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This question was answered on Fri 13, Jan 2012 01:30am by bobby s, md

Breast Cancer


    
Asked by Unregistered (Female; 58 ) on Fri 13, Jan 2012 12:58am
Priced at $9.00

My mother was diagnosed with breast cancer in the left breast in 1997. She was subjected to tumor removal while keeping the breast. She had lymph nodes analysis and found ok. She was subjected to radiotherapy and hormon therapy through tamoxifen. Since that time she was doing mamograms every 6 months. Just recently Jan 2012, they have seen something in the mamogram in the same breast and they performed sample pathology with a result "Left breast small foci of invasive ductal adenocarcinoma grade 2". This is the same type that was dignosed in 1997. The right breast mamogram is ok. She is 58 years old. Is this a reoccurrence? What is her risk? What is the treatment options? Is it a must to remove the breast? Is there any way around the removal? We are seeing her oncologist tomorrow.

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Answer by bobby s, md  on Fri 13, Jan 2012 01:30am:

Hello,
It seems that your mother has a "good biology" tumor. This means that the tumor is indolent and slow growing, and responded to treatment for 15 years.
The recent lesion that was detected by mammography and confirmed by pathology indeed represents a recurrence of breast cancer.
Future course of action will include baseline blood tests and a full "metastatic workup" to check if the tumor is still confined to the same breast or has spread elsewhere. The tumor sample is also likely to be subject to biomarker analysis (ER, PR, HER2, and perhaps Ki67). These results will help guide further therapy. The surgeon will decide on the best approach to the tumor (lumpectomy versus mastectomy) depending on the size, location, and other anatomical features, as well as biologic features.
Given your mothers clinical history, I would estimate that her overall prognosis is likely to be quite good.
All the best, and God Bless!

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