Pathology query

I had a mastectomy 5 weeks ago ( multifocal 4 tumours all under 7mm) and got a copy of my pathology through. It states all grade 1 and pT1b stage and NPI 3.14.

The query is the MDT have staged me as T2 NO MO : not sure why the difference from pathology which was following surgery and the MDT team meeting unless they have added the size of all the tumours together?

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:heart:hopefully the BCN nurses pick up on your post and answer your questions :heart: you can always ring the number on here too :heart: do ask away everyone will try and help :heart::two_hearts::two_hearts::sparkles::sparkles:Shi xx

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Hi joyousjen,

Thanks for posting.

It’s understandable that you have questions about the staging of your multifocal breast cancer.

Multifocal breast cancer is usually staged according to the size of the largest cancer, but there is some debate as to whether this is the best way of staging it as it doesn’t take into account the total number of cancers. As you say, it could be possible that the MDT have added together the size of all 4 cancers. Do check this with your treatment team or breast care nurse as they are best placed to explain why the change in your staging has occurred.

We offer a range of free supportive services for anyone who has had a diagnosis of breast cancer which you may be interested in.

As Shi suggests you can also call our helpline if you would like to talk this through or have any further questions. The helpline team have time to listen to your concerns, talk things through and signpost you to more support and information. Your call will be confidential, and the number is free from UK landlines and all mobile networks. The number is 0808 800 6000, (Relay UK -prefix 18001).

If you would prefer one of our nurses to call you. To do this, please complete this form ticking the box agreeing to a call back.

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Best wishes


Breast Care Nurse

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