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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Breast Cancer

I am undergoing testing for breast cancer. On 01-27-14 the doctor removed my nipple, areola and some tissue under the skin. The results showed cancer. Another surgery on 03-10-14 resulted in removal of lymph nodes and a lumpectomy and removal of additional tissue. The surgeon thinks it is early stage 2. I saw an oncologist today, and we are planning a Pet-scan. She said I have lobular breast cancer. I also discovered a small lump on my left breast, and 2 different colleagues concurred that there was a lump. Depending on the outcome, maybe mastectomies on bone breasts followed by chemotherapy. A lot to take in one sitting.
Mon, 24 Nov 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
Lobular carcinoma of breast is notorious to spread in opposite breast.
So better to get done biopsy from left breast lump too, to rule out malignancy.
And yes PET scan is needed to rule out distal metastases. As bones are most common site to metastases.
In early stage 2 breast cancer treatment of choice is enblock resection of breadt tissue with resection of involved lymphnodes.
Post operative chemotherapy and radiotherapy is necessary if lymphnode s are positive for malignant spread.
Also get done ER (Estrogen Receptor) and PR (Progesterone Receptor) study to guide hormone therapy (tamoxifen).
So discuss all these with oncologist.
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Suggest Treatment For Breast Cancer

Thanks for your question on HCM. Lobular carcinoma of breast is notorious to spread in opposite breast. So better to get done biopsy from left breast lump too, to rule out malignancy. And yes PET scan is needed to rule out distal metastases. As bones are most common site to metastases. In early stage 2 breast cancer treatment of choice is enblock resection of breadt tissue with resection of involved lymphnodes. Post operative chemotherapy and radiotherapy is necessary if lymphnode s are positive for malignant spread. Also get done ER (Estrogen Receptor) and PR (Progesterone Receptor) study to guide hormone therapy (tamoxifen). So discuss all these with oncologist.