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Painful limp in the breast, Tissue biopsy - Online Doctor Chats

Date : 13-Jan-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 to go and make the payment, and I was disconnected
Doctor :   Hi are you back
Doctor :   oh k
Doctor :   thats k no problem
User :   So that is the situation and it has been very stressful for my wife
User :   she is going to see a sergeon tomorrow
User :   but I wanted to get a second opinion as well
Doctor :   k
Doctor :   have you taken the appointment already ?
User :   yes
Doctor :   k
Doctor :   can you tell me when she noticed the swelling for the first time?
User :   one sec... I will tell you in one sec
Doctor :   k and also get the reports which you have got it done'
User :   it was 3 weeks ago
Doctor :   i will wait for you
User :   She realized it 3 weeks ago
Doctor :   k
User :   a very painful lump in the left breast
Doctor :   k
User :   I have all the reports with me
Doctor :   is there any discharge from the nipple?
Doctor :   on pressing?
User :   no discharge
Doctor :   k
Doctor :   approximately what is the size of the mass?
User :   it is 18x10x13mm
Doctor :   k
Doctor :   is it on the left or right ? which part like upper or lower or middle
User :   it is left and it says at 9 o'clock there is a somewhat irregular hypoechoic lobulated nodule
User :   it is upper
Doctor :   k
Doctor :   usually breast lumps which are cancerous are painless
Doctor :   anyways i will ask you few more questions please answer
Doctor :   those
User :   sure
Doctor :   then i can tell you which doctor to visit
User :   ok
Doctor :   and are the tests necessary
Doctor :   is there any retraction of the nipple skin?
User :   no, nothing
Doctor :   any redness , pitting or indentation on the breast?
User :   no
Doctor :   k was there any injury?
User :   no injury
Doctor :   k
Doctor :   how many children for her?
User :   one child
Doctor :   is she pregnant now?
User :   no she is not
Doctor :   are you sure?
User :   yes absolutely...
Doctor :   just ask her if any of them in her family had cancer
Doctor :   like mom or grand mom
User :   I just asked her and she says there is nobody in the family that had cancer
Doctor :   k
Doctor :   is the lump increasing in size? since 3 weeks or it is the same?
User :   No it did not increase and she thinks it is even smaller now after she got her period
Doctor :   does it pain when you put pressure on it?
User :   at the begining it was very painful but now it is not as painful as it was before
Doctor :   is it slight hot to touch than the adjacent area
User :   no
User :   Maybe this might be useful information for you
User :  
In the report of Mamography, it says "No suscicious microcalcification or parenchymal distortion...
User :   But in the ultrasound report it says; "suspicuos for carcinoma
Doctor :   it means the solidification which occurs on cancer and the tissue which gets abnormal in cancer is absent
User :   so it is very likely that it is something else than cancer right?
Doctor :   don't panic all lumps can't be a cancer
User :   actually I did not panic, but she is crying starting this morning till now
Doctor :   it can be due to infections , temporary swellings not always a cancer
Doctor :   k 1 last question
Doctor :   does she had any radiation exposure?
User :   no redation exposure
User :   radiation
User :   and she is 39 year old and not 38
User :   my mistake
Doctor :   k
Doctor :   mammogram is accurate than ultrasound
Doctor :   but in this age group the breast tissue will be very dense that is the reason it will be
Doctor :   unable to distuinguish between normal and abnormal tissue
User :   ohh ok
Doctor :   got my point
User :   got it...
Doctor :   in ultrasound report
Doctor :   what is return
Doctor :   can you read it for me
Doctor :   the breast part and final impression part
User :   I can type it, it is only one paragraph
Doctor :   k
Doctor :   ultrasound has high rate of false positive results
User :   The right breast is unremarkable. In the left breast at 9 o'clock there is a somewhat irregular hypoechoic lobulated nodule measuring about 18x10x13mm suspicuos for carcinoma. This need tissue diagnosis. Otherwise unremarkable no enlarged node
Doctor :   tell her
User :   and at the end it says BI RADS 4
User :   which I do not know what it means
User :   probably their internal code
Doctor :   This need tissue diagnosis... This means it is only a mass.. and the tissue inside it needs to be tested for it?
User :   yes doctor
User :   so there is no real need to panic
Doctor :   just get this test done before going for a surgeon
User :   and also I forgot to tell you that she was examined by a sergeon and he says it does not seem to be cancer
User :   before ultrasound
User :   ok will do
Dctor : Tissue biopsy.. Which tells you directly that whether the cells present in breast tissue are cancerous or normal
User :   ok got it
User :   Thank you doctor, I know it is difficult to diagnose something from long distance
User :   but in your opinion, does this seem to be cancer?
Doctor :   \one second hold on
Doctor :   No i ruled out all the causes and risk factors
Doctor :   she has none other that age ...she has no other risk factors
User :   Thank you very much
User :   I really appreciate your time and I hope you have a great day...
Doctor :   the biopsy it is fine needle aspiration cytology(FNAC)
Doctor :Is there any thing else I can help you with?
Please fill the feedback form say done when done.
Have you filled the feedback form?
User :   I did, and it was really excellent service
Doctor :   GOOD LUCK
User :   I will, and thank you so much... I feel much better now
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   bye

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