Вопрос № 60903

Здравствуйте, меня зовут Ирина , я живу за границей . Мне 36 лет . В 2022 декабре мне поставили рак груди . Спрашиваю у онколога какая стадия говорит 2 между 3 . AJCC (8th edition): pT2(m) pN0(i+)(sn) . A. BREAST, RIGHT, PARTIAL MASTECTOMY: - Adenocarcinoma, invasive, lobular type, moderately differentiated and invasive, ductal type, well differentiated. See comment. - Maximum tumor dimension: 5.0 cm (AJCC: pT2, pN0(i+)(sn)) and 0.5 cm. - Tumor location: Upper inner and upper outer quadrants - Tumor position: 1 o'clock, 3 cm from nipple and 12 o'clock, 5 cm from nipple - Surgical resection margins: negative for invasive adenocarcinoma; invasive tumor present: - Within 0.1 mm from inferior margin (A26). - 0.3 mm from posterior margin (A16). - 1 mm from medial margin (A2). - 1 mm from anterior margin (A11). - 2 mm from superior margin. - 5 mm lateral margin. - Lymphatic vascular invasion: Not identified. - DCIS: Cribriform pattern, without necrosis, nuclear grade II - %DCIS: Less than 5% - Surgical resection margins negative for DCIS; DCIS present: - 9 mm from posterior margin. - Greater than 1.0 cm from remaining margins. - Fibrocystic changes including: Atypical ductal hyperplasia, atypical lobular hyperplasia, usual ductal hyperplasia, sclerosing adenosis, columnar cell change, columnar cell hyperplasia, adenosis, apocrine metaplasia, microcysts, interlobular fibrosis. - Microcalcifications associated with DCIS and fibrocystic changes. - Prior biopsy sites (2) identified. B. LYMPH NODE, SENTINEL, #1, RIGHT AXILLARY, COUNT 7682, EXCISION: - One lymph node negative for carcinoma (0/1). C. LYMPH NODE, SENTINEL, #2, RIGHT AXILLARY, COUNT 900, EXCISION: - One of four lymph nodes with isolated tumor cells (1/4). Lymph nodes: 1/5 (positive/total number examined) Sentinel nodes: 5 (examined and included in total) 0 nodes with macrometastases 0 nodes with micrometastases 1 node with isolated tumor cell clusters only ER/ PR: 1 o'clock, 3 cm from nipple: ER positive (90%); PR positive (90%) (SU22-42936) 12 o'clock, 5 cm from nipple: ER positive (greater than 90%); PR positive (greater than 90%) (SU22-42936) Her2/neu: 1 o'clock, 3 cm from nipple: 0/negative (by immunohistochemistry) 12 o'clock, 5 cm from nipple: Equivocal (2+ by immunohistochemistry) (SU22-42936); non-amplified by in-situ hybridization, Her2/Chr17 ratio: 1.49 (SU222-42936) Была лампэктомия , 20 сеансов лучей . Сейчас мой онколог хочет мне назначить химию . Это: dose dense adriamycin and cytoxan followed by paclitaxel. -8 курсов У меня большая к вам просьба , могли бы вы пожалуйста посоветовать , если мне нужна химия. И если Да , то правильно ли мне назначил мой онколог . Благодарю вас ?. Делала мутацию , нашли только Check 2 i157t. На узи и маммографии показывала опухоль до 2 см , после гистологии 5 см . Сдавала Oncotype dx , пришел 14 . Помогите пожалуйста ?