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Breast Cancer/mammo & U/S results

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Expert: - 7/25/2007


Question
I am 36 years old.  I have a breast lump in the right breast at 10 oclock.  My armpit on the same side is quite swollen and has been that way for a while.  My mammo results show asymmetric density in both breasts.  There is a dominant mass in the right breast inferior and laterally 20 x 30 mm.  There are some lymph nodes in the axilla bilaterally.  My u/s results show the lesion is demonstrated.  It has a mixed echo pattern measuring a maximum of 27 x 12 mm on ultrasound.  There is a portion of the lesion that has a solid component.  There are two separate cystic areas within it one 5 x 8 mm and one 6 x 4 mm.  Birads 4

Can you please explain these results.  I am scheduled to see a surgeon on friday.  Thank you!
Karen

Answer
Well you have a palpable mass in your right breast and a swelling in the armpit on the same side. If I have understood what you have told me about your mammography report correctly it probably shows signs of a fibrocystic breast condition but a cancer among these breast densities can not be excluded. The ultrasound report more or less shows the same thing. There is a significant risk of a breast cancer. Why was not an MRI breast scan done?! In such dense breasts such a scan is important! The important thing now is to check your lesions by biopsy - for example by needle biopsy. By doing that we should know what these lesions really are and knowing that we can decide what to do  - if anything.

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.

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