Lymphovascular space invasion:suspicious foci present. does this mean the cancer is in the lymph nodes?

No: The statement is meant to alert the clinician that there might be some cancer cells in what might be a lymphovascular space. As noted by others, it may guide follow up and treatment to some degree.

No, but maybe: The report means the pathologist sees some abnormal and possibly cancerous cells in the lymph channels in the tissue around the tumor. The lymph channels carry fluids to the lymph nodes. In many kinds of cancer spread into these channels increases the risk of lymph node involvement as well as spread further away for the tumor in the surrounding tissues. Talk to your doctor.

Can change tx: Depending on which type of tumor we are evaluating, lymphovascular invasion can increase risk of local or regional recurrence after surgery and if additional treatments such as chemotherapy or radiation are being considered to help minimize risk of local or regional or distant relapse, this finding can make one lean more towards treatment if they were on the fence, as this reflect higher chance.