Dr. Pawar Satyajit Jalinder
Medical oncology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
Before a few months, my mother-in-law has got a tumor in her left breast. There is no pain. It had started growing recently in the last four to six weeks, and we consulted oncologists. The results of various tests are out. I wanted to get a second opinion. I have attached reports to you to have a look and send me your advice.
Hi,
Welcome to icliniq.com.
I have gone through the query. But before going ahead with treatment decisions, I need to know a few details:
She will fit into a category of locally advanced breast cancer. Her disease is localized. If her age is not considered, then the plan would be chemotherapy followed by surgery and radiation depending on the type of surgery. She will also need a FISH (Fluorescence insitu hybridization) testing to decide whether another targeted therapy like Trastuzumab is required or not. Type of surgery depends on whether she wants to preserve her breasts or not. As the tumor is large (attachment removed to protect patient identity), she will need chemotherapy to reduce the size and then surgery. But, all this is done depending on the patient's general condition.
For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist
Patient's Query
Thank you doctor,
There is no other problem like diabetes, hypertension, and renal problem. She is very active and carries out all daily household activities. She avoids surgery, chemotherapy, and radiation. She has not done or taken FISH testing and Trastuzumab. She is not willing to have chemotherapy. What are the effects of mastectomy? Will it limit the movement of the left hand?
Hi,
Welcome back to icliniq.com.
Mastectomy will include the complete removal of breast tissue along with axillary lymph node dissection. There are about five percent chance that she might develop edema of that arm and have difficulty in moving it. It is managed with limb elevation and symptomatic treatment. If her general condition is good, surgery is followed by adjuvant chemotherapy and hormonal therapy is ideal.
For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist
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