Doctor insights on:
Invasive Ductal Carcinoma Grade 1
Grade 1 invasive ductal carcinoma, 2 spots, family history, 47 years of age, small breasts. Should I get double mastectomy?
It is your choice: Breast cancer can be adequately treated with a lumpectomy in most cases. So a mastectomy is not really necessary. But based on your breast size, your doctor can guide you best. Many women opt for reconstructive surgery at the same time as removal of your breast cancer. ...Read more
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
My biopsy showed Grade 1 invasive ductal carcinoma, and I have been feeling short of breath and light-headed. Could this be something besides stress?
Breast cancer: Fortunately you have been diagnosed at an early stage of this malignancy which may be curable with excision and/or XRT. Since we don't know anything else about you including your age, social habits or medical history, its not possible to comment on why you have SOB or light-headedness. It is extremely unlikely to be related to your recent diagnosis. You may be experiencing anxiety with panic attack ...Read more
I have stage 1, grade 2 invasive ductal carcinoma. How long do I have before this goes to stage 2?
Doesn't work that way:
It is common, but not right, to think of cancer stages (1, 2, 3, 4) as a progression 1->2->3->4. However, the more we learn about cancer the more we learn that some cancers may begin as stage III or IV - they can spread from the very beginning.
In your case, stage 1 breast cancer, if completely removed, may never come back. There is no set time period in which we expect it to become stage 2. ...Read more
It depends: Tumors that are grade 3, or that have a high "proliferation rate", may spread more quickly than grade 1 or 2. Tumors that are er- (estrogen receptor negative) or her2+ spread more quickly than other types. Inflammatory breast cancer of any type can spread in days; the other types of invasive ductal carcinoma generally take months. ...Read more
Depends: Not all breast cancers are the same and many other factors help to predict better or poorer outcomes such as tumor grade, # of positive lymph nodes, estrogen receptor status, her2neu status, etc. A score called oncotype DX based on genetic profiling of the cancer helps define prognosis also and tailor decisions as to the best and most beneficial treatment to use. ...Read more
Yes: Depending on the stage, untreated it will definitely spread, if caught early and treated, then less likely, but monitoring for a long time (5-10 years) is necessary. ...Read more
Who said that???: That is the most common category of breast cancer, so I'm not sure why anybody would say such an absurd thing. It is curable if found early but it kills thousands of women every year. Ask the husband who lost a wife or the child who lost a mother if they think it's no big deal. ...Read more
Highly Variable: The risk of breast cancer growing outside of the breast is most dependent on the aggressiveness of the cancer and the stage at diagnosis; it is less related to the type of breast cancer (ductal, lobular, etc). While metastatic disease may be present at the time of diagnosis, a majority of breast cancer patients never develop metastases. ...Read more
High: Published 5-yr survival rates are 81% for iia and 84% for iib breast ca. Keep in mind this includes mortality from other causes and reflects patients treated almost a decade ago. For more info...http://www. Cancer. Org/cancer/breastcancer/detailedguide/breast-cancer-survival-by-stage. ...Read more
More than 50%: This is a hard question. Invasive ductal carcinoma is the most common type of breast cancer. It depends on whether it's stage3a, b or c, and the time of survival. At 5 years after diagnosis, 50-60% of women with stage 3 breast cancer are alive. Other factors are age, receptor status of the tumor, number of lymph nodes involved, and treatment. Remember that survival is improving all the time! ...Read more
Many organs: The first likely tissue where metastases occurs in invasive ductal cancer is the lymph nodes on the armpit or behind the chest wall. Other organs may include the bones, lungs, liver, brain, adrenal glands, skin, bone marrow, the lining around the lungs or heart or the abdomen. Other parts of the body are less often sites of spread. ...Read more
Variable: It is well-established that cancer survival is related to timing of diagnosis, however, it's not that simple. Some aggressive cancers may spread very early and others may never regardless of timing. Furthermore, one's overall health (and immune system) may play a major role. Thankfully, most breast cancers are curable. ...Read more
Can be quick, but: Could be years or never. You do not mention: size; stage, nodes + or -, age, receptor status (er, pr, her-2-neu). Breast cancer treatment can effect chance of relapse. I find the questions about speed odd...The true answer is we do not know in an individual what will happen, and rely on group statistics to frame what we tell patients. I emphasize, that individual may not behave like a group. ...Read more
Depends: The length of treatment depends on the components of multidisciplinary care. Surgery can range from outpatient to 2-3day stay. Chemotherapy can range from 3-6 months depending on the drugs and regimen chosen. Herceptin (trastuzumab) is typically given for 1 year. Radiation ranges from 5 days (apbi) to 7 weeks. Hormonal therapy is typically given for at least 5 years. ...Read more
Lobular carcinoma is less common and often does not form a lump. Please see these sites for more information.
http://www. Mayoclinic. Com/health/invasive-lobular-carcinoma/ds01063
http://www. Mayoclinic. Com/health/breast-cancer/ds00328. ...Read more
INVASIVE or DCIS?: These terms are incongruous: dcis is, by definition, breast cancer that has not "broken out" of the ducts and entered the adjacent supportive tissue of the breast; invasive, or infiltrating ductal cancer, by definition, has. The treatment of these 2 diseases is quite different since there is a risk of systemic disease with the latter. Please clarify, thanks. ...Read more
Stage-Dependent: Breast cancers are staged based upon the size of the cancer, lymph node or distant organ involvement, direct extension to the skin or chest wall muscles, and unique molecular features of the tumor. Published rates of 5-yr survival (http://www. Cancer. Org/cancer/breastcancer/detailedguide/breast-cancer-survival-by-stage) vary quite a bit based on these variables, between 15%-93%. ...Read more
It depends on many f: Most women with localized breast cancer do very well and there is high cure rate. Overall 75%-80% of breast cancers are curable. But you need to know what stage of cancer it is? You should also know what subtype (there are 3 different types) of breast cancer it is. Further there is the matter of what type of adjuvant therapy (post surgery treatment) was used. I'am sure your oncologist can answeryr. ...Read more
Grade 2 invasive ductal carcinoma infiltrating as cords and tumour cells in a fibroadipose stroma, what does this mean?
Grade 2: There are 2 basic forms of breast cancer, ductal and lobular. Yours tumor is a ductal but it sounds like it has some lobular features, in particular it's infiltrating as cords sometimes called "Indian file infiltration". I don't think this has any clinical significance. See your oncologist and follow their advice. Most important is knowing lymph node status. Best of luck and God bless. ...Read more
Depends: Invasive breast cancer has the ability to spread but not all invasive cancers do spread, especially if caught early. Cancer grows at different rates in people depending on age, hormone status of the tumor and genetic make up of the person. It is important to understand all of your options regarding treatment. ...Read more
I was diagnosed with invasive ductal carcinoma 11 years ago, but I prefer to follow a naturopathic doctor, may I know your opinion about naturophatic medicine?
No: People should stick with our regular allopathic medicine. There are as many ways to practice regular allopathic medicine as there are doctors. Each doctor is a little different in personality and practice style. After all, we're all human. I don't recommend any other types of "doctors". ...Read more
Is tamoxifen essential in invasive ductal carcinoma (HR+/ER+)? Does additional chemotherapy is neccesary in stage 1 cancer?
Yes, depends: Yes, anti-estrogen therapy is essential for ER+/PR+ invasive ductal carcinoma. While tamoxifen is used in premenopausal women, femara (letrozole) or arimidex used in postmenopausal women. Some stage I breast cancers (ER+/PR+) do not require further chemotherapy, others do. The need for additional chemotherapy can be assessed by tumor size, recurrence score from a special molecular testing, and etc. ...Read more
I have invasive ductal carcinoma with lobular features and widespread LVI in a buckshot like pattern after lumpectomy ecad pos lymph nodes pos treat?
What is question: Sorry to hear about your problem but not clear on what your question is. ...Read more
I might have to take tamoxifen (invasive ductal carcinoma-waiting for hormone tests to come back). Wouldn't a hysterectomy accomplish the same thing with fewer side effects?
Yes: The purpose of taking tamoxifen post resection of invasive breast cancer is to minimize the effect of the bodys estrogen on possible growth factor receptors such as estrogen receptor on. Br Ca Performing a BSO alone or in combination with hysterectomy minimizes levels of estrogen in the host. It also minimizes the effect tamoxifen has acting as an estrogen on the uterus to induce endometrial Ca ...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