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Question
Thank you for your previous response to my question about my report. I have another question for you, What does my report mean where it states "extensive ductal carcinoma in situ, low & intermediate grade, micropapillary and cribriform types with & without microcalcifications? I have already had a lumpectomy & I am getting ready to have a 2nd surgery, with radiation & her2 positive therapy. Also what does pTis, pNX, & pMX mean? Thank you.
Well extensive ductal carcinoma in situ (= stage 0) means that you have a lot of early cancer restricted to its point of origin in milk ducts. It is of low and intermidiate grade meaning that it does not seem to be very malignant. That is good news as is the fact that the cancer is restricted to its place of origin. All the rest are technicalities which would mean that I would have to give you a crash course in tumor pathology to be able to explain and they are not that important in evaluating your risks and chances or therapy at present. I do this in my spare time and free of charge so I'm not prepared to give you such a course.
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Answers by Expert:
Claes-Gustaf Nordquist, M.D.
Expertise
I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.
Experience
I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps.You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.
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I'm a medical doctor and specialist in medical oncology and radiation therapy.
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