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Breast Cancer/Mastectomy-next steps

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Question
I've recently had a mastectomy of the right breast with nearly all the lymph nodes removed and shows as cancerous.  I meet with an oncologist next week to discuss treatment.  My question is--I've suffered from migraines for years, but had them well under control without medication up until about 18 months ago when they came back with a vigor.  I had an MRI of the brain a year before the mastectomy which showed changes to the white matter of the brain indicative of MS, but no clinical reason to follow up with an MS study.  In addition, there was no tumor found.  I continue to have headaches (not always migraine type) daily.  Nearly always I go to bed fine and wake up in the middle of the night with a severe headache.  Should I be concerned that the cancer has indeed spread to the brain, and if it has not, how can I treat these symptoms while going through chemo?  (Perhaps my oncologist will be able to direct me?)
thanks!

Answer
Under the circumstances I think a new MRI scan of your brain may be a good idea. I never interfere in matters regarding medication. That MUST be the responsibility of the dr. in charge of the case. So I suggest that you discuss that with your oncologist!

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Claes-Gustaf Nordquist, M.D.

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I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.

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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps.You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.

I also answer questions about Oncology (General Cancer), General History, Military History, Brain Tumors, Colon Cancer

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I'm a medical doctor and specialist in medical oncology and radiation therapy.

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