Appropriate Treatment Of Invasive Ductal Carcinoma?
Hello, I want to ask a month ago, I just had surgery in the breast and the lab results stated that invasive carcinoma of NST grade 3 is how please explain. And whether a mastectomy should be done beforehand
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When suspicions or lumps in the breast are found, the doctor can plan a full examination to confirm the diagnosis with a breast tumor, whether it is a benign tumor or a malignant tumor. Investigations can be done in the form of breast ultrasound examination, mammography, MRI, or with a biopsy.
If the results of investigations provide information on the results of the examination is an invasive carcinoma of NST grade 3, this indicates a breast cancer which is also called invasive ductal carcinoma. In general, breast cancer is divided into 2 types of cancer based on microscopic examination, namely breast cancer invasive ductal carcinoma and invasive lobular carcinoma. However, more cases of invasive ductal carcinoma cancer are found. And the handling of these two types of cancer in general is no different.
Grade 3 shows a differentiated picture that is different from changes in cell mutation, the cell nucleus under a microscope that is high grade or poorly differentiated. Where the grade differentiation is divided into 3 grades, namely:
1. grade 1 is well differentiated
2. grade 2 is moderate differentiated
3. Grade 3 is poorly differentiated
while indications of mastectomy can be:
1. tumor size more than 4cm
2. multicentric tumor
3. grade 3 or high grade tumor
4. tumor boundaries are not clear when conservative surgery is performed
Thus, if the examination results obtained are invasive carcinoma of NST grade 3 showing a malignant breast tumor with tumor cells that are high grade, if the surgeon plans a mastectomy, then high grade breast tumor is one of the indications.
However, you should discuss all of this directly with your oncology surgeon, because your surgeon better understands your clinical condition and the right treatment plan for you. In addition to surgery or mastectomy, a combination of other snacks can also be done, whether in the form of chemotherapy, radiotherapy, hormone therapy, or targeted therapy. Therefore, other tests or further tests are usually done to find out whether there is a distribution of tumors, the presence or absence of hormone receptors in tumor cells or can also be related to the target therapy. Thus, every effort to handle will be given by your doctor according to the indications and results of further tests.
For now, the results of the laboratory examination that you get still need direct confirmation from your doctor to get the right information according to your clinical condition.
Thus the info we can convey.