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Doctor insights on: Intraductal Breast Cancer

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

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

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. ...Read more

Dr. Barry Rosen
1,337 doctors shared insights

Breast Cancer (Definition)

Breast cancer results when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. The growth occurs initially inside the ducts but eventually breaks outside into the breast tissue and ultimately spreads both to the lymph nodes in the armpit and via the bloodstream to other parts of the body. Because of the promoting affect of estrogen almost all breast cancer occurs in women and is a rarity in men. The unregulated growth is due to both inherited and acquired genetic defects. It is the most common malignancy in women but it often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast ...Read more


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

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

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. ...Read more

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

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

Yes: While these diagnoses are less common in young women, they do occur. If you have concerns, you should consider getting an ultrasound or a mammogram. ...Read more

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Symptoms of breast cancer?

Symptoms of breast cancer?

Maybe none: Early breast cancer has no signs or symptoms. Breast cancer may later present as a painless firm breast lump. Rarely changes in color of the skin, sometimes nipple will get retracted or breast skin pulled inward. Best is to have yearly physical examination and mammogram after age 40 before these symptoms occur. Any breast lump, painful or not, should be examined by your doctor. ...Read more

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Symptoms of breast cancer?

Symptoms of breast cancer?

A lump in the breast: This is how most women discover their breast cancer. However most such lumps turn out to be benign. If you do monthly breast self exam, you will be able to tell if you have any new lumps. They are often painless and grow in size if left unattended for more then 1 or 2 months. The tumor can also spread outside of the breast if not treated. Promptly. ...Read more

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Can I inherit breast cancer?

Not directly: Breast cancer is not directly passed from parent to child. However, an increased risk of developing breast cancer can be inherited. Mutations in the genes brca1 and brca2 increase your chance of developing breast cancer. You are not 100% guaranteed to get breast cancer if you inherit these genes, but the risk can be as high as 85%. ...Read more

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Is breast cancer hereditary?

Is breast cancer hereditary?

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. ...Read more

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How can breast cancer occur?

NOW YOUR THE TEACHER: I want to know that answer - environmental factors-pesticides , high fat diet , radiation, food additives, prolonged estrogen exposure - early menses - late menopause or genetics brca 1/2 genetic code damage, where else in the genome/ secondary hits? Or is it combination of the above ...Call me on my cell if you got the answer. ...Read more

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How can breast cancer happen?

How can breast cancer happen?

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. ...Read more

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Can breast cancer be inherited?

Can breast cancer be inherited?

The risk can: Breast cancer itself is not passed down, but the risk for developing breast cancer can be inherited. Mutations in genes called brca1 and brca2 can be passed from a parent to a child. These inherited mutations increase the risk of developing breast cancer dramatically. A person with a brca mutation may have a 50% or higher chance of developing breast cancer, but it's not 100%. ...Read more

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Dr. Barry Rosen
4,223 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


Dr. Mark Hoepfner
1,029 doctors shared insights

Breast Carcinoma (Definition)

Breast carcinoma is a type of cancer where this uncontrolled growth of breast cells. Symptoms can include breast lumps, pain, and weight ...Read more