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Suggestion of mammogram for lump in the breast - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
Doctor :   Hi
Doctor :   Good morning.
User :   Hello Sir! Good Morning!
Doctor :   How can I help you?
User :   Actually, one of my cousines having a breast related problem... and she is in a confusion to whom she should consult.
Doctor :   Can you describe what the problem is?
User :   she observed a lump kind of part on her right side of the breast
User :   she is just 20 yrs old
Doctor :   Since when did she notice this lump?
Doctor :   Is she having pain?
User :   she observed it a few days (may be 4 days) back
User :   not much..
Doctor :   Does she have blood stained nipple discharge?
User :   I am sorry! I don't have much details
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Lump in the breast is not a normal finding.
User :   is it?
Doctor :   There are various causes of lumpy swelling in the breast, but the most serious concern is a tumour, which needs to be ruled out as early as possible.
Doctor :   I suggest that she see's a doctor.
Doctor :   She will need mamogram
User :   ok..
Doctor :   and if necessary a biopsy of the lump for histopathological examination.
Doctor :   This will clinch the diagnosis.
User :   actually, she is my fiancee
Doctor :   She will need an oncologist/general surgeon who can be able to guide you through.
User :   Do you have any recommendations pls...?
Doctor :   As you are our corporate customer,
Doctor :   we can help you in getting an appointment with a good specialist practising at Hyderabad.
User :   BTW, doctor, I am not really sure if it's a lump, but she observed a thick part on the right side of the breast.
Doctor :   Let me explain to you.
Doctor :   If this is the first time, your fiancee is performing a self examination, it is hard to differentiate a normal from abnormal.
User :   ok...but this is the first time she observed
Doctor :   However a visible lump with associated breast skin changes needs evaluation.
Doctor :   I didn't mean to scare you off.
Doctor :   But an early detection of tumour can be easily treated than later.
Doctor :   Since she reports of lump with skin changes,
User :'s actually not's part of the breast but if you touch you feel like a thick skin portion
Doctor :   it is better that she undergoes the mamogram to confirm it.
User :   she didn't report it as a lump...she just said that she observed a thick portion of the skin...may be I used a wrong terminology...sorry
User :   yah..yah..sure
User :   Can we consult a Gynacologist for this problem?
User :   sorry if I am wrong....I have no idea on this issue...
Doctor :   Do you wish to get an appointment with a specialist?
User :   yah..sure
Doctor :   Ok
Doctor :   Since fixing an appointment service is also provided free to you,
User :   ok..
Doctor :   one of my customer support team will call you shortly after the end of this chat
Doctor :   and will guide you in getting an appointment with the specialist at your locality.
Doctor :   Thanks for confirming your number.
Doctor :   Do you have any other medical query that you want to discuss here?
User :   Could you please give a diet plan for me? I am 25 yrs old, 5.4'' hieght and 67 Kgs
Doctor :   Are you interested in losing or gaining weight?
User :   losing weight
Doctor :   Ok
Doctor :   Based on the details provided,
Doctor :   your BMI stands at 25
Doctor :   which is borderline over weight.
Doctor :   There are various weight losing programme.
Doctor :   Diet planning is helpful only when coupled with proper exercise.
Doctor :   To help you modify your diet, can you describe your daily routine for a day?
User :   sorry to interrupt you doctor, but I'll resume with my issue later. My priority issue now should go to my fiancee's problem.
Doctor :   Yes,
User :   could you please provide the details soon?
User :   we would like to consult the doctor today itself
Doctor :   You can first discuss with your fiancee.
Doctor :   while we look for a good specialist
User :   what should I discuss, doctor?
Doctor :   who will help you.
Doctor :   Our customer support team with you shortly and help you with the appointment.
Doctor :   You can tell that she needs to see a doctor
User :   Ok..I'll be waiting for the call then
Doctor :   and a mammogram will be needed.
User :   sure, doctor
User :   Thanks a lot for your help
Doctor :   Do you have any other query?
User :   none for now
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
Doctor :   Bye for now.
User :   you too doctor, thanks again
User :   bye, doctor
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