Don't really understand everything in my letter

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Hi everyone, I wasn't sure where I can turn to for help. I fund a lump on my breast back in October 2022 and had an ultrasound and biopsy done in November at Royal Free hospital. I've finally  was given an appointment with my consultant on Wednesday 25th January 2023 that I have breast cancer and that it has spread to my lymph nodes. I am currently 37 weeks pregnant and the consultant told me he would like me have an induction to go into labour by 38weeks pregnant and then do surgery. And that was the end of my appointment no other information given. 

This is I was told on that appointment and I also met a specialist nurse who gave me her team number and asked if I had any questions (which at the time I didn't as I was just about taking it all in)

Anyway since then I've had no other contact, except a letter that was sent to my GP who sends me a copy too, and in the later it says a lot of things I don't understand. I've tried contacting my specialist nurse team last week and someone called me back but they could not answer 1 question I had or any information I needed. Said my consultant would need to talk to me and he only works Monday so wait for a call. Today is Monday the call never came. I feel so upset I don't know anyone with cancer and who can help me to understand my results better. It says:

1) 27mm U5, G2 NST ERS (another clone ER4) PR8 Her2 FISH with abnormal lymph nodes. 

2) Core biopsy result - G2 NST with IG DCIS ER5/4 PR8 Her2 negative pending FISH

Please can anyone help me understand what any of it means? I've been asked by my midwife what stage is the cancer, when after birth would the surgery be. .. other questions I just don't know the answer to any of these. Feel a bit abandoned by the hospital team.

So sorry long post this was my first ever joining a group online of any sort ever:) Thank you so much everyone x

  • Really sorry you’re in this position, and that you’re having such poor support. I’ll try and help with what I know, others I’m sure will chip in and fill in blanks. 

    I’m not sure if the fact it’s divided into 1) and 2) means something, have you two areas of concern? Or could be two biopsy results? I can’t help with that, someone else might be able to though. 


    U5 means that it’s breast cancer (U2 is benign)

    G2 means the that it’s a grade 2 cancer which is to do with how the cells look under microscope.

    NST means ‘no specific type’ which I know is annoying. It is probably invasive ductal but this is not for certain is my layman’s and unqualified understanding.

    ER 5/4 means it it an oestrogen responsive tumour, the scale goes from 1-8. This means the tumour feeds on oestrogen. PR8 means it’s a progesterone responsive tumour, again same scale. 

    HER2 is a kind of protein that some cancers feed on. Under 1) it’s says awaiting the HER2 FISH ( the name of the test) result. Under 2) it says your result is negative but pending the FISH result. 

    DCIS is Ductal Carcinoma In Situ, this is a type of cancer that hasn’t spread, looks like that has a positive oestrogen and progesterone result. I’m sorry I don’t understand the IG. 

    It’s really hard to say much more as obviously we’re not medically trained, I don’t know if you’ve two areas of concern or if they are the results for one area. It’s possible to have different kinds of breast cancer in the same breast. They’re not keen these days to stage a breast cancer, or maybe just tell people the stage, I only found out mine had been stage 3 after it was over.

    hopefully you’ll get a chance to speak to your consultant soon. In the meantime get back into the breast care team tomorrow and see if a different nurse can help. Failing that ring the Macmillan helpline who are brilliant and will help I’m sure. 

    Please don’t despair. This is a dreadful time for you to get this news and to have people not explain properly but so much can be done for us these days. If you click on our names, some of us have filled out our profiles and you can see our stories. All the best xx

  • Hi Sal.K, sorry you find yourself her and that you have not been contacted by your consultant and the the breast care team couldn’t answer your Anna12345 I think has covered everything and done so much better at explaining it that I could. I hope your consultant contacts you soon to explain everything and let you have a care plan soon. 
    Sending you lots of love and hugs and hope all goes smoothly with the birth. 

    Love cuffcake x x x x x

  • Thank you Anna12345 and cuffcake2000. I'm feeling really emotional right now not because of the cancer but because of the beautiful people on here. Can not thank you enough xx

  • Hopefully you got some rest. There’s always somebody on here who will try to help if they can, hopefully you get some more answers today x

  • Hi  and another warm welcome to the club none of us want to join. Sorry you find yourself here but it’s a great place for support and shared experiences. Lovely replies already and I’m sure someone else who’s been diagnosed during pregnancy will pop in at some point. 
    Just wanted to add that I think (but again not a medic) that IG stands for intermediate grade for the DCIS. That’s good as not the quickest growing, so likely to take a lot longer to develop into invasive cancer (and my understanding is that some DCIS never does.) Im sure it will be evicted  long before it gets the chance. 
    I hope you get some contact from the consultant very soon, it’s horrible not being sure what lies in store for you. 
    Sending love and a big virtual hug your way, HFxx 

    HappyFeet1 xx
    Don’t be afraid to cry. It will free your mind of sorrowful thoughts. – Hopi
  • Thank you Hopi! yes you're absolutely right as I have had some lovely people (like yourself) responding on here (thank you everyone!) finding this site has been such a great help mentally and emotionally. I've always been a stoic person especially in public but I'll admit I did end up in tears and have a little cry when I was told the news because for me the first thought were my kids. But I'm looking forward with focus and positivity only now. I'm wishing you all the best xx and everyone else on here x