So I got a call from my lovely breast cancer nurse last night (out to dinner for DH's birthday)... and she confirmed it was breast cancer, and not a hematological cancer (strange feeling to be relieved?)
This morning I emailed the pathologist asking for more details and I received the following:
"This is a triple negative grade 3 invasive ductal carcinoma with medullary features. This tumour has good features in that is has a pushing margin rather than an infiltrative one and a brisk inflammatory response."
So obviously I am playing the Dr Google game now, as I won't actually see my consultant until Monday at the earliest (am flying back to the UK on Saturday) and found this out about Medullary breast cancer:
"Medullary carcinoma cells are usually high-grade in their appearance and low-grade in their behavior. In other words, they look like aggressive, highly abnormal cancer cells, but they don’t act like them. Medullary carcinoma doesn’t grow quickly and usually doesn’t spread outside the breast to the lymph nodes. For this reason, it’s typically easier to treat than other types of breast cancer." Which seems very good to me.
And then this with regarding to the brisk inflammatory response language:
"When a tumor grows, the body’s immune defense system creates lymphocytes that infiltrate the tumor base and produce an inflammatory response to fight off the abnormal cells. This response is labeled TIL for Tumor Infiltrating Lymphocytes. This lymphocytic infiltration is measured and categorized as brisk, non-brisk, or absent. The higher the TIL response, the better the prognosis. Brisk is better than non-brisk which is better than absent. Thinner tumors usually have a higher TIL response than thicker tumors. It represents the body’s ability to fight off the tumor." So again, this is good for me as I have a brisk response.
And then finally, I believe "pushing" margin is similar to "close" margin, and this means "Cancer cells are close to the edge of the tissue, but not right at the edge. More surgery may be needed", which was better than "positive" or "infiltrative" which would have meant cancer cells were right at the edge, not close to the edge, and more surgery definitely needed.
Soooooo - although I was starting to think the world was coming to an end because I was triple negative and grade 3, I am now starting to see some light at the end of the tunnel! The pathologist also wrote "it is a small tumour which is good news".
So now I still need to know if a) the 2 tiny lumps next to the (now gone) tumour are malignant, b) it has spread to sentinel nodes (looking less likely) and c) whether I have the BRCA gene, as this type of breast cancer is linked to that gene.
Still many questions to ask the consultant, and so much to explore, but am finally feeling a bit more informed and like it's not as bad as my mind had wandered to in these past 5 weeks....
And breathe...