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Suggest Treatment For Mid Stage Breast Cancer

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Posted on Mon, 20 Apr 2015
Question: Mid stage breast cancer (by very experienced breast specialist in hong kong) by Verbal diagnosis after she did ultrasound. Didn't say which stage. Doctors can really tell just by ultrasound? Biospy has been done, but I am too impatient for the result and crying daily already. She said now breast cancer is above 80 percent curable. I did mammogram last year April and also gyncelogist and general phyiscian felt the breast without lump during health check (last year April). This year during health body check up, I had another mammogram last week after body checkup 10 days ago when the general physician felt a lump. The attached ultrasound is from last week (not the one the breast specialist did on site), and it states is 1cm. But I can feel is much bigger than that. Its hard also. Do you think I have chance of a later stage breast cancer. I am sure now that I probably have it, but hope not in stage 3 or 4. And not curable.



Ultrasound of Breasts:

The texture is seen in the right breast at the 2óclock position, 2cm from the nipple, measuring 1.3x1.1x1.4cm. The lesion is ill-defined and solid with a heterogenic texture. The outline of the lesion is not entirely well-defined. FNA of the lesion under ultrasound guidance or an exclusional biopsy would be prudent. The left breast is normal. The axillae are clear.



Mammogram:



Bilaterial Mammogram



Medio-lateral obilique and cranio caudal views of both breasts were done. No abnormal mass lesions, worrisome calcifications or architectural distortion of the breast tissue are noted. The veins are no dilated. No skin thickening is seen. The axillae are clear.
doctor
Answered by Dr. Indu Kumar (37 minutes later)
Brief Answer:
Definitive diagnosis is only possible by FNAC/Biopsy.

Detailed Answer:
Hello

Your findings may suggest cancer but I can assure you that it is not a advance stage of cancer like stage 3 or 4.
Definitive diagnosis is only possible by FNAC/Biopsy.

There are many favourable factors in your report like size of mass is small,mammography findings are normal.It is good that there is no mention of calcification or lymph node enlargement in report.
Definitive diagnosis is not possible by ultrasound alone.

It may be early stage tumour but it can only be confirmed by pathological findings,so we should wait patiently for reports.

In worse scenario,even if it comes cancerous,now a days maximum cases are manageable.

Get well soon.
Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6728 Questions

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Suggest Treatment For Mid Stage Breast Cancer

Brief Answer: Definitive diagnosis is only possible by FNAC/Biopsy. Detailed Answer: Hello Your findings may suggest cancer but I can assure you that it is not a advance stage of cancer like stage 3 or 4. Definitive diagnosis is only possible by FNAC/Biopsy. There are many favourable factors in your report like size of mass is small,mammography findings are normal.It is good that there is no mention of calcification or lymph node enlargement in report. Definitive diagnosis is not possible by ultrasound alone. It may be early stage tumour but it can only be confirmed by pathological findings,so we should wait patiently for reports. In worse scenario,even if it comes cancerous,now a days maximum cases are manageable. Get well soon. Hope I have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX