The inner lining of the esophagus is known as the mucosa. What does it mean if my report mentions the terms Barrett’s, goblet cells, or intestinal metaplasia? The place where the esophagus meets the stomach is called the gastro-esophageal junction, or GEJ. The esophagus is a tubular organ that connects the mouth to the stomach. The questions and answers that follow are meant to help you understand medical language you might find in the pathology report from your biopsy. Information in this report will be used to help manage your care. The pathologist sends your doctor a report that gives a diagnosis for each sample taken. If you think you may have a medical emergency, call your physician or 911 immediately.When your esophagus was biopsied with an endoscope, the samples taken were studied under the microscope by a specialized doctor with many years of training called a pathologist. By using this Site you agree to the following Terms and Conditions. We offer this Site AS IS and without any warranties. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. But when it's considered "high grade," it's pretty clear that thorough treatment is necessary and it's better to be too aggressive than not enough. There's still controversy about how much treatment of DCIS is enough, or too much. It also would depend on other factors, such as whether the non-cancerous tissues have what are considered pre-cancerous changes, family history, and of course your own preference. Whether it makes sense to do more lumpectomy, or whether it's time to consider mastectomy depends in part on the anatomy of your breast meaning, whether the surgeon thinks it's possible to take more tissue at that margin and still end up with a satisfactory appearance. Curative treatment, based on the best studies, first requires removing all the known tumor so at the present time, you are not quite there. If not, it has the potential to become invasive, meaning it can spread outside the breast. It's not quite true that you don't have cancer: you have cancer, but in a form that has a cure rate of nearly 100% if treated adequately. Medial margin means the edge of the tissue that's most toward the center of your chest. Not sure if you can give a recommendation with this amount of info but I would love some thoughts from anyone. It's hard to believe that I would have to have a mastectomy without even having breast cancer. He has already removed quite a bit of tissue from both surgeries. Although who knows how long they have been in there. It seems to me my body is prone to making these precancerous cells. My question to you is: What would be your next course of action? Try to remove this last amount of DCIS? Mastectomy on that breast to avoid any future spread? Radiation or hormone therapy? He said there is no sign of IBC. He said this is very small and microscopic. My surgeon said he was surprised because the tissue looked good. The specimen is serially sectioned to reveal tan-white to tan-yellow cut surfaces with focal granularity. There is an area measuring 2.5x2.0 cm which represents the wall of the cavity at previous biopsy site. The Gross Description said: In formalin is a portion of tan-yellow rubbery fibrofatty breast tissue measuring 4.0x3.0x1.2cm. Several foci up to 0.8 cm, present at new biopsy site. What does medial margin mean? Anyway, the pathology report for that one margin indicated Residual high grade DCIS (C7-C10). This was on my left breast and the medial margin. I have just had my second surgery for removal of high grade DCIS.
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