Doctor insights on:
High Grade Dcis
Is it possible for breast high grade ductal carcinoma insitu (dcis) to spread to the major organs ?
DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?
Lft and sgot was 42 - normal high being 38. Other liver enzymes are normal. Had dcis 7 years ago. Worried it spead to my liver? Retest 1 month.Scared
Unlikely dcis: Dcis is not invasive cancer. Would not expect it to go to liver (or anywhere else). Minimal to mild lft abnormalities - multiple causes, including meds, overweight, alcohol, fatty liver, other. If drinking, repeat test in 10-14 days of sobriety; if taking meds or supplements, check with doc and stop any that are not necessary. If necessary, minimal increase in got would not have to stop the drug. ...Read more
I had 1mm of invasive dcis and had lumpectomy, mastectomy and 13 nodes removed, tamoxifen. High estrodial, then bi.Ooph & arimidex is it excessive?
NO : Lots of information missing , the results of the tests. If I have to guess had initial lumpectomy , later mastectomy was done most likely due to recurrence , ovaries removed to control skeletal metastasis, if it is true it is usual correct pathway to control aggressive tumor in 53 yr old , not true provide additional info, speak to oncologist , good luck if all neg , seek ii nd opinion. ...Read more
Throbbing headache at night, tired feeling, trouble sleeping, blurry vision at times, high bp, no interest in anythg. Diagnosed with DCIS in 2012.
Depression, Anxiety: I understand your distress. “Throbbing headache, tired feeling, blurry vision at times” are likely due to High B.P. which can increase further with stress.. “trouble sleeping, no interest in anything” are likely due to anxiety and depression. See your Physician for High B.P and DCIS. See Psychiatrist for Therapy for stresses of relationships, separation, loneliness, insomnia and medical illness. ...Read more
Cea .5.6 but thought to be elevated due to ovarien cysts, recheck 5 weeks after surgery ,its now 7.7,have history of dcis 4 years ago?
May still be normal: CEA cant be used for dx but only for monitoring the presence of a known malignancy with normal levels occassionaly reaching 10ugms. A normal value of CEA is a range from 0 to 2.5 (mcg/L). For a smoker, expected levels of CEA range from 0 to 5.0 (mcg/L). High levels may be an indication of cancer, but some will test high, even though they do not have cancer. ...Read more
MRI biopsy was done and showed DCIS. Histopathology showed invasive ductal with 2.5 mm microinvasion (grade 2). ER-PR negative, HER +ve (+3). My ques?
I'm not sure: of the question. It is not unusual for an image-guided needle biopsy DCIS to be 'upgraded' to an invasive cancer at surgery. The needle biopsy randomly samples small areas of the lesion, whereas following surgery the pathologist has the whole mass to work with. It is relatively common to have elements of DCIS and invasive components existing in different parts of the same tumor. ...Read more
I was just diagnosed with hi-grade dcis. I had dcis in 1991 and had a lumpectomy and radiation..No tamoxifen. What are my options now?
My daughter has grade 2 dcis, .4cm. Just diagnosed. Has slightly enlarged lymph nodes. Can this be connected to dcis?
Enlarged after bx?: Dcis by definition has not yet developed the potential for metastatic spread (nodes or elsewhere). If the diagnosis is based on a needle/core biopsy alone, there could actually be invasive disease (i.e. Sampling error). More likely, if the nodes were only noted after the biopsy, they may simply reactive - normal healing immune response to the invasive procedure. ...Read more
Dx w/ invasive ductal carcinoma er + & pr +. Grade 2. Waiting on DCIS. Meeting w/ two oncologists & surgeon. What do I ask??
Depends tumor size: If tumor small and was non palpable but only defined on mammogram, if lesion with intraductal components smaller than 1 cm, and sentinel node bx neg. I would wait to hear about margins. Margins that are adequate about 1cm around lesion suggests lesion in high 90% cure without RT. If larger lesion then possibly RT and tamoxifen. ...Read more
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