After a visit today with the surgeon, Dr. Nasim Ahmadiyeh, we have only the beginnings of a sense of where we are heading.  What we do now know is that the type of cancer I have does not have the typical profile for an old lady like me.  Unfortunately, it was negative for all three biomarkers regarding what stimulates its growth so some targeted therapies are ruled out.  In order to make any decisions on my care, more information will need to be obtained by an MRI which has not yet been scheduled but will hopefully be very soon.  I will have an appointment in the morning with the medical oncologist, Dr. Stephanie Graff.  She will be our guide.  She will make the recommendations regarding when to do the surgery and if/when chemotherapy will be necessary.  I will also meet with a genetic counselor with the possibility of getting some testing done regarding hereditary factors.