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Breast Cancer/Upcoming Lumpectomy


Hello,  I am 49, no children, sister died of breast cancer. I recently had a needle biopsy for microcalcifications,  The diagnosis is:
Fibrocystic changes, proliferative with atypical lobular hyperplasia, apocrine metaplasia, columnar cell change, pseudoangiomatous hyperplasia and rare micro calcifications.

I was told I need to have a lumpectomy.  I have had US in addition to mammo, shouldn't I have an MRI prior to lumpectomy to see if there is something else?   Thank you for your time.

Yes in my opinion it is never wrong and usually right to also have an MRI breast scan done. The lumpectomy is probably done though no cancer was found in order not to miss anything. If such a scan had been done the risk of missing anything most probably would be much smaller anyway - even without a lumpectomy. But I can not claim that the lumpectomy is unnecessary. It too will clarify this matter. And you are a patient with several risk factors. Good luck!

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Breast Cancer

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Claes-Gustaf Nordquist, M.D.


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.


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: 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

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

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