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My Friend’s Mom Is 52 Years Old. She Had Nodular

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Posted on Tue, 8 Sep 2020
Question: My friend’s mom is 52 years old. She had nodular mastopathy (microcalcifications) of the right breast. It was benign. Her histology showed this conclusion- "with a planned study of drugs, the picture of fibrocystic mastopathy with areas of intraductal hyperplasia with areas and accumulation of microcalcifications". She had surgery in July 21st. The oncologist removed it. She has internal sesame suture in her right breast. How long does it take to heal? Does she need any ointment for it to heal faster? Does her seam look good? She also has one microcalcification in her left breast. How can it be treated? Does she need medication or ointment for it to be dissolved? How can she protect herself and prevent the appearance of microcalcinates? She did the test on hormones check. Also,
She was prescribed medicine such as menoril plus that contains isoflavones (genistein) 30 mg 60 *
resveratrol 30 mg 100 *
vitamin K1 0.12 mg 100 **
vitamin D3 0.01 mg 200 **;
What can she do to prevent appearance of microcalcinates? Also I have questions about green circles if you could explain what do these dots mean on her mammogram? The red circle is benign mastopathy that she had surgery on. Can microcalcinates be related to menopause? If yes, what can she do to prevent them to appear again? What tests should she do?
doctor
Answered by Dr. T Chandrakant (13 hours later)
Brief Answer:
please post reports and photos

Detailed Answer:
Hi.
Thanks for your query about your friend;s Mom.
Noted the history well and understood hte concerns and queries that you have asked for.
Please clarify some points and give additional information for me to assist you better:
Please post actual reports of mammography as the calcification is classified and indicate the chances of being benign or malignant - (anyway, surgery is already done on right side)
Post the reports of Surgery/ Discharge Ticket.
Please post the report of Histopathology report.
Post the photos of surgical site if possible. It is already 26 post-op hence healing must be fine.

Does she have any symptoms?
Any other information please.

Dr T Chandrakant.
General Surgeon.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. T Chandrakant (2 hours later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. T Chandrakant (0 minute later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. T Chandrakant (3 hours later)
Hello


I posted her mammogram and her post op pictures with her suture. Also, I uploaded her hystolpathology report. Her diagnose is nodular mastopathy (microcalcifications) of the right breast. She had surgery and it was benign. I am interested in knowing about the dots that I see on her mammogram that I marked with green color. Red color was the benign mastopathy that was removed. Could you tell me is everything look good on mammogram? It it microcalcinate in her left breast? How can she prevent it from growing?
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Proved benign lesion so no need to worry. No specific treatment

Detailed Answer:
Thanks for your feedback and attachments.
The radio-graph with green mark looks to be micocalcification and should have no doubt unless mentioned by Radiologist and his opinion on the Mammogram has to be accepted and respected as he is the Master of this field.
It is good that the histopathology report shows this to be benign means no cancer.
Since there is biopsy proof of the lesion being benign, there is no need of treatment and there is as such no specific treatment.
She can not prevent it from growing.
Regular follow up with the Surgeon and Radiologist as would have been advised is the only thing that is needed.
Microcalcifications appear with aging.
The stitch line looks fine. The absorbable sutures take variable time in each patient.
The one report is in local language hence would not understand - must be histopathology.

I hope this answers your queries.

Dr T Chandrakant.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (24 hours later)
Can she do MRI with contrast on her breast after surgery? Does contrast will make complications with her health after surgery? I know that if she doesn't have any metal in her body it is save to do MRI, but I am asking about contrast agent. Is contrast agent save? Because she had breast surgery and has internal sesame sutures will it make congestion in her breast?Can it influence on health after it will be removed from the system? What are precautions?
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Biopsy is final report. Follow up investigations as advised by Doctors

Detailed Answer:
I would like to ask your reverse questions:
What is the need of MRI once a Biopsy report is available.
Biopsy is the final diagnosis and if at all to do any investigations, it should be done after 6 months or one year or as advised by her Doctors.
Has anyone asked for MRI?
Any medicine including any contrast medium can cause complications. Possibility has to be borne in mind hence all centers have emergency medicine trays always available.

I hope this clears your doubts.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19781 Questions

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My Friend’s Mom Is 52 Years Old. She Had Nodular

Brief Answer: please post reports and photos Detailed Answer: Hi. Thanks for your query about your friend;s Mom. Noted the history well and understood hte concerns and queries that you have asked for. Please clarify some points and give additional information for me to assist you better: Please post actual reports of mammography as the calcification is classified and indicate the chances of being benign or malignant - (anyway, surgery is already done on right side) Post the reports of Surgery/ Discharge Ticket. Please post the report of Histopathology report. Post the photos of surgical site if possible. It is already 26 post-op hence healing must be fine. Does she have any symptoms? Any other information please. Dr T Chandrakant. General Surgeon.