Can Cancer spread via the Nerves? Can you give me a Prognos Posted: 09-02-06 14:09pm
I am facing a 2nd recurrence - original
cancer in 91 at 36 yrs, stage I, small
lump. Had Lumpectomy and Radiation,
tamoxifen for 3 yrs. . 1st recurrence
1996- Local. Stage II, Mastectomy/TRAM
Reconstruction treated with Chemotherapy
(Adriamycin and CMF) and Radiation.
July 2006 found a lump near the old scar
around the outer edge of TRAM near the
sternum. Diagnosed with recurrence -
grade 3 invasive ductal carsinoma,
sections of tissue show multiple
iill-defined nodules within ghe
fibroadipose tissue and skeletal muscle
tissue. The nodules are composed of
markedly pleomorphic cells arranged in
nests and cords, Cells show brisk mitotic
activity. Focal perineural invasion
identified and skeletal muscle involvement
present. benig over hair bearing skin.
Strong positivity for pancytokeratin and
GCDFP, negative for HMB-45. Tumor involves
the inked cauterized surginal marin in
several sections. Still awaiting HER2
and staging.
All of my CT Scans for abdominal, pelvic
and chest, bone scan, brain MRI and chest
x-ray show negatvie for metastasis.
I am still awaiting to see my oncologist,
but I assume at the minimal I will need to
go through Chemo again.
Questions:
Does this mean there is cancer in the
skeletal muscle and possible spreading
could occur through the nerves.?
Where could it spread to?
Can you give any type of prognosis on just
the information I provided?
Is radation for the 3rd time even safe or
possible?
If the TRAM is removed, what does a
surgeon normally do with the area?
|
DoctorAnswer
Doctor Answer
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Breast Cancer Answer A1454 Posted: 09-06-06 10:38am
According to the pathohystological report
and results from the other image
examinations (X-ray, MRI and CT-scan), it
seems that there is only a local spreading
of the recidiv breast cancer in the
adipose and muscle tissue. Cancers can
spread locally (“per continuitatem”)
and through the lymph and blood vessels,
but not through the nerves. Cancer can
spread to any organ in the body. Giving
prognosis for malignant diseases is the
most unpleasant job in the medical field.
Further therapeutic procedures (surgery,
radiation, chemotherapy) depend upon
laboratory results and a specializing
doctor’s opinion (oncologist and
surgeon).
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