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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trucut Biopsy Shows Infiltrating Duct Carcinoma. Is The Line Of Treatment Okay?

My wife trucut biopsy right breast lump report says histological features of infiltrating duct carcinoma , Grade -2, modified BR score :6(2*2*2), there is a marked desmoplasia and mild lymphocytic... The breast lump got trucut biopsy and report cance the oncologist has suggested few test like ER,PR,CErbb2 and ki67 and bone scan test ,after that he will start cemotherapy to kill cancer cells ,... is the line of treatement ok or have to get 2nd opinion.
Thu, 20 Dec 2012
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Oncologist 's  Response
Hi, it depends on the size of the lump, glands and breast skin status. In early stages, usually we ask for upfront surgery then chemotherapy. In locally advance cases, chemotherapy 4 cycles followed by surgery then 4 cycles of chemo of different type can be advised. In locally advanced cases, patient must undergo USG abdomen, bone scan and at least X ray chest. ER PR will decide future hormonal treatment. Keep me posted. Take care.
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Trucut Biopsy Shows Infiltrating Duct Carcinoma. Is The Line Of Treatment Okay?

Hi, it depends on the size of the lump, glands and breast skin status. In early stages, usually we ask for upfront surgery then chemotherapy. In locally advance cases, chemotherapy 4 cycles followed by surgery then 4 cycles of chemo of different type can be advised. In locally advanced cases, patient must undergo USG abdomen, bone scan and at least X ray chest. ER PR will decide future hormonal treatment. Keep me posted. Take care.