QuoteReplyTopic: Need advice Posted: Jun 25 2020 at 12:11pm
hi my mom is just wondering she saw her doctor today for appointment. She finished chemo 3 weeks ago and going for surgery in a week. When he examined her he said the tumour shrunk and bed of the tumour remained what does that mean ?
I'm not a medical expert, but to me it means he physically examined her and noticed some of the tumor (the base) remaining. I'm not sure they really know 100% until surgery and remove the tumor to see if any of it is remaining or if chemo achieved a complete response.
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09) 11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15
Neoadjuvant
therapy reduces the size of the primary tumor for most patients. Size
can usually be determined by palpation in patients with a minimal
treatment response. However, tumors that have undergone a marked
response are more difficult to palpate. The reason for the change in
palpability is secondary to marked softening of the tumor stroma, the
quality of the desmoplastic response, and changes in cellularity. In
addition, a decrease in blood flow, as frequently detected by magnetic
resonance imaging, could contribute to a change in the firmness of the
carcinoma. In cases of a marked or complete response, it may not be
possible to identify the original tumor site (tumor bed) by gross
examination.
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09) 11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15
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