My mother 67 years old was diagnosed with BC in right breast, Grade 2, ER+,PR+,HER2-, Ki 67 20%, tumor size 2.8 cm
Had radical mastectomy and right axillary I and II lymph nodes removed. Now have received post surgery, pathology report with impression as below -
Right breast (mastectomy + right axillary level I & II lymph nodes): Invasive ductal
carcinoma, grade 2, 2.8 cm.
Margins are uninvolved by carcinoma.
Lymphovascular invasion is identified.
The second nodule lateral to main tumor mass shows 2 lymph nodes with metastatic
carcinoma. Overlying deep resection margin is uninvoled by carcinoma. Size of largest
metastatic deposit is 12 mm. Extranodal extension is identified.
Right axillary lymph nodes (0/16) are uninvolved by carcinoma.
In light of above observations, with 2 neighboring lymph nodes involvement, does Lympho Vascular invasion pose significant risk in terms of metastasis / recurrence.
Appreciate any suggestions for further course of treatment based on above pathology results. My mother is already terrified with the thought of chemo/radiation therapy.