Breast Cancer

Cancer that develops from the breast tissue is called breast cancer. The symptoms of breast cancer are breast lump, breast pain, red skin over the breast, bloody nipple discharge, a sudden change in the shape and size of the breast, and inverted nipples. Genes, early menstruation, hormone therapy, late menopause, and late pregnancy are a few risk factors of breast cancer.

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Can my 75-year-old mother with a previous radicular mastectomy for stage 2B cancer undergo radiation therapy?

Query: Hi doctor, My mum, who is 75- years- old, recently had a modified radical mastectomy for stage 2B invasive carcinoma (tumor size 3x3, two nodes of 19 dissected had metastasis). Her biopsy result says that NHS-grade 3 and positive lymph vascular and perineural invasion, the skin and areola and nipple...  Read Full »

Dr. Andrew Chellakumar Fenn

Answer: Hi, Welcome to A summary of the patient's diagnosis, cancer stage T2, n1 (tumor 2, node 1), Grade 3, Er pr positive (estrogen and progesterone receptor testing), Lvi pni (lymphovascular and perineural invasion) positive. She is 75 years old with cardiac Comorbidity. I would suggest rad...  Read Full »

What are the safe breast cancer treatment options available for my mother, who has cardiac problems?

Query: Hi doctor,My mother is 75 years old, and she recently had a modified radical mastectomy for stage 2B invasive carcinoma (tumor size is 3x3, and two nodes of 19 dissected and had metastasis). Her biopsy results say that it is NHS-grade 3, and positive lymph vascular and perineural invasion is seen. T...  Read Full »

Dr. Dinesh Kumar

Answer: Hi, Welcome to Considering her age and the relatively good profile of breast cancer she had, I would suggest that we may avoid chemotherapy. Instead, she may receive radiotherapy and oral hormonal therapy (Letrozole). Thanks and regards.   Read Full »

Does my cytology report indicate metastatic breast cancer?

Query: Hi doctor, I had my cytology report from pelvic wash before hysterectomy. I need some clarifications on the pathology report. The report showed atypical cells - reactive mesothelial cells, enlarged and crowded nuclei, positive for calretinin and negative for Ber-EP4. Could these be metastatic breas...  Read Full »

Dr. Parth R Goswami

Answer: Hi, Welcome to You have not mentioned the reason for which hysterectomy was done. Before giving a comment, the location of mass should be known. Usually, calretinin stain applied to differentiate between mesothelioma and other metastatic carcinoma or adenocarcinomas. Calretinin can be...  Read Full »

I have grade 3 non-invasive ductal carcinoma in situ. Do I need to undergo surgery?

Query: Hello doctor, I have non-invasive grade 3 ductal carcinoma in situ (DCIS) in the breast. There is no previous history of the same, and do not suffer from any symptoms. I had got my mammography and biopsy performed. I am currently taking Orencia injections, Prednisone, Cevimeline, Vyvanse, multivitam...  Read Full »

Dr. Rajesh Gulati

Answer: Hi, Welcome to It is grade 3 breast cancer. I suggest you get your magnetic resonance imaging (MRI) of the breast done to see whether the rest of the breast is normal or not. If the rest of the breast is normal and there is no family history of breast cancer, I suggest you go for a lu...  Read Full »

Can a cyst cause breast pain and discharge?

Query: Hi doctor, For the past two months I have had ongoing right breast pain. It first began as sharp stabbing pain that would last only a few seconds. Now I am getting some nipple discharge and burning sensation. When I spoke with my doctor about it, she said it might happen sometimes. I had some blood ...  Read Full »

Dr. Sadaf Mustafa

Answer: Hello, Welcome to Breast pain, nipple discharge and cysts could be due to hyperprolactinemia. I do not see a prolactin level in your report (attachment removed to protect patient identity). Do you have a family history of breast cancer? Do these cysts develop even when you are of...  Read Full »

I am fatigued with severe bone pain, and have abnormal smear findings. Is my cancer recurring?

Query: Hello doctor,I have a history of breast cancer for which the treatment got completed around two years back.Following are the current findings of my blood smear:Anisocytosis: +1,Poikilocytosis: +1,Polychromasia: +1,Ovalocytes: +1,And a few atypical lymphocytes.I am feeling very weak with severe bone ...  Read Full »

Dr. Parth R Goswami

Answer: Hello,Welcome to is my opinion of your findings:Anisocytosis means variations in the size of red blood cells and poikilocytosis is variations in the shape of red blood cells. These two findings together with polychromasia could be because of hemolytic anemia. However, anemia is...  Read Full »

Is invasive intraductal breast carcinoma curable?

Query: Hello doctor,My mother has been recently diagnosed with invasive intraductal breast carcinoma. I am currently outside the city and have not seen the reports. But, she told me that it is malignant and has spread to two lymph nodes. There is no metastasis. Doctors have told me to start chemotherapy fo...  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to I would like to see the reports. But, as per your history, if it has already spread to lymph nodes, it has locally advanced. In such cases, what is usually done is to give new adjuvant chemotherapy followed by surgery and radiotherapy. Though I have limited in...  Read Full »

I have a bumpy patch on my left breast and itching across my breast and neck. Why?

Query: Hello doctor, I am a female, who weighs 158 lbs and 5.9 feet tall. I feel that my strength is declining, and I have itchiness and hot sensation across my breasts, neck, and torso. I also had a bumpy rash patch surfaced on my left breast several days ago. This rash has not gone away, and it looks li...  Read Full »

Dr. Swaraj Waddankeri

Answer: Hi, Welcome to Do you have any family history of breast cancer? Do you have a fever, nausea, vomiting, or weight loss? When was your blood sugar and thyroid tested? Revert with more information to an endocrinologist online -->  Read Full »

Will breast cancer need chemotherapy even after the complete excision of the lump?

Query: Hi doctor, I felt the lump seven months back but did the test four months ago and had the surgery three months ago. I have been diagnosed with early-stage breast cancer and had an excisional biopsy procedure where the tumor, safety margin, and three lymph nodes have been dissected. My doctor told m...  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to I have gone through your query and attachments (attachments removed to protect the patient's identity). Being an oncologist involved in the care of breast cancer patients, I can understand your concerns. Based on the query, I can gather few things: 1) You a...  Read Full »

What tests are recommended to determine the type of treatment for breast cancer?

Query: Hi doctor, My mother is diagnosed with breast cancer, and there is pain in her left breast, waist, and back. Can you please tell me the treatment options available?  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to I have gone through your query and the reports (attachment removed to protect the patient's identity) you have provided. I can understand that this would be a difficult time for your family, and it is natural to get a second opinion. Based on reports, it looks...  Read Full »

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