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How To Confirm The Requirement For Chemotherapy?
Dear Dr. Robert, I am typing down my mums report as given by the pathology dept here in Goa. My mum had a mastectomy done on her left breast. My question is should she undergo chemo for her case. Please find details of her report. Tissue (L). breasct with axillary clearance. Gross: specimen of breast with axillary clearance measuring 25X16x5 cms and skin flap measuring 17x7cm with a scar 2 cm below the nipple. Ds: Shows a growth 3 cms away from the nipple near teh base measuing 2x1.5x1.5cm. Cut margin is free. 6 lymph nodes isolated, largest measuing 1x1cms. Micro: multiple sections show mucinous Carcinoma of breast. Overlying skins is free. Margis of resection are free. 6 lymph nodes isolated adn sectioned all showed reactive hyperplasia. Conc: Mucinous Carcinoma of breast.
Tue, 26 Aug 2014
Hello and welcome to HCM,
Chemotherapy in case of breast carcinoma is given when there is presence of metastasis or tumor cell deposition in the lymph nodes most commonly axillary lymph nodes.
Your mothers pathology report says that there is presence of cancer in breast called mucinous carcinoma.
However, the axillary lymph nodes are enlarged as a result of reaction to the cancerous process but no tumor cells are present in the lymph nodes.
Thus, there is no requirement for chemotherapy for all practical purposes.
Keep in touch with your treating doctor at regular intervals.
Thanks and take care
Dr Shailja P Wahal
Chemotherapy in case of breast carcinoma is given when there is presence of metastasis or tumor cell deposition in the lymph nodes most commonly axillary lymph nodes.
Your mothers pathology report says that there is presence of cancer in breast called mucinous carcinoma.
However, the axillary lymph nodes are enlarged as a result of reaction to the cancerous process but no tumor cells are present in the lymph nodes.
Thus, there is no requirement for chemotherapy for all practical purposes.
Keep in touch with your treating doctor at regular intervals.
Thanks and take care
Dr Shailja P Wahal
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