My mother diagnosed with BC and got surgery of lumpectomy after that report of biopsy are here.
Pathologic stage :
- pT2 (m) pN0 (AJCC).
- 2.7x1.3x1.2cms – Largest nodule. - 1.1x1.0x1.0cm- Smallest nodule.
Histological type :
- Infiltrating duct carcinoma with medullary-like features.
Histological grade :
- Grade III(Scarff-Bloom-Richardson grading scheme - Tubule formation- 3, Nuclear pleomorphism- 3, Mitotic rate- 2, Total score- 8).
ER - 5(Percentage of cells- >95%) + 3(Intensity of staining)= Total score - 8.
PgR - 5(Percentage of cells- >95%) + 3(Intensity of staining)= Total score - 8.
HER2 – 1+.
Ki67 labelling index – 35-40%
1. ER - Positive.
2. PgR - Positive.
3. HER2 – Negative.
4. Ki67 labeling index – High
Please Advice what is the next best treatment should be given after surgery.