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Question
I asked previous questions on Jan 16th. You asked me to keep you posted so here it is. I had core biopsies of the 12 o'clock position and asked them to also check the 8 o'clock position as you suggested. Both areas are malignant. Invasive ductal carcinoma although the 8 o'clock area said it showed possibility of lobular. The surgeon said mastectomy would be required because of the 2 locations involved and their distance apart form each other. I had a mastectomy of the left breast last Wednesday. Sentinel node mapping was done the day before and during surgery the 2 nodes were clear. I am awaiting complete pathology report. I am er/pr positive and waiting on Her2. Do you think I will require chemo along with Tamoxifen? Also is the treatment and prognosis the same for both lobular and ductal? Thank you
Sorry to hear that! I do agree with your surgeon. As it stands now I see no reason for any chemotherapy - but indeed for hormonal treatment. Should you be Her2 positive chemotherapy should however at least be discussed. Please let me read the complete pathology report when available. With these sizes of your lesions there are no differences in prognosis to speak of. Good luck!
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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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