Doctor insights on:
Lymphovascular space invasion:suspicious foci present. Does this mean the cancer is in the lymph nodes?
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. ...Read more
What does each word/phrase mean? Infiltrating, well differentiated adenocarcinoma; carcinoma focally invades superficial submucosa;no lymphovascular invasion? Is surgery advised for this type of report?
It depends: The answer will depend on several factors, including the location this biopsy came from. ...Read more
Why are tumor deposits in colon cancer considered as lymph nodes when there are no lymphovascular invasion, because of td it's becoming a stage 3?
Local spread: If the tumor deposits are located away from the main primary, then most authorities consider them to be equivalent to a positive lymph node (s). Most likely these deposits got there via lymphovascular invasion even if the pathologist could not see that histologically on the slides. The ajcc also considers discontinous tumor deposits as n1c in the pathological staging system. ...Read more
Stage 2B IDC breast cancer, her2+/ER/PR+Neoadjuvant taxol, (paclitaxel)A/C, lumpectomy, rads, lymphovascular invasion. What does this mean for prognosis & follow up?
Prognosis fair: Stage IIb breast cancer is usually palpable at 2-5 cm. And at time of procedure to remove lesion, sentinel nodes are + suggesting axillary dissection and reason for neoadjuvant therapy. Lymphovascular invasion increases chance for recurrence. With Her2+ Herceptin (trastuzumab) with chemo should be used and PET/CAT needed to assure met foci not missed in distal organs. Carful follow up needed. ...Read more