 mm in several foci.” Should I be concerned everything wasn’t taken out? Are these good [...]