By sharad October 9, 2012 - 1:35pm

Hello All,

I am very new to this website and forum. I got the information for this website from sirus fm while travelling.I was listening the conversation and thought this is the better place to ask. Last week only I got information that my mother-in-law has been tested positive for breast cancer. Her age is 54. Here are the details from her report.
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1st Page report
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Carcinoma right breast.
ER - Negative
PR - Negative
Her2Neu - 3+ positivity
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2nd page report
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Clinical impression :
Specimen: FNAC Right Breast

Received seven fixed smears.
Smears show clusters of malignant cells with dense nuclei and scanty to moderate eosinophilic cytoplasm.

Imp:- Smears are consistent with a carcinoma breast
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3rd Page report
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Clinical impression :
Specimen: Right modified radical mastectomy

Macroscopy:
Received specimen of right breast measuring 21 x 14 x 5cm with axillary pad of fat measuring 10 x 8 x 4cm. Elliptical piece of skin measures 19 x 9cm.,. The nipple appears retracted. Cut surface shows multiple grey brown, firm to hard nodules with irregular margins extending throughout the breast parenchyma. Tumour measures 14cm in maximum dimension. Tumour is 0.5cm from the posterior resected margin. Identified 40 nodes from the axillary pad of fat largest measuring 2.5cm.

Microscopy:
Sections from the right modified radical mastectomy specimen shows a grade II moderately differentiated invasive ductal carcinoma, NOS with a maximum dimension of 14cm (pT3)-lymphovascular invasion is noted. 19 lymphnodes out of a total of 40 lymphnodes examined show tumour (pN3). The skin and deep margin (0.5cm clear) show no tumour involvement.

Impression:
Right modified radical mastectomy specimen - Grade II moderately differentiated invasive ductal carcinoma, NOS, pT3N3cMx. Deep margin is clear.

Can someone explain me about this and if someone survived the breast cancer with the same level then please let me know how can we take care of person suffering with this cancer.

Thanks,
Sharad