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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What do my lab test reports indicate?

Answered by
Dr.
Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2288 Questions

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Posted on Fri, 24 Mar 2017 in Lump
Question: These are the reports
doctor
Answered by Dr. Hari Charan Perigela 1 hour later
Brief Answer:
Swelling in the Breast is Fibroadenoma.

Detailed Answer:
Hi
I went through the reports in detail.
Swelling in the Right Breast is Fibroadenoma,a benign swelling. It is not Cancer.
I prefer to remove the swelling under Anaesthesia. It is a simple procedure.
Nothing to worry.
Please consult your Surgeon and proceed further.
Hope I answered your query.If you have any questions, I. will clarify further.
Wish you good health.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Hari Charan Perigela 1 hour later
Does it have to come out . The doctor said to leave it and they will U/S every year. She hadnt seen a surgeon just the GP who did the biospy. Im so worried but you did say it is not cancer.
doctor
Answered by Dr. Hari Charan Perigela 43 minutes later
Brief Answer:
Fibroadenoma is not cancer.

Detailed Answer:
Hi
Fibroadenoma is a non cancerous swelling.
I would prefer to remove the swelling.
Instead of going for Ultrasound every year,you can get it removed now itself.
It is a simple procedure.
There is no need for admission .
Please consult a Surgeon and proceed .
Hope I answered your query.
Regards
Above answer was peer-reviewed by : Dr. Remy Koshy
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Name-Mrs. XXXXXXX XXXX, age-46 yrs, Height-4'10", weight-65 kg, Dr sir, My wife has been suffering a mild pain in upper left breast just near left armpit for 1 months. USG report is given below..... All the four quadrants of left breast including...

doctor1 MD

Sir,


My wife is 52 years old. Of late she has been diagnosed with moderately Differentiated Ductal Carcinoma in my left breast through FNAC on 21.12.2013

Prior to FNAC she has undergone Bilateral Mammogram and Ultra Sonography of Breast on 17.12.2013.
The finding of the Tests is given here under.
Bilateral Mammogram:
Right Breast: Fibroglandular breast tissues show heterogeneous Nodular pattern. Fibroadenoma with supero- medial aspect BI -RADS - 2 .
Left Breast Fibroglandular breast tissues show heterogeneous Nodular pattern.
One Nodular density (1.8*2.3) is seen in infero- medial aspect without any microcalcification inside.nature- indeterminate BI- RADS-4B
Axillary lymph node is seen on left side.
Skin and nipple outlines on both sides are normal.

ULTRA SONOGRAPHY OF BREASTS:

Right Breast: A nodule with posterior acoustic shadowing is noted in right Breast in upper middle quadrant.Parenchymal echopattern of right breast otherwise appears to be within normal limits.

Left Breast: A lobulated hypoechoic SOL measuring1.4*1.3*1.3 cm in size is noted in lower medial quadrent.
Both axllae- No enlarged lymph Node seen.
Impression: SOL in lower medial quadrent of left breast-? Fibroadenoma.
Involuting fibroadenoma in upper middle quadrent of right breast.


FNAC:

Smear show scattered as well as in groups pleomorphic epithelial cells.
The cells have coarse chromatin,prominent nucleoli and variable amount of cytoplasm.
Diagnosis: Moderately Differenciated Ductal Carcinoma.

Followed by such report consultation has been made with an oncology surgeon. He advised the following tests for next course of treatment.

1)     Complete Blood test including LFT,CA-15.3,
2)     Whole body bone scan
3)     Ultrasound of whole abdomen
4)     Chest x ray PA view
5)     Electrocardiogram

Report of the above tests has indicated within normal range.

Finally she has undergone Breast Conservation Surgery on 13.01.2014.

Histo pathology reports is as under:-

1) Invasive ductal carcinoma of breast-grade-lll
2) Surgical cut margins and deep plane of resection-free of lesion
3) Axillary lymph nodes-reactive. No Metastasis.
4) No definite lymphovascular or perineural invasion found.

ER, PR&Her-2/neu report is as under: -

ER- Negative

PR- Negative

C erb B2 – Negative

The Mib-1(Ki-67)labeling Index is approximately 60-70%.



This is in nutshell the present status of disease of my wife.
Kindly favor me with your advice as regards her next management of treatment as well as her survival possibility.

Regards


Snehanshu kar chaudhuri
E mail: YYYY@YYYY

doctor1 MD

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my friend having breast fibroadenoma..surgen sugested to go for remove off that.and surgen suggested to consume evion fort capsule for 6 months it is a vitamin E capsule..she is thin in body nature ..can u suggest treatment for fibroadenoma and can you tell the need of evion fort for 6 months

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