A guideline for Breast pathology and breast cancer

Eliza Edwards
6 min readMay 2, 2022

Now in a day we people are facing many types of cancers and breast cancer is one of them. Before going to know about breast cancer first let’s gain some knowledge about pathology.

What is pathology?

Pathology is the science that studies the cause and effect of diseases, and the pathologists examine samples of body tissues, in our case of breast cancer. Specifically, pathologists stigma slices from the breast cancer sample with different labels that they also analyse under the microscope. After expansive tests, the pathologist makes a report about the cancer sample.

The sample that the pathologist receives can be tissue from vivisection, breast-conserving surgery, or a mastectomy. The amount of detail in each report will depend on what tissue you’ve had taken off and how much of the amount.

Not all reports will include an equal amount of information. Let's take an example, a pathology report of a bioscopy will have significantly minor detail than a report following surgery. There’s also variation between hospitals in the layout and terms used.

How to know what is your breast cancer type?

If the report specifies the cancer is Invasive, which means the cancerous cells have cultivated the past part of the breast location where they began from if the report specifies that the cancer is Invasive. Still, if the report specified cancer as In Situ, it means that the cancerous cells haven’t cultivated past the breast tissue position where they started from.

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#UCG is organizing Meet Inspiring Speakers and Experts at our 11th World Breast Pathology & Breast Cancer Conference on October 31, 2022, Online. If you are interested to be a part of this Webinar as a speaker or delegate then register yourself today.

Register here: https://breastcancerpathology.universeconferences.com/registration/

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Difference between Ductal and Lobular

The female breast is made up of 12–20 sections, which are known as lobes. Each of these lobes is made up of many little lobules, the gland that produces milk in nursing females. Both the lobes and lobules are joined by milk ducts, which act as stems or tubes to carry the milk to the nipple.

The sample that the pathologist receives can be tissue from vivisection, breast-conserving surgery, or a mastectomy. The amount of detail in each report will depend on what tissue you’ve had taken off and how much of the amount.

Not all reports will include an equal amount of information. Let’s take an example, a pathology report of a bioscopy will have significantly minor detail than a report following surgery. There’s also variation between hospitals in the layout and terms used.

Does the cancer size matter?

The report will also define the size of the cancerous cells or tumours. The size is measured at cancer’s widest point and is generally described in millimetres (mm). In the case of chancing two tumours simultaneously, one Invasive and another In Situ, the combined size will be measured as the entire tumour size. Still, only the invasive breast cancer will be further tested by the care team. In case you have a tumour larger than 3 cm (30 mm), you might have treatment like chemotherapy before surgery to reduce the size. Treatment before the surgery is technically appertained to as neoadjuvant.

Although small breast cancers often have good outcomes, other factors including the rate of growth of the cell also need to be taken into consideration.

How do know, what is the grade of cancer?

Pathologists classify cancer cells in different grades depending on how different they look from normal breast cells and how they are growing with time. The grades range from 1–3, with 1 being physically closest to the breast cancer cells and 3 being the most abnormal and this is not the same as breast cancer which is not in the pathology report.

What is the stage of cancer in the body?

Staging is combining all the parts of your breast cancer to then help decide your treatment plan. It ranges from 0-to 4 and focuses on the size and layout of cancer. It differs from classifying as it doesn’t look at the physical characteristics of the tissues. Here stage 0 means the breast cancer is not tending to spread and therefore has not spread to other tissues within the breast and stage 4 means the advanced or secondary cancer, is invasive cancer that has spread from the nearby lymph nodes to other parts of our body.

Genomic profiling

It identifies a set of genes that can affect how a can cancer is to behave and respond to the treatment. These tests are carried out in breast cancers that are invasive, ER+, HER2 negative, and with no more than three lymph nodes containing cancer cells because it is not clear whether the type would benefit from chemotherapy, which can be indicated through the results of these tests. There are varieties of tests are available, including Oncotype DX and Endopredict.

Can breast cancer be completely removed?

During the surgery, the surgeon also takes out a layer of normal tissue surrounding the cancer cells to make sure all cancer will be removed. This layer of tissue is called the margin.

Then the margin is tested to confirm that all cancerous cells were removed. If the margin is clear then it confirms that there are no cancer cells will be seen, if it is positive, then cancer cells are out to the edge of the tissue, and if it is close, cancer cells are close to the edge of the tissue but not right at the edge. Surgeons go with both positive and close results, further, the surgery may need to be considered.

What does the Ki67 score signify?

Ki67 is a protein that is found in cells. It shows how quickly cells are dividing and growing. In breast cancer, it is considered a high score of Ki67 is expressed in more than 20% of the tissues analyzed.

TNH staging

It is the indicator of breast cancer’s size and spread. TNM staging is the combination of T-Primary tumour size, N-Spreading to nearby lymph nodes, and M-Spreading to other parts of the body. Together it gives a detailed explanation of breast cancer and can be used in deciding the appropriate treatment plan.

Visit our website for the upcoming breast pathology and breast cancer conference 2022 for more details.
Reach out to us: https://breastcancerpathology.universeconferences.com/
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Reference breast pathology and breast cancer UCGconferences press releases and blogs

o https://medium.com/@elizaedwards2021/10th-world-breast-pathology-and-breast-cancer-conference-6db6e4fc81c2

o https://kikoxp.com/feed?filter=most-recent

o https://www.quora.com/profile/BreastCancerUCGConferences/10th-World-Breast-Pathology-and-Breast-Cancer-Conference-Dear-colleagues-and-guests-welcome-to-the-10th-World-Breast-Pa

o https://sites.google.com/d/1GjMkcTpPR0amj-1dp877__PsqdODuGcv/p/16KaMjrLJn3LkYn4nRYLnRefvkHvCqL0M/edit

o https://www.reddit.com/user/breastcancerucg1/comments/taq1kt/10th_world_breast_pathology_and_breast_cancer/

o https://www.blogger.com/blog/post/edit/3238443600245550728/7246086302346767315

o 10th World Breast Pathology and Breast Cancer Conference | LinkedIn

o https://medium.com/@elizaedwards2021/10th-world-breast-pathology-and-breast-cancer-conference-6886c15ccb37

o https://wordpress.com/post/breastpath2022.wordpress.com/6

o https://medium.com/@elizaedwards2021/breast-cancer-disease-f0324f19b8a2

o https://www.blogger.com/blog/posts/3238443600245550728

o https://www.reddit.com/user/breastcancerucg1/comments/th0lj8/breast_cancer_disease/

o https://medium.com/@elizaedwards2021/breast-cancer-disease-f0324f19b8a2

o https://www.blogger.com/blog/post/edit/3238443600245550728/5272365125212681129

o https://medium.com/@elizaedwards2021/breast-cancer-hysterectomy-and-removal-of-ovaries-and-tubes-954c834d8b0d

o https://kikoxp.com/posts/10351

o https://www.quora.com/profile/BreastCancerUCGConferences/Breast-cancer-hysterectomy-and-removal-of-ovaries-and-tubes-Its-likely-that-people-who-have-been-diagnosed-with-brea

o https://sites.google.com/d/1tC0RERiekvLjFqFiLmW2PxtVwRmTd06K/p/1r-wmoTVVESM-_47TNvs6rfdcIkhWxPlu/edit

o https://www.reddit.com/user/breastcancerucg1/comments/ts3zgc/breast_cancer_hysterectomy_and_removal_of_ovaries/

o https://breastpath2022.wordpress.com/2022/03/30/breast-cancer-hysterectomy-and-removal-of-ovaries-and-tubes/

o https://www.linkedin.com/pulse/breast-cancer-hysterectomy-removal-ovaries-tubes-ucgconferences/?published=t

o https://medium.com/@elizaedwards2021/importance-of-breast-cancer-awareness-a86466ce4013

o https://www.blogger.com/blog/posts/3238443600245550728

o https://www.quora.com/profile/BreastCancerUCGConferences/Importance-of-Breast-Cancer-Awareness-October-is-Breast-Cancer-Awareness-Month-an-annual-international-campaign-focuse

o https://sites.google.com/d/1NDCSSz9lQqd_m7i9kwiiIaf3pcwu_VjQ/p/1i2lxZSHzytohp3Ph7ZKUd2be8VQJUcur/edit

o https://www.reddit.com/user/breastcancerucg1/comments/u2o419/importance_of_breast_cancer_awareness/

o https://wordpress.com/post/breastpath2022.wordpress.com/23

o (2) Importance of Breast Cancer Awareness | LinkedIn

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Eliza Edwards
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We are honored to invite you all to the 10th World Breast Pathology & Breast Cancer Conference on March19-20, 2022, Online