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Annual mammogram screening for breast cancer - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Breast Cancer
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2203 Questions
User :   My 83 yo dad is hospitalized with AML and may have as little as three months to live. I'm due for my annual mammogram tomorrow and just felt a pea-sized lump just under the skin beneath a bruise on my breast. I understand it could be a fat necrosis, a painless, round, firm lump formed by damaged and disintegrating fatty tissue. But I am not obese women and don't have large breasts. My doctor says it's fine to do so, but if this means risking my life, I don't think my father would want me to do it.
What would you advise?                                                       Doctor :   Hi
Doctor :   Let me read the query
User :   THanks.
Doctor :   There is absolutely no hurry in getting the annual mammogram
User :   Can you explain why not?
Doctor :   Mammogram is only a screening test to ensure that the simplest lesions are ruled out
Doctor :   and it is better to detect a breast cancer early
Doctor :   for better treatment and good quality of life
User :   But there is a lump and I'm concerned with how quickly it might grow.
Doctor :   Breast cancers grow slowly
Doctor :   so are the other problems in the breast
Doctor :   Do you have family history of br cancer
User :   I haven't felt other lumps. No history of bc in my family other than cousins.
User :   I am overdue for my mammo though. I got one last year in February and forgot to sched. one this year
User :   Do you think the lump could be a necrosis?
Doctor :   Yes
Doctor :   I forgot to ask your age
User :   Funny, I was about to tell you. I'm 56. In excellent health. Exercise. Am about 10 pounds overweight.
Doctor :   Very good
Doctor :   I can be more sure now that it is simple lump
Doctor :   Things would not change if you postpone the annual mammogram
Doctor :   So be rest assured
Doctor :   about it
User :   Thank you. A couple of other things though. I did not have natural children but adopted a son. Also, I was drinking wine daily but no longer drink at all. So I worry about my risk.
Doctor :   The highest risk factors are age and family history of breast cancer
Doctor :   If a person has regular mammograms
Doctor :   I should appreciate her
Doctor :   It is a very good way of prevent serious disease
Doctor :   So do not worry about the risk as you had no lactation and did not have children
Doctor :   That is why you are having regular check up with mammo
Doctor :   You got it??
User :   So you think it's okay to postpone it for another month or even longer?
Doctor :   Yeah
Doctor :   You take care of your father
User :   so what do we do with the remaining 1:53?
Doctor :   When you find good little time you can schedule it
User :   Just kidding.
User :   about what to do with the remaining time
User :   I will go take care of my father. As my doctor said, you only have one father.
Doctor :   :)
User :   THank you very much.
Doctor :   Thanks for consulting me here
Doctor :   Bye for now
User :   Bye.
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