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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery The Best Option For Lump In Breast?

Hi my name is Jamie and I am 37 years old. I found a lump in my right breast on the first of this year. I made an appt with my PCP and she sent me in for my first mammogram and an ultrasound to follow. The radiologist was somewhat confussed at what he was seeing. He told me he would have other Drs look at it and I would get a call from my PCP with the results. She called and said that they wouldn t know if it was or was not cancer until I had them sugically removed and tested. She said the tissue was to dense to biopsy. She made me an appt with the surgeon she works with to have a consult for surgery. I showed up to my appt and the sergeon said he wanted to do a biopsy first. I was so confussed. The biopsy came back benign but the Drs were still recomending surgery. At my appt with him he didn t answer any of my questions and talked circles around me. All I wanted to know is the pros and cons of having it surgically removed. When speaking with my PCP yesterday she told me he told her that I opted to not have the surgery. I never said that. Should I find another Dr? If so what kind of Dr should I go to? Do you think surgery is the best option? All I know is if someone is going to cut on me I want to know that that person listens to my fears and answers my questions and values me as a human being. Its so hard finding Dr that are like that now a days. At least in the area I live in.
Mon, 3 Feb 2014
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General & Family Physician,  's  Response
Hello ma'am and welcome.

You are most accurate in your behavior and approach. Doctors today take their knowledge and decision making skills for granted to such an extent that the patients opinion does not matter. I sincerely apologise for such a trend that has developed.

Surgery would not be the first-line of treatment if the lump has found to be benign and in such situations the decision is left upto the patient. But the doctor should also inform the patient that these lumps are hormone dependant and with time, they can grow, taking up more place in the breast tissue itself resulting in symptoms like pain, discomfort, tenderness and assymetry of the breasts.

When such a situation arises surgery is the best option. So, instead of waiting for the tumor to reach such a stage where the incision would be larger due to the now increased size of the tumor, doctors recommend surgery as the first line of treatment.

Although, as a wel wisher I would also like to add that you are approaching the age bringing you closer to menopause. In menopause the hormones that supply this tumor are reduced and completely stop in a while. Which means this tumor could reduce in size and even conpletely dissappear on its own then.

Hope this helps.

Best wishes.
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Is Surgery The Best Option For Lump In Breast?

Hello ma am and welcome. You are most accurate in your behavior and approach. Doctors today take their knowledge and decision making skills for granted to such an extent that the patients opinion does not matter. I sincerely apologise for such a trend that has developed. Surgery would not be the first-line of treatment if the lump has found to be benign and in such situations the decision is left upto the patient. But the doctor should also inform the patient that these lumps are hormone dependant and with time, they can grow, taking up more place in the breast tissue itself resulting in symptoms like pain, discomfort, tenderness and assymetry of the breasts. When such a situation arises surgery is the best option. So, instead of waiting for the tumor to reach such a stage where the incision would be larger due to the now increased size of the tumor, doctors recommend surgery as the first line of treatment. Although, as a wel wisher I would also like to add that you are approaching the age bringing you closer to menopause. In menopause the hormones that supply this tumor are reduced and completely stop in a while. Which means this tumor could reduce in size and even conpletely dissappear on its own then. Hope this helps. Best wishes.