Q. My mother observed a lump in her right breast. What is the cause?

Answered by
Dr. Varadarajan Kumar
and medically reviewed by iCliniq medical review team.
Published on Jul 29, 2018

Hi doctor,

My mother observed a lump in her right breast before two months ago. The doctor advised for full abdomen USG, mammography, and FNAC. The results showed duct cell carcinoma (NST) with a lesion measuring 12 x 15 mm. Surgical Oncologist has advised for surgical removal of a tumor (BCS surgery) followed by radiation and chemotherapy. He suggested, my mother, to undergo four to eight sessions of chemotherapy, depending upon the biopsy report of the tumor. I wish to seek a second opinion depending upon the requirement of chemotherapy and radiation therapies and also want to know the possible side effects.

Dr. Varadarajan Kumar

Medical Oncology Radiation Oncology
#

Hi,

Welcome to icliniq.com.

The current treatment for the early breast cancer is breast conservation surgery and sentinel lymph node (axillary node) sampling.

  1. Please find out what modality is being planned to address the axilla as not all patients need axillary clearance.
  2. After breast conservation surgery, radiotherapy is a standard treatment done over three weeks to reduce the risk of future recurrence.
  3. Post-operative histology will dictate if your mother needs chemotherapy or not guided by the grade, size, margins, and the lymph node status.

There are oncotype testing to personalize the treatment which gives the magnitude of benefit for a particular individual. Radiotherapy is mainly given to reduce the risk of local recurrence. Side effects of radiation are skin reactions in the short term and hardening of the breast in the long term. Chemotherapy, not sure whether your mother needs chemotherapy. If the nodes are negative with strong ER (estrogen receptors) in positive status, we could avoid chemotherapy altogether.

For more information consult a radiation oncologist online --> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist

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