• kathi kathi
    January 06, 2011
    I was diagnosed with invasive well differentiated ductal carcinoma grade one
    kathi kathi
    January 06, 2011

    associated with extensive ductal carcinoma in site two focalized with numerous micro fibrocalcifications. What does thar mean?    Will this entail a masectomy? Chemo? radiation, all of the above?

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  • PJ Hamel
    Health Guide
    January 06, 2011
    PJ Hamel
    Health Guide
    January 06, 2011

    Hi Kathi - This sounds like a pretty straightforward diagnosis of what sounds like, thankfully, a less aggressive type of breast cancer. I think you have invasive ductal carcinoma (commonly known as IDC); along with ductal carcinoma in situ (DCIS), which is actually considered a "pre-cancer," since it's not invasive, like "true" cancers. Microcaclcifications are also not cancerous, though they sometimes appear when cancer does, as in your case.

     

    You'll need a LOT more information before treatment decisions are made. It sounds like you've had a biopsy, but no surgery? I'd guess you'll have surgery (lumpectomy, if the tumor is small; possibly mastectomy, if the tumor is large or there are lots of smaller tumors). They'll also check a few of the lymph nodes under your arm; if they're clear (no cancer), then you probably wouldn't need chemo. If you have a lumpectomy you'll have radiation afterwards; if a mastectomy, probably no radiation. There's a good chance you'll take 5 years or so of hormone therapy drugs.

     

    Bottom line: though cancer is always a kick in the gut, your description sounds like "so far, so good" at this point. If you can get a "good" cancer diagnosis - well, you don't have the very best, but better than most. So take heart, OK? And come on back here whenever you have questions - we're here to help. PJH


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