Question 1

for a 5mm intraductal breast cancer with 1mm of invasion, taken at lumpectomy and then a mastectomy performed, how many lymphs should be removed?

Accepted Answer

It depends: The current standard is to perform a sentinel lymph node biopsy; if (+), additional nodes are removed (unless radiation therapy planned, which would not be the case with this minimal tumor).  The median number of sentinel nodes people have are 2-3, however some have 1, others can have many more--this does not reflect the tumor but rather the way the breast drains towards the armpit.

Question 2

what is the normal timescale 
in finding a breast cancer and being operated on? in relation to 5mm of intraductal carcinoma grade 3?

Accepted Answer

Varies: This can depend on your overall health, your surgical risks, timing of getting a surgeon consultation. Availability of the operating room, scheduling with radiology to localize such a small lesion of 5 mm. Etc. This may take 1-3 weeks to schedule depending on these and other potential factors.

Question 3

have you diagnosed someone young with intraductal papilloma, carcinoma in situ or breast cancer?

Accepted Answer

Actually I see them: Young and old after the diagnosis of papillary adenocarcinoma confined to duct, ductal carcinoma in situ and invasive cancer.  The first 2 are quite benign, but portend of the potential to develop invasive cancer. Invasive cancer can arise in the duct or in the lobules. The special bad feature of younger and especially african american women is "triple (receptor) negative" - no er, pr or her-2-neu.

Question 4

symptoms of breast cancer?

Accepted Answer

Sometimes none: Breast cancer does not always have symptoms.  When it does, there may be a non tender lump in the breast, dimpling of the skin, inversion of the nipple, bloody nipple discharge, or sore lymph nodes in the underarm.  When breast cancer has spread, it can lead to symptoms in the areas of spread.  For example a patient with bone metastasis may experience bone pain.

Question 5

can i inherit breast cancer?

Accepted Answer

Yes: Approximately 10-15% of breast cancers in the US are hereditary.  Most of these arise due to a mutation in the BRCA genes.  These can be determined by a simple blood test.  Approximately 2/3 of all women with one of these mutations will eventually develop breast cancer.  There is a 50:50 chance that any child will inherit this mutation.

Question 6

is breast cancer hereditary?

Accepted Answer

Sometimes.: It is estimated that 10-15% of all breast cancer cases in the us occur due to hereditary factors.  This risk may be identified by doing a simple blood test to check for brca mutations.  We generally advise testing family members with known breast cancers first before checking unaffected family.

Question 7

how can breast cancer occur?

Accepted Answer

Breast Cancer: Abnormal cells in different parts of breast usually get killed by cells we naturally have in our body--call them "killer cells"one of the 
theories is these cells don't do their job for some reason and the bad cancer cells keep on multiplying-killing a persons normal cells- sometimes spreading the ca cells to other parts of the body
sometimes there is an inherited reason--most, we don't know.

Question 8

how can breast cancer happen?

Accepted Answer

Genetics: Some genes are activated in these cells and they start growing without control. Also the could travel through blood stream to other body areas.

Question 9

what is systemic breast cancer?

Accepted Answer

Not sure...: What you mean. Breast cancer that has spread to other sites or other organs might be described as being systemic. Would need more information to be sure that i understand your question correctly.

Question 10

how is breast cancer diagnosed?

Accepted Answer

By a biopsy: Pathology from a biopsy.

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Doctor answers about:

Intraductal breast cancer

A member asked:

For a 5mm intraductal breast cancer with 1mm of invasion, taken at lumpectomy and then a mastectomy performed, how many lymphs should be removed?

A member asked:

What is the normal timescale in finding a breast cancer and being operated on? in relation to 5mm of intraductal carcinoma grade 3?

A member asked:

Have you diagnosed someone young with intraductal papilloma, carcinoma in situ or breast cancer?

A member asked:

Symptoms of breast cancer?

A member asked:

Can i inherit breast cancer?

A member asked:

Is breast cancer hereditary?

A member asked:

How can breast cancer occur?

A member asked:

How can breast cancer happen?

A member asked:

What is systemic breast cancer?

A member asked:

How is breast cancer diagnosed?

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