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Emmy award-winning reporter John Biffar, hosts the local medical series Health Matters which airs on NBC2 News Today weekday mornings between 5-5:30 a.m. and during NBC2 News at 4:00 p.m.
 
 
 

      

Grade vs. Stage: Breast Cancer
October 26, 2009

There’s the grade. And then there’s the stage. Two measurements of breast cancer that often get intertwined.

“People see this grade on their pathology report and think that it equates to the stage,” says Dr. Lea Blackwell. She’s the only female breast surgeon in Lee County and adds the “grade” simply measures the breast tissue.

“Typically, when somebody finds out they have breast cancer, they receive a pathology report. The pathologist will remark on how the tissue looks underneath a microscope slide and will give it a grade. Grade 1: more like breast tissue; Grade 3: less like breast tissue and more like cancer.” The stage measures the disease and how far it’s progressed. The stages are ranked from 1 to 4. “The stage of breast cancer is determined by three factors: the size of the tumor, whether or not the lymph nodes are involved and whether or not there is disease in other parts of their body besides the breast or under their arm in the lymph nodes,” explains Dr. Blackwell.

Taken together, physicians like Dr. Blackwell, look at the stage and the grade to try and predict how the cancer could progress. The measurements also determine which form of treatment is best for the patient.