Here's an update for you all after my 2nd opinion appt today:
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The Cancer Center was fantastic. Everyone was so nice, and they spent lots of time with DH and I. I took in all my films and my path slides. They were incredibly thorough; I feel that my care with them will be much more comprehensive with many eyes and brains deciding how to proceed. I love the team approach they use to making treatment decisions. Here's the plan they laid out:
1) I have very dense tissue, and the doc wants to be sure that there is nothing invasive hiding in there. She is not sure the mammo's I had done show the picture clearly enough. So, she would like me to have a breast MRI (need to get insurance pre-approval first). Also, she is going to have their radiologist review my films closer. She sees some calcs that are a little deeper that weren't biopsied. I may need some additional imaging for that as well, and possibly an additional biopsy.
2) She does not want to do surgery until we get the results back from the tests above. If they still see what they think is just DCIS, then it will be a lumpectomy. If it looks like invasive cancer is hiding in there, then a mastectomy. If that is the case I will be able to meet with a plastic surgeon to discuss reconstruction options before any surgery is done.
3) She will have the pathologist review my slides to give a second opinion on the original path report.
4) Since I have two aunts who had/have cancer, she wants to do genetic testing on me to determine my risk of developing invasive cancer. This will also help in deciding on the best surgical approach.
5) We discussed that there are all the various radiation options available to me, but that I will have a 1:1 appt with the radiologist before starting to determine how I would like to proceed.
That's most everything they said, I think. I can't believe how thorough they were. They even took baseline measurements of my arms to have in case I should happen to develop lymphedema in the future (if I have to have a sentinel node biopsy done). Really comprehensive! I feel like I am in good hands.