Yesterday the surgeon's office called and said that although he was out of town they had the path report back and we had clear margins. Today though Dr. Hartigan called with much worse news. The margins were indeed clear but less than a quarter millimeter thick. To most oncologists this is nearly a positive margin.
Worse still they found 7mm of tumor and it had "angio-lymphatic invasion", also called "lymphovascular invasion" or LVI (see definition here). It isn't clear just what that will mean but we're scared that our node-negative status is in jeopardy and chemo might be in our future.
We have no idea how the tiny 7mm (pea sized) remaining tumor would show LVI while the large 23mm tumor we took out at lumpectomy had no LVI in it.
And yet more bad news they said our cancer was "multi-focal" so had many small areas of invasive cancer instead of a clearly defined lump.
None of this sounds good to us.
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