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I Had Alump In Breast.Mammogram And Ultrasound Showed Suspicious Findings,

Posted on Thu, 11 Oct 2018

Question: I had alump in breast.Mammogram and ultrasound showed suspicious findings, biopsy confirmed grade 2 invasive ductal carcinoma.The doctor is suggesting masectomy instead of lumpectomy.I am attaching the reports.Kindly suggest

Answered by Dr. Dr.Raju.A.T (26 minutes later)

Brief Answer:
Kindly re- attach the report

Detailed Answer:
Hi,

Thanks for your query.

I see that there is no report attached here.

Please do re-attach your report.

Waiting for your response,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (2 minutes later)

Uploaded the reports sir.Kindly check.Doc is suggesting complete masectomy.But I am in dileema.

Answered by Dr. Dr.Raju.A.T (3 hours later)

Brief Answer:
Mastectomy is a wise choice

Detailed Answer:
Hi,

Thanks for your query.

I am sorry to say that Mastectomy is the best choice for Invasive ductal ca. Amongst breast cancers, ductal carcinoma has higher power of invasion into surrounding tissue. The invasion and spread is fast and aggressive even when a small bit of tumor is left behind.

Lumpectomy is usually considered an option for benign or relatively less invasive cancers.

Even when the report says that the is no lymphatic or perineural invasion, the choice of mastectomy stands right.

Hope, I answered your query.

Please do ask if any doubts.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (5 hours later)

Dear sir
Thanks for your advice.Just wanted to ask that what are chances of cancer reoccurence after masectomy.Do i have to take chemotherapy also?How much time will it take to recover from masectomy as i also want to have breast reconstruction thereafter

Answered by Dr. Dr.Raju.A.T (1 hour later)

Brief Answer:
I do not think there is no need for Chemo

Detailed Answer:
Hi,

Thanks for writing back.

Staging of the tumor in regards with size(T-tumor), spread to nodes (N-nodes) and distant metastasis (M-metastasis) TNM- stating is what decides whether or not chemo or radiotherapy needed.

Based on the HPE report attached I can only postulate that there is no need for chemo.

I recommend you to wait for the tumor removal and its evaluation by doing a Frozen section by pathologist to decide on chemo.

Hope, I answered your query.

Wish you good health.

Regards,

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar