Breast Cancer
55 questions answered by doctors & treatment decisions assisted by team clinicspots.
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Female | 35
Is my invasive ductal carcinoma aggressive and concerning?
1. Tumor Characteristics: Type: The tumor is identified as an invasive ductal carcinoma, NST (No Special Type), located in the upper outer quadrant of the breast. Grade: It’s classified as Grade 3, which is high grade, based on a Nottingham histologic score of 9. Size: The tumor measures 7.0 x 5.0 x 4.6 cm. 2. Additional Findings: DCIS (Ductal Carcinoma In Situ): Present with a "comedo type" pattern, which is aggressive, with high nuclear grade and central necrosis. Lymphovascular Invasion: Detected, suggesting cancer cells may be spreading to nearby lymph or blood vessels. Microcalcifications: Absent. 3. Margins: One of the specimen's margins shows invasive carcinoma, meaning the cancer is close to or touching the edge of the removed tissue. Other margins are 1-2 mm away from the invasive carcinoma. Impression: This is a high-grade invasive ductal carcinoma, meaning it is an aggressive form of breast cancer.
Dr. Donald Babu
Oncologist
Answered on 11th Nov '24
According to the diagnosis you have received from the doctor, you have a high-grade invasive ductal carcinoma in the breast. This type of cancer is really a fast-growing type of cancer. It concors the breast and causes like a lump in the breast or skin changes. The origins of the disease are not always acknowledged, but the factors like the genes and hormone levels might be contributing to the risk. For this, an oncologist may accept a scheme with a combination of surgery, chemotherapy, and radiation therapy to remove or eradicate the cancer cells.
Female | 33
Why do I have breast pain and disturbed metabolism?
I’m 33 years old female . I am a fitness coach and maiming my body well. I am having pain around my breast ,intially I thought it’s a mucles pain but later I realised it’s not coz of that .my metabolism is also disturbed .I’m vegetarian.what should I do ? Which scan or test will you recommend ?
Dr. Babita Goel
General Physician
Answered on 30th Oct '24
Muscle pain can be common for fitness coaches, but this seems different. As a vegetarian, you might have deficiencies in certain nutrients. Get a blood test to check your vitamin levels. It’s best to consult a doctor for an accurate diagnosis and appropriate treatment.
Female | 31
Could brown breast lump indicate cancer after miscarriage?
I have a breast lump in my left Brea. Its been 20 days.There is no discharge from the breast. I had a miscarriage 4months ago. At that time i had milky discharge. The lump is brown in colour. And have little pain.Could this be a sign of breast cancer ?
Dr. Donald Babu
Oncologist
Answered on 28th Oct '24
A brown lump with no effusion could be a benign condition and not breast cancer. After miscarriage and milky discharge in the past, it is a possibility as well. Pain is one of the symptoms of hormonal variations. Nevertheless, one must visit a gynecologist for a thorough examination.
Female | 19
Could my breast tumor be serious?
I'm 19 and I'm a female I have a tumor in my left breast, I don't know when it appears exactly but it's been two years since I noticed it, earlier I had a kind of acne in my breast but I'm not sure if it is the same one, it was big, brown and hurts when I press it but it disappeared by the time, now the tumor get bigger than before and became so painful even without touching it, I didn't notice any discharges or change in the skin yet, in addition to that I'm not able to go and check it in my current location so can you please help me I can't take it anymore.
Dr. Donald Babu
Oncologist
Answered on 23rd Oct '24
The painful breast mass you're experiencing could be due to various conditions, such as fibroadenomas or breast cysts, but it’s important to take note of it. However, if the lump has been present for two years and is now growing and becoming more painful, it's crucial to rule out more serious conditions like breast cancer. Since I can’t examine you in person, I strongly recommend seeking medical attention immediately, especially given these changes. The earlier treatment begins, the better the potential outcome.
মহিলা | Ruma
Are Multiple Tiny Cystic Foci Present in Both Breasts?
- Multiple tiny cystic foci are present in all quadrants of both breasts. Rest of glandular parenchyma of breasts is increased in echogenecity and homogeneous in echotexture The normal fat are seen rounded hypoechoic areas throughout the glandular tissue. The skin is normal in thickness and the nipples are normal in appearance No enlarge lymph node is seen Axilla No enlarge lymph node is seen. COMMENTS: Fibrocystic disease in both breasts. Normal both axilla.
Dr. Ganesh Nagarajan
Oncologist
Answered on 8th Oct '24
You may have the usual fibrocystic disease in both breasts. This means saclike structures filled with fluid and more tissue in your breasts. You may feel breast pain, lumpiness, or swelling. It is not cancer and is common among women. For symptomatic relief, it is good to wear a supportive bra, minimize caffeine consumption, and take pain relievers. Always monitor any changes, and do regular breast self-exams.
Female | 28
Why is one breast bigger with armpit pain?
My one breast is bigger than other have a 18 yr long bigger Brest side armpit light pain and swelling have a 25 days
Dr. Ganesh Nagarajan
Oncologist
Answered on 8th Oct '24
It is a fact that breasts can differ slightly in size, which is normal. However, in case of a case when one side of the breast is too big, painful, or swollen, you must be concerned. This may be a result of hormonal changes, cysts, or an infection. It is highly recommended that you visit an oncologist to get it checked and find out the right treatment.
Female | 18
Do I have breast cancer with a lump in my breast?
I am 18 years old female and I've been feeling a lump in my right breast for as long as I can remember and it's not paining, I am afraid if I've breast cancer what should I do?
Dr. Donald Babu
Oncologist
Answered on 7th Oct '24
You are nervous because of a swelling in the right breast. It is encouraging that you are so keen on your body. Not all breast lumps mean cancer. Some lumps might be hormone-related or cysts. Cancer may cause the growth of rather stiff and painless lumps. If your lump has been there for a long time and doesn't hurt, you should let an oncologist check it.
Male | 25
Do I need to worry about a tiny chest lump?
I am a 25 years old male, So doctor i laying down i last week and as i was laying down i was rubbing my chest and felt something so let me describe properly, I have an inverted nipple my left one and it has been since birth ( just want to add that before describing what i felt) So i felt this tiny rubbry ball like thing in that left inverted nipple, it's very small, The crazy thing is that I'm 1000% sure it has been there for years i just never paid attention to it, It went to a pharmacy to ask about it and the asked, if i was feeling any pain or noticed anything unusual around that area or armpit, i said no and the said I'm perfectly alright, And yes feel no pain, no swelling, no colour change, nothing, Also i have small breast cause I'm a bit chubby, please what's your analysis
Dr. Ganesh Nagarajan
Oncologist
Answered on 4th Oct '24
What you are sensing in your left inverted nipple is possibly a harmless cyst or a benign lump. Because you've had it for years without any changes or symptoms like pain, swelling, or color changes, it seems to be nothing serious. Yet, it always is a good idea to have it checked out by an oncologist to make sure you are okay.
Female | 44
Meaning of Bone Scan Results for Breast Cancer Diagnoses
Bone scan results-does INDICATION: C50.212 C77.3 Malignant neoplasm of upper-inner quadrant of left female breast/Secondary and unspecified malignant neoplasm mean actual diagnosis?
Dr. Donald Babu
Oncologist
Answered on 26th Sept '24
The bone scan revealed cancer in the left breast that has spread to other areas. This can cause bone pain, weakness, and fractures. It's important to consult an oncologist, who can recommend treatments like chemotherapy, radiation, or surgery to manage the cancer and its symptoms.
Female | 27
Could Milky Fluid Aspiration Indicate Galactocele Kept?
FNAC report- Site- Left breast lump Aspirate- Milky fluid Microscopical examination- Smears are hypocellular showing few aggregates of epithelial cells with vacuolated cytoplasm in a lipid rich foamy background. Bare isolated nuclei are also present in the background along with foamy macrophages. The nuclei of the cells have uniform chromatin, regular nuclear margins with abundant cytoplasm. Impression- Galactocele of left breast Note- Kindly correlate clinically
Dr. Sandeep Nayak
Surgical Oncologist
Answered on 20th Sept '24
Female | 24
Why is my left breast area swelling?
I'm a 24 years breastfeeding mother. I experienced pain just below my left breast for the past 4 months and now the area is swelling. I tried pain killers and resting but nothing is changing
Dr. Donald Babu
Oncologist
Answered on 18th Sept '24
You could be having a problem known as costochondritis, which is a situation where pain and swelling occur near your breastbone. This may be due to activities that tire your chest muscles or an infection. To promote the ice pack action, try not to engage in activities that increase the pain. If the swelling and pain persist, it's better to see an oncologist for further assessment and treatment.
Female | 21
Are hypoechoic lesions in left and right breasts concerning?
Well defined hypoechoic lesions measuring 12x6mm at 3,0 clock position of left breast and measuring 5x6mm at 9,0 clock position of right breast. No obvious lymphadenopathy seen. No obvious architectural distortion seen. No ductal dilatation is seen.
Dr. Donald Babu
Oncologist
Answered on 18th Sept '24
You have well-defined hypoechoic lesions in the breast at certain positions. These areas are small and appear differently on ultrasound. Different factors can influence their appearance, for example, cysts or fibroadenomas. As there are no other issues to worry about, it's indeed good to keep track of them through regular ultrasounds. Have a detailed discussion with your oncologist about the results.
Female | 37
Could a Lump Above Left Breast Indicate Concern at 37?
37 year old female with lump on chest above left breast
Dr. Ganesh Nagarajan
Oncologist
Answered on 13th Sept '24
The lump on your chest above your left breast could be due to a few reasons. It might be a benign (non-cancerous) ovarian cyst or a swollen lymph node, or it might be caused by hormonal changes. Other reasons for the pain could include an injury or an infection risk. It is important to consult with an oncologist to clarify the cause and obtain the right therapy.
Female | 55
Should I Start Chemotherapy or Oncotype DX Test?
Hello, my sister discovered she had a breast cancer in March 24, she had a successful lumpectomy in March 28, the pathology report said that tumor was 22 x 23 x 18 mm, has 5 involved lymph nodes, ER strong positive ( score 8 ), PR negative, HER2 negative... after that she did a pet/CT scan in May and the opinion of the radiologist written in the report was " patient with right breast cancer after surgery showing no evidence of hypermetabolic lesion distinctive for loco-regional resudal/recurrence of metastatic disease. I also attached the detailed results of the pet/ct itself. Now does it recommend for her to start chemotherapy or to do oncotype dx test first and btw she had 25 sessions of radiotherapy, so after the surgery ( in March) we had the radiotherapy in ( June) and now we don't know we have to start chemotherapy or do this test first since she has ER positive, HER2 negative and she's postmenopausal. She is 55 yrs old. Now I now your opinion, your advice and recommendations for us. And if she did the test and the result is law and chemotherapy is still recommended for her can she take at least a less intensive chemotherapy regimen.
Dr. Ganesh Nagarajan
Oncologist
Answered on 9th Sept '24
From the information that you were able to share, it sounds like your sister had the necessary treatment done successfully for her breast cancer. Given that she is ERpositive and HER2 negative, the Oncotype DX test can be used to determine whether she requires chemotherapy. If the test indicates low risk, she might not have to undergo intensive chemotherapy. This check is based on the study of the genes present in cancer cells and helps to determine treatment methods. It is important to talk about these options with her oncologist so that the best solution can be found for her case.
महिला | 19
Why Do I Feel Lump in My Left Breast?
Main 19 year girl hu mujhe 8 din se suddenly left brest main gath jaisa mehsus ho raha iska reason bataye
Dr. Donald Babu
Oncologist
Answered on 3rd Sept '24
One of the breast's lumps may be frightening, but it is necessary to stay calm. In your age group, it is less likely to be a serious problem. This could be due to hormonal changes, some cysts, or fibroadenomas. Visit an oncologist for a check-up. These lumps sometimes go away without any treatment, but it is better to get it checked to be safe.
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