和乳腺癌狭路相逢5

来源: 2021-06-24 06:44:00 [] [博客] [旧帖] [给我悄悄话] 本文已被阅读: 次 (15131 bytes)

对于癌症病人,我觉得你一定要检视你自己的生活方式,但并不是说改变了生活方式就一定有用,还是得看情况,该手术还是得手术,该放化疗的还是要放化疗。如果应该手术,千万不要拖延。

我其实特别幸运,因为我及时去做了检测,在癌细胞只有1.1毫米时就发现了,而且因为癌细胞不太活跃,拖一阵子也还行。其实我的癌细胞自检是摸不出的,就算是mammogram的片子,也得要有经验的医生才能看出。我真的是很幸运,在对的时间碰见对的医生,做了对的选择。

另外,自检很重要,特别是对于发展快的癌细胞,真的可以摸出来。

下面附上我的病理检验结果:

Right breast mass at 10 o'clock, N5, MRI-guided core biopsy:
A small focus (1.1 mm on glass slides) of invasive carcinoma focally
identified with the following features:
Histologic type: Ductal, no special type.
Histologic grade (Nottingham histologic score): Intermediate grade, 2 of
3, (score 6 of 9).
Tubule formation: Poor, 3 of 3.
Nuclear grade: Intermediate, 2 of 3.
Mitotic rate: Low, 1 of 3.
Lymph-vascular invasion: Not identified.
Ductal carcinoma in situ (DCIS): Present.
Architectural pattern: Solid and cribriform with involvement of lobules.
Nuclear grade: Intermediate.
Necrosis: Not identified.
Associated calcifications: Present.
Additional findings:
Focal flat epithelial atypia and atypical ductal hyperplasia (ADH).
Dense stromal fibrosis and pseudoangiomatous stromal hyperplasia (PASH
).

Immunohistochemical studies for estrogen/progesterone receptor
expression, HER-2/neu overexpression and proliferation index
determination (Ki-67) will be performed and reported in an addendum.

DIAGNOSIS COMMENT:
This right breast mass at 10 o'clock MRI-guided core biopsy
predominantly shows foci of ductal carcinoma in situ (DCIS) with
background stromal fibrosis. A small focus of invasive ductal carcinoma
is focally identified adjacent to DCIS, which measures up to 1.1 mm on
glass slides.

SUMMARY OF PREDICTIVE/PROGNOSTIC MARKERS:
Estrogen Receptor Status: Positive (99% with strong nuclear staining)
Progesterone Receptor Status: Positive (99% with strong nuclear
staining)
HER2 (by immunohistochemistry): Negative (score of 0)
HER2 (by in situ hybridization): Not performed
Proliferation Index (Ki-67): 6%

所有跟帖: 

would you please add your articles to your blog. that would be v -mayoda- 给 mayoda 发送悄悄话 mayoda 的个人群组 (0 bytes) () 06/24/2021 postreply 06:50:18

感觉你的治疗有点太aggressive, 当然如果是自己碰到估计也宁可信其有 -SerendipityA- 给 SerendipityA 发送悄悄话 SerendipityA 的个人群组 (0 bytes) () 06/24/2021 postreply 07:16:00

你忽视一个非常重要的因素:情志。 -danren- 给 danren 发送悄悄话 danren 的博客首页 danren 的个人群组 (0 bytes) () 06/24/2021 postreply 07:41:33

你说得很对,人的心理也很重要 -翩翩沙鸥- 给 翩翩沙鸥 发送悄悄话 翩翩沙鸥 的博客首页 翩翩沙鸥 的个人群组 (284 bytes) () 06/24/2021 postreply 07:58:19

外人来看,你是乐观向上的。 换成是我估计没被癌灭了早早被自己灭了。 每年乳房检查后我那放射科医生朋友被我作死。 -Shanghaigirl98- 给 Shanghaigirl98 发送悄悄话 Shanghaigirl98 的个人群组 (0 bytes) () 06/24/2021 postreply 09:28:12

哈哈哈。我也是,很容易panic。一旦得癌,自己先把自己紧张死。 -香草仙子- 给 香草仙子 发送悄悄话 香草仙子 的博客首页 香草仙子 的个人群组 (0 bytes) () 06/24/2021 postreply 13:00:29

你的癌细胞是HER2阴性,Ki-67也很低,长得很慢,又是ER/PR强阳,预后很好。因为只有1毫米,很有可能活检的时候癌细胞就被 -圭妈- 给 圭妈 发送悄悄话 圭妈 的博客首页 圭妈 的个人群组 (0 bytes) () 06/24/2021 postreply 22:53:42

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