I'm 41 year old who recently had a lumpectomy. I ggot the needle biopsy results on the 13 Sep. I was told it is a grade 2 cancer. MRI also said it is a Grade 2 Invasive Ductal Carcinoma in Situ. I had a doctors appointment a week after the surgery and she told it is all good news because histology report shows clear margins and lymph nodes. But I was told they will do an Oncotype Dx test to confirm I dont need chemotherapy. I was sent a letter yesterday summarising the consultation and that letter says as per histology report it is Grade 3. Doctor never mentioned that during my appointment. She only mentioned about the clear margins and lymph nodes and told it is Stage 1( after I asked).
I faced the surgery with so much confidence and with a positive mindset. Before the surgery they told me I dont need chemotherapy. But now they are implying I might need chemotherapy, radio therapy and hormone therapy. This grade 2, grade 3 confusion plus changing the view about the treatment plan every time I see the doc is causing significant mental pressure on me.
Hi Nirs Story
Welcome to the forum and I am sorry to hear that you were diagnosed with breast cancer. It not unusual for the histology of a tumour to change after surgery. I suggest that you ring your breast care nurse just to get clarification about what grade the tumour was which will hopefully set your mind at rest.
Wishing you the best of luck with whatever comes next for you.
Best wishes
Daisy53
Unfortunately, it’s the pathology post op that gives a true grade 
. But I would defo ring to check it is grade 3.
You are entitled to a copy of your pathology report x
