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I Had Breast Surgery For DCIS. Path Report Showed High Grade Micropapillary What Does All This Mean?

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Posted on Mon, 6 Feb 2023
Question: had breast surgery for DCIS. Path report showed high grade micropapillary and comedo with expansive comedo necrosis. tumor size >20mm. tumor present in 9 or 17 blocks. microscopic description stated basal cells around DCIS and cancerization of lobules. What does all this mean?
doctor
Answered by Dr. Dr. Esmeralda Sera (7 hours later)
Brief Answer:
Breast cancer

Detailed Answer:
Hello and thank you for asking

A comedo-type ductal carcinoma in situ, known as comedocarcinoma in situ is the high grade subtype of ductal carcinoma in situ (DCIS). It completely fills and dilates the ducts and lobules with micro papillary patterns in your case

The further treatment will be decided by your doctor

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. Esmeralda Sera (33 hours later)
Brief Answer:
Breast cancer

Detailed Answer:
High-grade cancer cells tend to grow and spread more quickly than low-grade cancer cells. Cancer grade may be used to help plan treatment and determine prognosis.

Yes the micro papillary can be high grade
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Esmeralda Sera (6 minutes later)
What is "high grade subtype"? Is/was the completely filled and dilated ducts/lobes more apt to infiltrate? Is micro papillary also high grade?
Answered by
Dr.
Dr. Dr. Esmeralda Sera

Oncologist

Practicing since :1998

Answered : 1367 Questions

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I Had Breast Surgery For DCIS. Path Report Showed High Grade Micropapillary What Does All This Mean?

Brief Answer: Breast cancer Detailed Answer: Hello and thank you for asking A comedo-type ductal carcinoma in situ, known as comedocarcinoma in situ is the high grade subtype of ductal carcinoma in situ (DCIS). It completely fills and dilates the ducts and lobules with micro papillary patterns in your case The further treatment will be decided by your doctor Regards