Breast Cancer/breast nodule

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QUESTION: I am 67.  I have moderately dense breast tissue.  Have mammo every year for 35 years.  All have been normal.  This time my gyno suggested an ultrasound as well due to density of breasts.  Mammo was normal, ultrasound showed a very small (less than 1cm)solid nodule. Had biopsy today and she said it was not as smooth as she had hoped for, but wont have results for a week.  Your opinion please?

ANSWER: Impossible to predict the result based on this before your pathology report arrives but statistically you probably have a good chance that it will not turn out to be malignant. But I can not guarantee that. Good luck!


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QUESTION: What else would cause a solid nodule to show on an ultrasound besides a malignant tumor?  They have pretty much determined it is not a cyst, but a solid nodule, however very small.

ANSWER: There are many possibilities including for example fat necrosis and - in spite of your age - fibrosis. Only a biopsy can with certainty tell us what it is! It is therefore it has been done! Good luck!


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QUESTION: Biopsy came back as low-grade ductal carcinoma in situ, solid papillary type
Foci suspicious for microinvasive ductal carcinoma.  Should I consider a mastectomy rather than a lumpectomy?

Answer
If you were my mother, my wife, my sister or my daughter I would most probably recommend lumpectomy - if the lesion is small, not more than 1 cm or so - in combination with radiation therapy of the whole breast on the affected side. Good luck!


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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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