QuestionQUESTION: lumpectomy Apr 9/09. Path is DCIS, high grade, 1.7cm, architecture solid,luminal necrosis: Positive, ER status: negative WITH IDC, 7mm, tubules score: 3, nuclei score: 3,
Mitoses score: 1, grade 2, 1 sent. lymph node removed: negative,
margins on IDC: anterior and posterior margins at least 5mm and clear.
margins on DCIS: anterior margin is 2mm, posterior margin is 5mm.
I am 51 pre-menopausal. still waiting on progesterone and HER2 status. do you think I'll need chemo? or just rads?
Thank you from Canada
ANSWER: Since not all test results are in yet we can not be sure. But AT LEAST you do need radiation therapy. Maybe chemotherapy too. We will see. Good luck!
---------- FOLLOW-UP ----------
QUESTION: Hello Dr.
Turns out I am Estrogen neg, Progesterone neg and HER2 positive. Cancer agency is suggesting 8 chemos (4 X AC, 4 X TT) with 9 months of Herceptin (15 months of drug therapy in total) Radiation too in there somewhere?
Invasive part is Grade 2. see above for other pathology.
Do you think this is overkill treatment? I am totally freaked out by all this. Thank you for your response.
AnswerNo, it is not overkill. Since your tumor did not have any hormone receptors hormone treatment is not an option. As I told you before radiation therapy IS a NECESSITY! Every lumpectomy case should have radiation therapy! Since your tumor was HER2 positive chemotherapy is a necessity as well! At least these therapies are available! Something to be grateful for! Good luck!
