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Breast malignancy - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   I had a routine mammogram and they found a enlarged lymph node under my armpit. The Mammogram came back good. They did a ultrasound and a core needle biopsy. It came back Benign, but they still want to removed the node. I am very scared
Doctor :   Hi
User :   hi
Doctor :   Let me read
User :   okay thank you
Doctor :   need not be scared

Doctor :   it will be a short procedure
Doctor :   and removal of the node is suggested
User :   its not the procedure, it's if I have cancer.
User :   is this normal for them to remove the enlarged lymph node even if it is benign?
Doctor :   yes it is the usual routine procedure so that the entire node is subjected for histopathology examination
User :   what is a histopathology exam?
Doctor :   it is the entire node will be observed under microscope and will be subjected to tests to see if the core biopsy has missed any
User :   what are the odds on that?
User :   I am just really scared its cancer.
User :   resulting in this I have very bad panic attacks over what this could be
Doctor :   the core biopsy is negative meaning it is very unlikely a cancer is detected in the excisional biopsy( lymphnode removal)
Doctor :   the chances are less than 10%
Doctor :   it is done because if at all any trace of cancer is detected this is the stage where a complete cure is possible
User :   i had a enlarged lymph node under my chin 3 years ago. They tested the same way, it was beingn and they removed it. but I didn't for some reason get very upset about that one..I dont know why I am this way now.
Doctor :   Relax
Doctor :   doctors want to rule out malignancy first
Doctor :   and if it is found in early stage a cure is possible
Doctor :   so they will work towards early detection
User :   so then I misunderstood then they told me that is was benign and then I was relieved but I guess I shouldn't be now.
Doctor :   from the core biopsy it is benign node
Doctor :   but still it needs to be reconfirmed from a excsion biopsy
User :   so are my changes good that it might not be cancer? my doctor was very short with me today and I just got upset and didnt explain everything you have to me
Doctor :   the chances of it not being a cancer is almost above 90%
User :   I also had normal blood work done for my rountine physical and that came back good except they had to lower my thryoid medicine is that a good sign as well
Doctor :   yes it is all good sign
User :   just wonder why my regular doctor couldnt have explained it as well as you did
Doctor :   may be time constraint
User :   yes maybe so what you are saying that most hospital after a biopsy is done and its begine on a lymp node they usually remove so this isnt just me they are doing it to kinda get what i mean
Doctor :   they double confirm before some body is said you are normal
User :   do they always remove benign lymph nodes?
Doctor :   yes
Doctor :   it is the treatment for the benign nodes
User :   so no matter what they would remove it?
Doctor :   it is the treatment for the benign lymph node enlargement
Doctor :   if there is any trace of malignancy seen than the treatment will continue
User :   so that is the reason as to the first one getting removed
Doctor :   yes
Doctor :   do not worry
Doctor :   get the node removed
Doctor :   if it turns out benign with the tests
Doctor :   that will be the end of it
Doctor :   if they found any traces than since it is in very initial stage CURE is possible
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