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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done USG. Breast Tumour Found. FNAC Said Malignancy Could Not Be Ruled Out. What Does It Sound Like?

Sir,
Problem of my wife:
Lt Breast Tumour Found--USG is done Right Breast Normal. lt Breast-- a fairly large well defined hypoechoric area measuring (2.4x1.0) cm is noted at 2 oclock position. FNAC is done--Microscopic Description: Hghly cellular aspirate showing mostly cohesive clusters of ductal epithelical cells as well as few loose clusters and individual cells having high N/C ratio in a necrohaemorrhagic background. Malignancy could not be ruled out by the samples examined. (Note: Excision /frozen biopsy is suggested for further evaluation and confirmation of diagnosis)

Your suggestion pl.
Regards
Ashraf
Wed, 22 May 2013
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General & Family Physician,  's  Response
Hello Ashraf and welcome to HCM.

Thank you for your query.

From the details provided by the ultrasound and fine needle aspiration cytology (FNAC), we have not confirmed it to be cancer yet. But, it is a tumor and could even be a cancer, but this has not been confirmed. Either way, my advise would be to go about the excision biopsy, through which we can take a sample tissue out, or go for a surgical procedure to completely remove the tumor and examine it in the laboratory for signs of cancer.

If the cancer is ruled out, then we have already taken the tumor out and your wife should recover at the earliest. But, if god forbid the cancer is confirmed, we will have to examine and stage it. Depending on the stage, we could provide radiotherapy and chemotherapy to address any affected lymph nodes, etc. If required another surgical procedure might have to be repeated. I am sorry to say this. Hoping for the best.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
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Done USG. Breast Tumour Found. FNAC Said Malignancy Could Not Be Ruled Out. What Does It Sound Like?

Hello Ashraf and welcome to HCM. Thank you for your query. From the details provided by the ultrasound and fine needle aspiration cytology (FNAC), we have not confirmed it to be cancer yet. But, it is a tumor and could even be a cancer, but this has not been confirmed. Either way, my advise would be to go about the excision biopsy, through which we can take a sample tissue out, or go for a surgical procedure to completely remove the tumor and examine it in the laboratory for signs of cancer. If the cancer is ruled out, then we have already taken the tumor out and your wife should recover at the earliest. But, if god forbid the cancer is confirmed, we will have to examine and stage it. Depending on the stage, we could provide radiotherapy and chemotherapy to address any affected lymph nodes, etc. If required another surgical procedure might have to be repeated. I am sorry to say this. Hoping for the best. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes.