In women with breast cancer or breast tumor with a high risk of malignancy, surgical removal of the breast along with the tumor is employed. Prophylactic mastectomy is a procedure suggested for women with a high risk of future breast cancer where both the breasts are removed prophylactically in the absence of any neoplasm. Five types of mastectomy are simple or total, radical, modified radical, partial, and subcutaneous. In a simple or total mastectomy, the whole breast is removed. In modified radical breast tissue with axillary lymph nodes are removed. Radical mastectomy is the most extensive as it involves removing the breast, lymph nodes, and muscles of the chest wall. In a partial mastectomy, only the tumor and few tissues surrounding it are removed. Finally, subcutaneous mastectomy removes the breast, sparing the nipple tissue.
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My biopsy report showed granulomatous mastitis. Was the biopsy specimen autolyzed?
Query: Hi doctor, A wide excision was done last year, and the report showed granulomatous mastitis. How can autolyzed tissue alter the report of biopsy? What do you mean by autolysis? What if the specimen is autolyzed? What would you do? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Autolysis means self-digestion of tissue by our own enzymes. To prevent autolysis, the specimen should be transferred to 10 % buffered formalin immediately after tissue removal by a surgeon. Formalin fixes the tissue and prevents autolysis, so that tissue preserved i... Read Full »
I am positive for BRCA 1. Am I prone to cancer?
Query: Hi doctor, I am 30 years old. I have BRCA1 genetic mutation that is still undergoing more research as they are not sure of the exact risk yet. My mom had breast cancer at the age of 56 and her cousin had the same at the age of 46. They were both positive to hormonal therapy. Another cousin had ova... Read Full »
Answer: Hi, Welcome to icliniq.com. Since you have BRCA1 (breast cancer type 1) positive with a strong family history of breast cancer, there is always a risk of developing cancer. You need to have a regular followup. Ultrasound sometime may miss early changes. Since you have a high tendency of developing... 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. ... Read Full »
Answer: Hi, Welcome to icliniq.com. 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 »
My breast was removed due to breast cancer. How can I get my breasts reconstructed?
Query: Hello,I suffered from breast cancer three years back, due to which my breast was removed, and now I am planning to reconstruct the breast. Can you give me some tips for reconstructing the breast? Also, how much time and care are needed after the surgery? Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Breast reconstruction requires skin and fat taken as a flap from your abdomen. That is the best option. This procedure will take approximately 10 days to settle and 21 days for starting your routine activity. Thank yo... Read Full »
After a mastectomy, I have tightness in my armpits again. Why?
Query: Hi doctor,Before seven months, I had a mastectomy. During which, I had my lymph nodes taken out of my armpit. I had exercises to do, which helped ease the tightness in my arm. Only in the last two weeks or so, I have noticed a tightness in my hand on the same side of the operation. It feels a bit ... Read Full »
Answer: Hello, Welcome to icliniq.com. It is most probably lymphedema. It occurs as your lymph nodes are taken out, which helps in the drainage of lymph.Are you doing your exercises regularly? This can be prevented by proper exercises that your doctor must have told you. Keep your arm at a height abo... Read Full »
Can my breasts regrow after undergoing five cycles of chemotherapy?
Query: Hello doctor, I am undergoing the fifth cycle of chemotherapy for my left breast. For the past five months, I am undergoing this treatment. Prior to chemotherapy, I was taking ayurvedic medicine for the same problem. I took the medicine for about eight months, but it did not have any benefit. At th... Read Full »
Answer: Hi, Welcome to icliniq.com. From your description, I fear that you have metastatic breast cancer. Usually, the surgery is done after four cycles of chemotherapy for locally advanced breast cancer. As you have undergone five cycles, you must be on palliative chemotherapy to control the disease. Usual... Read Full »
Why are my breasts so prominent?
Query: Hi doctor, I am 43 years old. I am suffering from many things related to my body. I have been most of my lifetime having man boobs. My boobs are not proportional to the ratio of the fat in my body. I used to go to gym to battle that. This helped in getting my chest in a more firm shape, but never sm... Read Full »
Answer: Hi, Welcome to icliniq.com. This is mainly due to increased estrogen hormone and also can occur because of hormonal imbalance. This can be treated with medicines and if not treated, then very conservative operative procedures are there. But, I need a snapshot picture of the affected area before that... Read Full »
Is radiotherapy recommended for breast cancer?
Query: Hi doctor,I had pure mucinous right breast cancer and had nipple sparing mastectomy. Do I need radiotherapy? My report showed 0/18 free lymph nodes, free margins, ER 8/8, PR 8/8, HER2 zero and KI67 8%. Read Full »
Answer: Hi, Welcome to icliniq.com. For mucinous and strong hormone positive with no node positive, only adjuvant endocrine is more than enough. Please mention the size of your tumor. Revert back with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/int... Read Full »
Is white liver in breast cancer patient a concerning issue?
Query: Hello doctor, I am 33 years old. I am diagnosed with breast cancer in 2018 and did mastectomy on the left breast, had chemotherapy and radiation. I am now taking Tamoxifen pill. My cancer marker is 11 and all the scans up to now were good all the time. Two weeks ago, I did sonography of abdomen and... Read Full »
Answer: Hello, Welcome to icliniq.com. Your concerns are genuine and reasonable. Well, since I am a gastroenterologist, I can give you some hint to what is that white liver means in your case. However, I may be unable to figure out the cause for that unusual feeling of heart. The white liver means increa... Read Full »
What is the first treatment choice for breast cancer?
Query: Hi doctor, My grandmother was diagnosed with breast cancer three years ago and had a right mastectomy. She however did not have chemo or radiation. She has a little extra fat to the lateral area of the breast that after surgery it looked like a small third breast. Right over the old incision has de... Read Full »
Answer: Hi, Welcome to icliniq.com. Here are my suggestions: Assuming that you want to undergo full treatment, the best method would be to start chemo and radiotherapy. The cycles of chemotherapy will depend on the medicine chosen by your oncologist. This will reduce the tumor size. Then go ahead with th... Read Full »