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Breast Cancer/LCIS and clumped enhancement

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Expert: - 6/17/2009


Question
QUESTION: Stereotactic needle biopsy revealed one LCIS of 5 cm. MRI revealed surrounding "clumped enhancement" as well as various cell activity in the other breast. What does this mean? The radiologist recommended I talk with a surgeon about an excisional biopsy of the 5 cm lesion. I had a fibroadenoma removed by lumpectomy 7 years ago, so I'm not too thrilled at distorting this breast again. I'm more inclined to go with prophylactic BM, and get reconstruction.

ANSWER: What is it you want to do? Bilateral "prophylactic" mastectomy followed by reconstruction? Well that can be done at any time! But first find out what this is! So have the biopsy done as your dr. suggested ASAP! Please do keep me posted!


---------- FOLLOW-UP ----------

QUESTION: I want to know what "clumped enhancement" means surrounding the LCIS. Also, is 5cm a large area on a barely-B cup woman?

Answer
That is just a technical term for a cluster of abnormalities (enhanced signal) indicating that there may be something abnormal there. What that may be must be determined by biopsy. A 5 cm (roughly 2 inches) lesion is certainly not small. Actually rather big regardless of cup size.

Breast Cancer

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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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