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Hi Doctor, I recently had a lumpectomy for high grade DCIS left breast. I had an MRI before the surgery.
Impression: Corresponding to the biopsy-proven cancer in the upper inner quadrant of the left breast there is on MRI a bi-lobed malignant enhancing mass with maximum craniocaudal dimension of 9mm
Extensive background enhancement in both breasts. Enhancement in numerous foci. These measured 4mm or less in size. Difficult to characterize these foci further. Enhancement may be related to benign process however foci of DCIS cannot be ruled out completely. On mammography numerous calcifications are present throughout both breasts.
Also on the report, Extensive micronodular background enhancement is diffusely present. The largest nodule measured 4mm in size. Rapid inflow with persistence curve is present.
What does all this mean?
Thanks, Carol
The important thing here is that there is a risk of several other foci of cancer in situ (cancer stage 0) in both your breasts. I would suggest more MRI guided needle biopsies of these lesions - at least the larger ones - in order to find out what they are. If indeed there are several such foci in both breasts a bilateral mastectomy must at least be considered. Please do keep me posted!
I have some computer problems so unfortunately my reply is delayed.
You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128
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| Comment | Thank you Dr. Nordquist, I'm scheduled to get another MRI in March. At the moment, I'm going through radiation treatments. 28 rads to the whole breast and 6 boosts. I'll finish up a couple days before Christmas. I just hope I don't have to start testing, surgery etc... over again, but I'll do what needs to be done. I'll keep you posted. Thanks again, Carol | ||
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Answers by Expert:
Claes-Gustaf Nordquist, M.D.
Expertise
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.
Experience
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.
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I'm a medical doctor and specialist in medical oncology and radiation therapy.
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