Wednesday, 26 January 2011

My 1st analysis on the pathology report

The lump is confirm a mucinous cancer, namely Mucinous carcinoma.

There are few therapies which oncologist will normally recommend:
Radiation therapy, chemotherapy, hormone therapy and targeted drugs.
http://www.mayoclinic.com/health/breast-cancer/DS00328/DSECTION=treatments-and-drugs

Radiation therapy - Looks like this is a must for lumpectomy surgery, which only remove the breast cancer, but not the entire breast (mastectomy).

Chemotherapy - HIghly recommended  in order to control the spread.

Hormone therapy - Use hormone blocking pill to reduce the hormone production or to block hormone to attach to cancer cells. Because of I am strongly positive in both Estrogen Receptor (ER) and Progesterone Receptor (PR) positive, therefore I am suitable for hormone therapy. For those patients with ER/PR negative, they may only rely on chemotherapy and radiation therapy to kill those cancer cells. In other words, I have averagely  30% success rate after for each therapy but those iwth ER/PR negative, is 50% on chemo and radiation. I personally think, if i skip chemotherapy, I still can rely / put hope on hormone therapy + radiation.

Targeted drugs - I am not suitable for this therapy, as mine cancer cells is Her2/neu negative. Lucky me, I heard this treatment costs about RM100K.

*Not very sure about all the information in the report.*


Some additional information about Mucinous Breat cancer, which is quite match to my report.
Information from:
http://www.breastcancer.org/symptoms/types/rare_idc/mucinous/symptoms_diagnosis.jsp

There are some other key features of pure mucinous carcinoma:
  • Hormone-receptor-positive: Studies show that pure mucinous carcinoma tests positive for estrogen receptors 90-100% of the time and for progesterone receptors in 50-68% of cases.
  • HER2-negative: Mucinous carcinoma usually tests negative for receptors for the protein HER2/neu.
  • Negative lymph nodes: Pure mucinous carcinoma rarely spreads to the lymph nodes, especially if the tumor is 1-2 cm or smaller. Larger tumors may involve spread to the lymph nodes. Sometimes, cancer in the lymph nodes indicates that the tumor is actually a mixed mucinous carcinoma, with invasive ductal carcinoma cells present.

No comments:

Post a Comment