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Can A Stage Zero DCIS Cancer All Of A Sudden Become Invasive?
Question: Hi. I had a lumpectomy last week for DCIS, stage 0, calcifications in my right breast. When I went back for my post-op, the doctor said that they decided to send the results to another lab because one sample was a bit suspicious. It is now nine days I have been waiting since the lumpectomy. He said he was sure it was nothing; that is routine. I am sure that when he went to get the results, I heard a nurse say the word "mistake." What could that mean? Can a stage 0 DCIS all of a sudden become invasive? He said if my margins are not clear, I will have to have another lumpectomy. Does this sound right?
Brief Answer:
doesn't turn to be invasive
Detailed Answer:
Hi,
Welcome to HealthcareMagic .
The satge 0 cancer doesn't become invasive suddenly . After study of tumor it may change to stage 1 at the maximum not more then that. And for stage 1 also the treatment is lumpectomy.
Usually in our practice we send margins for study (frozen section) while doing lumpectomy. If they come clear its ok. If it doesn't come clear then that time only some more tissue is removed. I assume this procedure is not done for you.
Now in your case if margins won't come clear then you need to again undergo extra margin removal. I suggest you to discuss the use of frozen section if repeat surgery is planned.
The mistake which they mentioned could be not marking borders properly or misinterpretation by pathologist. If margins are clear now then no further treatment needed. Just follow up.
Hope I have answered your query . If any further queries are there I would love to help.
Regards
Dr.Deepika Patil
doesn't turn to be invasive
Detailed Answer:
Hi,
Welcome to HealthcareMagic .
The satge 0 cancer doesn't become invasive suddenly . After study of tumor it may change to stage 1 at the maximum not more then that. And for stage 1 also the treatment is lumpectomy.
Usually in our practice we send margins for study (frozen section) while doing lumpectomy. If they come clear its ok. If it doesn't come clear then that time only some more tissue is removed. I assume this procedure is not done for you.
Now in your case if margins won't come clear then you need to again undergo extra margin removal. I suggest you to discuss the use of frozen section if repeat surgery is planned.
The mistake which they mentioned could be not marking borders properly or misinterpretation by pathologist. If margins are clear now then no further treatment needed. Just follow up.
Hope I have answered your query . If any further queries are there I would love to help.
Regards
Dr.Deepika Patil
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Above answer was peer-reviewed by :
Dr. Yogesh D
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