The Results and Treatment Plan

Dr. Zuurbier sure knows how to read those mammogram films. The test results came back just as she thought they would. (Note to all women reading this in the DC area:  I highly recommend Dr. Zuurbier at Sibley; she is the best.)

The results:

  • Ductal Carcinoma In Situ (DCIS), or Intraductal Carcinoma, which is breast cancer in the lining of the milk ducts that has not yet invaded nearby tissues in the left breast.
  • Invasive Ductal Carcinoma (IDC) in the area where Dr. Zuurbier was looking at the 1.3 centimeter mass in the left breast.
  • The tumor is 100% Estrogen Receptor Positive and 60% Progestin Positive. (Um, 14 years on the pill probably didn’t help…So long, birth control.)
  • A clear bill of health for the right breast (the MRI saw something suspicious, but it turned out to be nothing).
  • No lymph node involvement seen on the mammograms, MRI, sonograms and Pet Scan. Good, please stay that way.
  • A clear Pet Scan. (OK, so when they scan your whole body, you are thinking they are going to find something else lingering somewhere…phew.)
  • Genetic Testing Results were negative. I don’t carry the BRCA1 or BRCA2 genes.

The treatment plan:

  • Double mastectomy with partial reconstruction (saline extenders inserted) done at the time of surgery. (Sorry right breast, I know you are just an innocent bystander, but I am trying to do the breast cancer thing only this one time.)
  • Chemo? Radiation? I will know more about this after the full pathology report comes back after surgery.
  • Reconstruction. I will be getting silicone implants and nipple reconstruction (yes I said nipple reconstruction, since the cancer is in my milk ducts the poor nipple takes the hit too, and since I like symmetry, adios to the right nipple too.)
  • Live life well without cancer.
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