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Real members of MyBCTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
July 22
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A MyBCTeam Member

@A MyBCTeam Member

Please take someone with you to sit in on this appointment with yourself and your doctor.

Have a list of all the questions that you have for her.
The person with you should take notes.

Ask what options you have for any further procedures.

Do not make decisions at this appointment but say that you need to think this through and will get back to the office the next day.

If you had a dissolving stitch poke through the open wound, be on the outlook for any tiny lumps of dissolving stitches that pop up and do not dissolve. Most likely this will not happen. But let them know if you get the bumps along the surgical line.

Be sure to find out when she wants to see you next before you leave and make that appointment.
Ask if you need to find a medical oncologist and radiologist or if you will be
placed with these as part of the team.

If you have any questions after your appointment, please post on here to myself,
@A MyBCTeam Member
or @A MyBCTeam Member

Also, ask if you can be assigned a nurse facilitator. You can call the main number to ask if the site has nurse facilitators. She can help you with any on-site problems and help you get the care that you need.

Politely tell this Dr. that you called her office on what date with this open stitches problem and was not given an appointment for anyone in this office to see this.

Say that you had to see your primary Dr. to get the stitch out and have the breast examined to make sure that there was no infection .

She really needs to hear this. Say how long from the problem start to seeing your primary doctor took.

If anything else happens in the future, always takes pictures and send to the office.

July 22
A MyBCTeam Member

You must always advocate for yourself. These professionals must realize they are not being paid to ignore patients.

July 25
A MyBCTeam Member

Thanks for the advice. That’s a good point, to know who to call to actually get action in the future as I didn’t find any in this wait.

July 22
MyBCTeam

A margin of less than 1 mm is considered a "close" or "positive" margin, which means cancer cells were found very near the edge of the tissue that was removed. This is an important finding that your surgeon will want to discuss with you.

When margins are this close, there are a few possible next steps your care team might Show Full Answer

A margin of less than 1 mm is considered a "close" or "positive" margin, which means cancer cells were found very near the edge of the tissue that was removed. This is an important finding that your surgeon will want to discuss with you.

When margins are this close, there are a few possible next steps your care team might consider:

- Re-excision (more surgery) to try to get clearer margins
- Radiation therapy to target any remaining cancer cells in the area
- Mastectomy, depending on how widespread the DCIS is

The decision really depends on several factors, including:

- How widespread your DCIS is overall
- Whether there are multiple areas affected
- Your personal preferences
- Your overall health There's no one-size-fits-all answer here — this is genuinely a conversation to have with your breast cancer specialist, as they'll weigh all of these factors together. Don't hesitate to ask them directly: *"What are my options given this margin result, and what do you recommend?"* You deserve a clear explanation of the path forward. 💙

July 22
A MyBCTeam Member

Your surgeon may recommend to back to surgery to excise the area to get clear margins. If the area is too close to the chest wall, radiation might be recommended.
If you don’t understand your doctor, keep asking questions.
Wishing you well!

July 23

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