My ILC is classified as pT1c N0 MX. Can you tell me exactly what that means and do you think I will need chemo? The tumor was 1.7 x 1.7cm er and pr+ and her2-. Thank you, Karen
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Q: Understanding my pathology report
Answers (2)
9/20/08 11:24pm
Hi - Not sure what the "p" stands for (pathology?), but the T1c is tumor size (1 centimeter, or in your case, 1.7?); the N0 is "zero lymph nodes involved;" and the M is metastasis - and I'd assume, since 0 lymph nodes, the X means no metastasis. My totally unscientific guess is that you wouldn't need chemo. With that size tumor you'd be right on the border, but with no lymph node involvement, plus ER/PR-positive and HER2-negative, there are good post-treatment hormone drugs you can take to help prevent recurrence. If the doctor gives you a choice of having or not having chemo, ask to have the Oncotype-DX test - you're a perfect candidate. It'll tell you just how much chemo would actually help you. Best of luck - PJH
P.S. - Download this PDF called Understanding your Pathology Report - I think you'll find it interesting and helpful. Or, read this Layperson's Guide to Your Patholgy Report.
9/21/08 4:53pm
p does stand for Pathology. We are often given a preliminary path report after biopsy and then a final pathology after surgery. N0 means no lymph node involvement and MX doesn mean no distal metastisis. PJ was correct. The oncologist is the one who will look at your path report and tell you whether or not you should need chemo but it doesn't sound like you will. If you had a lumpectomy with Sentinal node biopsy then you will most likely need radiation. If you had a mastectomy, you may be done without further treatment.
Good luck!
Sherree
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