Oncology
Oncology questions? Ask an oncologist for answers ASAP
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Answered in 26 minutes by:
6/5/2011
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 61,622
Experience: Experienced Oncology Physician trained in New York City. I'm ready to help.
VerifiedDr. David :
Hello, this is Dr. David. I have read your question and am ready to help.
Dr. David :
no, the EIC does not make the invasive component smaller
Dr. David :
DCIS and invasive cancer can co-exist in the same place
Dr. David :
most likely your cancer is not progressing, CEA is a poor breast tumor marker and can have normal variations
Dr. David :
3. it is always a good thing to be lymph node negative. but that is only one part of the picture.
Dr. David :
are you sure your breast cancer had no lymphovascular invasion? do you have the path report?
Customer:
yes it says, lymp-vascular invasion not identified
Customer:
this is inside the tumor?
Dr. David :
that is good.
Customer:
is that another route for spread?
Dr. David :
yes, that is around where the cancer was. they did not see evidence of cancer cells invading into blood vessels or lymphatic channels
Dr. David :
there are 3 ways of cancer spread
Dr. David :
directlly locally.
Dr. David :
through the lymphatics to lymph nodes
Dr. David :
and through the blood vessels
Customer:
the blood is the one that scares the most, I read the lymphatic is most common?
Dr. David :
local extension is most common
Customer:
what is local extension related to mets
Dr. David :
as the cancer grows bigger and bigger in the breast, the chance of metastatic spread to the rest of the body increases
Customer:
2.4cm it grew fast, surgery done i 3 weeks
Customer:
my brain mri and liver ultrasound were ok 6 months ago
Dr. David :
well, that is why you are taking chemotherapy, herceptin and you will be taking tamoxifen as well to decrease your chances of cancer cells spreading and manifesting in the rest of the body
Dr. David :
CA 15-3 is also not a great breast cancer tumor marker
Dr. David :
I wish we had a better breast cancer tumor marker.
Customer:
so nothing to worry about the markers during chemo even with slight up
Customer:
they are nerve wrecking
Dr. David :
yes, nothing to worry about on the markers
Customer:
great, still 5 moths of herceptin and tamox i hope this all works
Customer:
thank you
Dr. David :
good luck with your treatments
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 61,622
Experience: Experienced Oncology Physician trained in New York City. I'm ready to help.
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