Discussions By Condition: Breast Cancer

fat necrosis or dcis?

Posted In: Breast Cancer 1 Replies
  • Posted By: Sallygan
  • June 14, 2009
  • 07:50 AM

Hi there,
I posted this wrongly on a different section, so I thought I better repost it here. Sorry for that.

I was diagnosed with dcis in my left breast 2 months ago and had a lumpectomy done to remove 2 tumors sized 5.5cm and 2.5cm. The cancer cells were high grade. The histology report shows clear margins. But recently a mammogram performed on the same breast shows micro calsifications near the site of excision. It is about 2cm. My surgeon wants to do a reexcision or even recommended mastectomy as she fears that it might not be fat necrosis but due to my extensive dcis which is aggressive. I am not sure what to do next. If possible a mastectomy would be my last option. Can a new dcis happen so fast in the space of 2 months? Would a biopsy on the tumor be accurate? I would appreciate if anybody in the same situation can advise. Thanks a lot.

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  • Of course, I'm not in your same situation, but I did have multiple cancers last year and a bi-lateral, radical mastectomy. Yes, DCIS can reoccur quickly. Let me start by saying everyone is different and everyone's prognosis is different. Your choices are very important, right now. As you know, they will effect the rest of your life. I don't need to ask you why you are reluctant to have a mastectomy, however, I want to urge you to take your doctor's advice on this one and don't hesitate to make sure you remove anything cancerous or precancerous and take all measures necessary to prevent recurrance. Right now, you are just at risk of losing your breasts, which can be surgically reconstructed to look better than new (and incidentally, your insurance must pay for your reconstruction per federal law). No one knows the day when that cancer will spread to some place that cannot be removed. That changes everything. In my experience, when dealing with cancer, an aggressive doctor is the best doctor to have. Early detection and aggressive treatment means survival and sometimes even cure. Push your doctor for a fast answer to your questions/concerns. Don't be afraid of becoming unpopular with doctors by pressing them for results and answers - even encourage them to do some extra research for you. It is your job to use every resource available to you to find out what you need to know about your body. Once you have your answers, make your decisions quickly and act quickly. Please keep us posted on this, and please let me know if you have any problems with access to services, diagnosis, or funds. There are a lot of us out here who want to help, and we will.
    Conanthebarbie 8 Replies
    • November 25, 2009
    • 02:32 PM
    • 0
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