Off topic -Chuck, Nancie or anyone who knows

[Guest guest]

My niece diagnosed w/breast cancer on Xmas Eve. She is 32, never smoked,

doesn't drink, breast fed two babies, is a marathoner and an equestrian.

Never had a mammogram as no family history so she wouldn't be due to have

such exam until age 40. Unfortunately, the lump was big enough that she

found it herself while securing her bra.

I have seen the pathology report and remember enough of it to say that she

is diagnosed with (......this word I don't remember) in situ ductal

carcinoma, Nottingham 2, Apocrine . There are two tumors - one is 4mm ,

the other is 2mm.

So, I've looked up apocrine - which means sweat gland, Nottingham is a

prognosis scale , in situ ductal means milk gland.

My questions are -1.) is Nottingham2 good news or bad? All my googles

only discribe the prognosis method/theory behind the Nottingham scale. I

don't seem to be able to find out what a scale of 2 means. 2.) Does the

apocrine inclusion mean that the in situ ductal has travelled from the milk

glands to the sweat glands - an indication of metastatic breast cancer? Is

the fact that there are two tumors indicative of metastatic breast cancer or

is more than one tumor common with in ductal in situ cancer?

The tumors are underneath the nipple in the right breast only - MRI results

indicate no chest wall tumors or lymph node involvement. Surgeon has been

contact and we are awaiting an appointment. It is possible that I will be

patient advocate for her and I don't understand most of what I'm reading on

the net.

Can anyone make this any c learer , in layman's language, so that I am

prepared if I go with her to surgeon.

Thanks

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mse