![]() By determining the type of breast cancer and the extent of the disease, the pathologist plays an indispensable role in treating people with breast cancer, and is an integral part of the Breast Cancer Multidisciplinary Team. There is increasing dependence on accurate and reliable pathology reporting to reach this goal. For the patient with breast carcinoma, tailoring therapy for the individual has become the aim for all those involved. A predictive factor is any measurement associated with response or lack of response to a particular therapy, such as an oestrogen receptor positive tumour responding to tamoxifen. A prognostic factor is any measurement available at the time of diagnosis associated with disease free or overall survival such as tumour size or nodal status. A pathologist determines if there is a breast cancer present, and if a diagnosis of invasive breast carcinoma is made, the pathologist is required to provide further information including a range of prognostic and predictive factors that help determine appropriate therapy. Samples of your breast tissue removed during needle biopsy or surgery, are sent to a pathologist for examination. The investigation of a breast abnormality relies on a combination of clinical, imaging and biopsy techniques, which culminate in the examination of a cell or tissue sample by a pathologist. The initial role of the pathologist is to determine the correct diagnosis. ![]() The breast pathologist may be presented with a range of breast specimens, which may be obtained by fine needle aspiration (FNA), core biopsy, or open surgical excision. Your Pathology Report What is a pathologist?Ī pathologist is a doctor who specialises in diagnosing diseases by examining tissue that has been removed from the body.
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