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Wednesday, November 19, 2008 Terry asks

Q: I had stage 1,grade 3, er+, pr+, her2+ IDC. Now have enlarged ovary. Can BC sprd to ovary?

I had an oncotype of 47.  no lymph node involvement 1.2 cm tumor, 70% of which was DCIS.  Had pelvic exam that revealed enlarged and painful (on palpation) ovary.   Concerned that BC could have spread.

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11/19/08 1:40pm

Terry, no lymph node involvement would indicate that your BC hasn't spread - it has to spread via the lymph nodes. Also, breast cancer doesn't spread to the ovaries - ovarian cancer would be a new cancer. That said, there IS a connection between the two if you have a genetic predisposition for breast cancer - i.e., if you have mutations in the BRCA1 or BRCA2 genes - then you would be more likely to get ovarian cancer. Bottom line, you need to figure out what's causing the ovary pain, and deal with it; I hope you have a followup scheduled. Good luck - PJH

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