• When do you get the entire pathology report?

    Asked by little_fut on Friday, February 22, 2013

    When do you get the entire pathology report?

    It's me again...I have my pathology report but a lot of what I've seen discussed and answered here does not seem to be on this report. It says I have IDC BC, Grade 7, SRB6 (don't know what that means) Also says HERS still needs to be determined..... It says 8cm, I don't know what stage Im in, when will I learn everything about my "irritation" or will I ever know. Other than what I've already said, I'm in the dark. Is this normal or should I know a lot more by now? Diag was 26 Dec. 2012 Just saw surgeon about 2 weeks ago.

    7 Answers from the Community

    7 answers
    • nancyjac's Avatar

      Sounds like you already have it. A biopsy pathology examination can only examine the tissue provided and the pathology report only provides information about the biopsy sample. Since cancer staging is based in large part on the size and quantity of tumors and to what extent cancer has spread, staging cannot be done though a biopsy alone. You will know about anything you ask your oncologist about. So ask him/her if a stage has been determined yet as well as any other questions you have. You must be your own best advocate. Your doctor doesn't know what level of detail you want, so you need to tell him and ask for what you want to know.

      over 3 years ago
    • karen1956's Avatar

      I had pathology report from biopsy...then additional information after bilat...

      over 3 years ago
    • JennyMiller's Avatar
      JennyMiller (Best Answer!)

      The pathology report that you receive after surgery will confirm the biopsy report but will be more complete and will answer your questions about staging, etc. I wish you the best.

      over 3 years ago
    • SueRae1's Avatar

      You should have had a complete report by now - it usually takes 7-10 days.

      over 3 years ago
    • attypatty's Avatar

      Dear little_fut:
      IDC mean "infiltrating ductal carcinoma" which means you have breast cancer (BC). The term signifies that the tumor has breached, or infiltrated, breast tissue, i.e. traveled outside the duct in the breast. Grade 7 refers to the histology of the tumor itself. Histology just means the anatomy of the cancer cells. Tumors are graded as to type of cells, rate of division, and differentiation of the cells (ie how much they differ from normal cells. Each component is graded from 1 (low) to 3 (higher), then added together. So a grade of 7 means you are on the higher end of the middle range. The grade of the tumor is NOT the stage of the cancer. Stages for BC are from 0 (in situ tumor, meaning it has not escaped the duct) to 4, which is advanced. This is a scary time bit I found the more I knew the better I could cope. And you may not know the stage until after the surgery. I initially was given Stage 1 after the tumor biopsy but was "upgraded" to Stage 2 after my surgery, because the actual tumor was larger than the biopsy revealed. My tumor grade, BTW, was the same as yours - grade 7. SRB6 refers to the Scarff Bloom Richardson test and the number refers to the grade, in this case 6. Again, this puts your tumor in the middle range. This information is used to chart your personal course of treatment. The other testing that occurs (again, usually after surgery because they test the removed tumor) will determine if the tumor is estrogen (ER) positive, progesterone (PR) positive, and/or HER2 (human epidermal growth) positive. This information, too, will be used to determine teh course of treatment. There is a lot of opportunity for self-education on reliable websites, such as the American Cancer Society, The National Institute of Health, Stanford University, The National Cancer Institute, the Mayo Clinic. With reliable guidance from these online sources (I stayed away from the chat rooms and blogs, except for this one), you can learn so much, and come out of the dark. It's been almost a year since I finished chemotherapy and tough as it was, it was worth the fight.
      BTW, the timing from diagnosis to surgery, etc. seems about right. I know how these days seems to be suspended in time and space - it is a surreal time, at best. I hope it's reassuring for you to know that it's all ok, just a matter of taking one step at a time.
      Fight On,

      over 3 years ago
    • jad's Avatar

      Your oncologist or a nurse staff member should be able to answer your questions.
      I often had a prepared list of questions for my oncologist, gave her a copy - and she actually took the time to write in the answers. Some of the best advice I had was to write things down. You are in uncharted territory (for you) here and emotionally stressed as well. You cannot possibly remember things being told to you. Bring a notebook with you to all visits. Or a good friend or family with who can take good notes for you.

      over 3 years ago
    • SandiD's Avatar

      It really is your oncologist that is the cancer expert. The Surgeon only knows so much about about cancer. Also, look at www,breastcancer.org. That site was SO helpful. Good luck to you!

      over 3 years ago

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