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Friday, February 10, 2012
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Breast Cancer |
My wife`s health03/08/2005 |
Dear Doctor, I send extract of three reports of mamograms with recent health check details done at Cancer Hospital with a request for seeking your valuable guidance. 1.Mammogram dated 31st January 2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen.Subareolar tissue is unremarkable. No micro-calcification seen in both breast on present study. On sonofraphy examination,small cysts are seen in left breast. The biggest cyst is about 12x5 mms size seen in superior and lateral quadrant. No definite mass seen in right breast on sonohraphic study. COMMENTS : Nodular breast parenchyma on both side. Small cysts are seen in left breast on sonographic study suggestive of benign lesions. 2. Mammogram dated 14-11-2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen. No well defined soft tissue mass seen in both breast on mammography study.On sonography examination, no cyst is seen in right breast on present study. Small cysts are seen in lef t breast in superior and lateral quadrant. Biggest cyst is about 14x5 mms size and biggest cyst is about 11 x 4 mms size. COMMENTS: No mass seen in both breast on mammography examination. Small custs are seen in left breast on sonographic examination. No cyst seen in right breast on present study. COMPARED WITH PREVIOUS EXAMINATION, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE OF CYST SEEN IN LEFT BREAST. 3 Mammogram dated 21-08-2004 Breast parenchyma appears nodular on both sides. No well defined soft tissue mass seen in right breast on mammography study. Oval opacity is seen in left breast. Rest of the breast parenchyma appears nodular. There is no evidence of micro calcification, skin thickening or nipple retraction seen on both sides. On sonography examination, cysts are seen in left breast. The biggest cyst seen at the site of opacity is about 12 x 4 mms size. No definite cystic mass seen in right breast on sonographic study. COMMENTS NODULAR BREAST PARENCHYMA ON BOTH SIDES. CYSTS ARE SEEN IN LEFT BREAST ON SONOGRAPHY STUDY. COMPARED TO PREVIOUS EXAMINATION OF 14-11-2003, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE AND APPEARANCE OF THE CYSTS . POSSIBILITY OF BENIGN LESIONS APPEARS LIKELY. On 02-12-2004, my wife underwent a cancer health check at M P Shah Cancer Hospital and her reports are as under : 1.Hb. 09.9 2. Urine- Normal 3.Hbs Ag : Negative by Elisa method 4. Pap Smear : Satisfactory for eveluation, obscuring inflammation present. Negative for intraephitelial lesion or malignancy 5.Lipid Profile : S Cholestrol: 186 S Trigliceride 60 HDL 67 VLDL 12 LDL 107 HDL/Chol Ratio 0.36 6. X Ray Chest Normal Bilateral memogram : Both breasts show dense parenchymal pattern which on USG has features suggestive of fibrocystic changes. Two hypoechoic lesions of size 13x4 mm and 10x4 respectively in the left central outer quadrant. Possibility of two fibroadenomal appears likely. No evidence of skin thickening or nipple retraction or microcalcification noted in either breats. USG whole Abdomen Normal. FSH 63.90 - LH 27.88 TSH 1.6 FBS PPBS Normal HBP on treatment Betaloc 50 mg twice and Losar-H ½ once a day Her CAG in October 2003 absolutely normal. Sir, She has occasional pain on the left side of the breast Looking to the previous 3 reports of mamograms and recent reports, do you find any abnormality and whether, surgical intervention at this stage for removal of fibroadenoma is advisable and do you find any warning signals in the foregoing. Kindly guide us and we shall be highly obliged to receive your advices. Dear Doctor, I send extract of three reports of mamograms with recent health check details done at Cancer Hospital with a request for seeking your valuable guidance. 1.Mammogram dated 31st January 2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen.Subareolar tissue is unremarkable. No micro-calcification seen in both breast on present study. On sonofraphy examination,small cysts are seen in left breast. The biggest cyst is about 12x5 mms size seen in superior and lateral quadrant. No definite mass seen in right breast on sonohraphic study. COMMENTS : Nodular breast parenchyma on both side. Small cysts are seen in left breast on sonographic study suggestive of benign lesions. 2. Mammogram dated 14-11-2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen. No well defined soft tissue mass seen in both breast on mammography study.On sonography examination, no cyst is seen in right breast on present study. Small cysts are seen in lef t breast in superior and lateral quadrant. Biggest cyst is about 14x5 mms size and biggest cyst is about 11 x 4 mms size. COMMENTS: No mass seen in both breast on mammography examination. Small custs are seen in left breast on sonographic examination. No cyst seen in right breast on present study. COMPARED WITH PREVIOUS EXAMINATION, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE OF CYST SEEN IN LEFT BREAST. 3 Mammogram dated 21-08-2004 Breast parenchyma appears nodular on both sides. No well defined soft tissue mass seen in right breast on mammography study. Oval opacity is seen in left breast. Rest of the breast parenchyma appears nodular. There is no evidence of micro calcification, skin thickening or nipple retraction seen on both sides. On sonography examination, cysts are seen in left breast. The biggest cyst seen at the site of opacity is about 12 x 4 mms size. No definite cystic mass seen in right breast on sonographic study. COMMENTS NODULAR BREAST PARENCHYMA ON BOTH SIDES. CYSTS ARE SEEN IN LEFT BREAST ON SONOGRAPHY STUDY. COMPARED TO PREVIOUS EXAMINATION OF 14-11-2003, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE AND APPEARANCE OF THE CYSTS . POSSIBILITY OF BENIGN LESIONS APPEARS LIKELY. On 02-12-2004, my wife underwent a cancer health check at M P Shah Cancer Hospital and her reports are as under : 1.Hb. 09.9 2. Urine- Normal 3.Hbs Ag : Negative by Elisa method 4. Pap Smear : Satisfactory for eveluation, obscuring inflammation present. Negative for intraephitelial lesion or malignancy 5.Lipid Profile : S Cholestrol: 186 S Trigliceride 60 HDL 67 VLDL 12 LDL 107 HDL/Chol Ratio 0.36 6. X Ray Chest Normal Bilateral memogram : Both breasts show dense parenchymal pattern which on USG has features suggestive of fibrocystic changes. Two hypoechoic lesions of size 13x4 mm and 10x4 respectively in the left central outer quadrant. Possibility of two fibroadenomal appears likely. No evidence of skin thickening or nipple retraction or microcalcification noted in either breats. USG whole Abdomen Normal. FSH 63.90 - LH 27.88 TSH 1.6 FBS PPBS Normal HBP on treatment Betaloc 50 mg twice and Losar-H ½ once a day Her CAG in October 2003 absolutely normal. Sir, She has occasional pain on the left side of the breast Looking to the previous 3 reports of mamograms and recent reports, do you find any abnormality and whether, surgical intervention at this stage for removal of fibroadenoma is advisable and do you find any warning signals in the foregoing. Kindly guide us and we shall be highly obliged to receive your advices. Dear Doctor, I send extract of three reports of mamograms with recent health check details done at Cancer Hospital with a request for seeking your valuable guidance. 1.Mammogram dated 31st January 2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen.Subareolar tissue is unremarkable. No micro-calcification seen in both breast on present study. On sonofraphy examination,small cysts are seen in left breast. The biggest cyst is about 12x5 mms size seen in superior and lateral quadrant. No definite mass seen in right breast on sonohraphic study. COMMENTS : Nodular breast parenchyma on both side. Small cysts are seen in left breast on sonographic study suggestive of benign lesions. 2. Mammogram dated 14-11-2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen. No well defined soft tissue mass seen in both breast on mammography study.On sonography examination, no cyst is seen in right breast on present study. Small cysts are seen in lef t breast in superior and lateral quadrant. Biggest cyst is about 14x5 mms size and biggest cyst is about 11 x 4 mms size. COMMENTS: No mass seen in both breast on mammography examination. Small custs are seen in left breast on sonographic examination. No cyst seen in right breast on present study. COMPARED WITH PREVIOUS EXAMINATION, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE OF CYST SEEN IN LEFT BREAST. 3 Mammogram dated 21-08-2004 Breast parenchyma appears nodular on both sides. No well defined soft tissue mass seen in right breast on mammography study. Oval opacity is seen in left breast. Rest of the breast parenchyma appears nodular. There is no evidence of micro calcification, skin thickening or nipple retraction seen on both sides. On sonography examination, cysts are seen in left breast. The biggest cyst seen at the site of opacity is about 12 x 4 mms size. No definite cystic mass seen in right breast on sonographic study. COMMENTS NODULAR BREAST PARENCHYMA ON BOTH SIDES. CYSTS ARE SEEN IN LEFT BREAST ON SONOGRAPHY STUDY. COMPARED TO PREVIOUS EXAMINATION OF 14-11-2003, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE AND APPEARANCE OF THE CYSTS . POSSIBILITY OF BENIGN LESIONS APPEARS LIKELY. On 02-12-2004, my wife underwent a cancer health check at M P Shah Cancer Hospital and her reports are as under : 1.Hb. 09.9 2. Urine- Normal 3.Hbs Ag : Negative by Elisa method 4. Pap Smear : Satisfactory for eveluation, obscuring inflammation present. Negative for intraephitelial lesion or malignancy 5.Lipid Profile : S Cholestrol: 186 S Trigliceride 60 HDL 67 VLDL 12 LDL 107 HDL/Chol Ratio 0.36 6. X Ray Chest Normal Bilateral memogram : Both breasts show dense parenchymal pattern which on USG has features suggestive of fibrocystic changes. Two hypoechoic lesions of size 13x4 mm and 10x4 respectively in the left central outer quadrant. Possibility of two fibroadenomal appears likely. No evidence of skin thickening or nipple retraction or microcalcification noted in either breats. USG whole Abdomen Normal. FSH 63.90 - LH 27.88 TSH 1.6 FBS PPBS Normal HBP on treatment Betaloc 50 mg twice and Losar-H ½ once a day Her CAG in October 2003 absolutely normal. Sir, She has occasional pain on the left side of the breast Looking to the previous 3 reports of mamograms and recent reports, do you find any abnormality and whether, surgical intervention at this stage for removal of fibroadenoma is advisable and do you find any warning signals in the foregoing. Kindly guide us and we shall be highly obliged to receive your advices. Dear Doctor, I send extract of three reports of mamograms with recent health check details done at Cancer Hospital with a request for seeking your valuable guidance. 1.Mammogram dated 31st January 2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen.Subareolar tissue is unremarkable. No micro-calcification seen in both breast on present study. On sonofraphy examination,small cysts are seen in left breast. The biggest cyst is about 12x5 mms size seen in superior and lateral quadrant. No definite mass seen in right breast on sonohraphic study. COMMENTS : Nodular breast parenchyma on both side. Small cysts are seen in left breast on sonographic study suggestive of benign lesions. 2. Mammogram dated 14-11-2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen. No well defined soft tissue mass seen in both breast on mammography study.On sonography examination, no cyst is seen in right breast on present study. Small cysts are seen in lef t breast in superior and lateral quadrant. Biggest cyst is about 14x5 mms size and biggest cyst is about 11 x 4 mms size. COMMENTS: No mass seen in both breast on mammography examination. Small custs are seen in left breast on sonographic examination. No cyst seen in right breast on present study. COMPARED WITH PREVIOUS EXAMINATION, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE OF CYST SEEN IN LEFT BREAST. 3 Mammogram dated 21-08-2004 Breast parenchyma appears nodular on both sides. No well defined soft tissue mass seen in right breast on mammography study. Oval opacity is seen in left breast. Rest of the breast parenchyma appears nodular. There is no evidence of micro calcification, skin thickening or nipple retraction seen on both sides. On sonography examination, cysts are seen in left breast. The biggest cyst seen at the site of opacity is about 12 x 4 mms size. No definite cystic mass seen in right breast on sonographic study. COMMENTS NODULAR BREAST PARENCHYMA ON BOTH SIDES. CYSTS ARE SEEN IN LEFT BREAST ON SONOGRAPHY STUDY. COMPARED TO PREVIOUS EXAMINATION OF 14-11-2003, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE AND APPEARANCE OF THE CYSTS . POSSIBILITY OF BENIGN LESIONS APPEARS LIKELY. On 02-12-2004, my wife underwent a cancer health check at M P Shah Cancer Hospital and her reports are as under : 1.Hb. 09.9 2. Urine- Normal 3.Hbs Ag : Negative by Elisa method 4. Pap Smear : Satisfactory for eveluation, obscuring inflammation present. Negative for intraephitelial lesion or malignancy 5.Lipid Profile : S Cholestrol: 186 S Trigliceride 60 HDL 67 VLDL 12 LDL 107 HDL/Chol Ratio 0.36 6. X Ray Chest Normal Bilateral memogram : Both breasts show dense parenchymal pattern which on USG has features suggestive of fibrocystic changes. Two hypoechoic lesions of size 13x4 mm and 10x4 respectively in the left central outer quadrant. Possibility of two fibroadenomal appears likely. No evidence of skin thickening or nipple retraction or microcalcification noted in either breats. USG whole Abdomen Normal. FSH 63.90 - LH 27.88 TSH 1.6 FBS PPBS Normal HBP on treatment Betaloc 50 mg twice and Losar-H ½ once a day Her CAG in October 2003 absolutely normal. Sir, She has occasional pain on the left side of the breast Looking to the previous 3 reports of mamograms and recent reports, do you find any abnormality and whether, surgical intervention at this stage for removal of fibroadenoma is advisable and do you find any warning signals in the foregoing. Kindly guide us and we shall be highly obliged to receive your advices. Dear Doctor, I send extract of three reports of mamograms with recent health check details done at Cancer Hospital with a request for seeking your valuable guidance. 1.Mammogram dated 31st January 2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen.Subareolar tissue is unremarkable. No micro-calcification seen in both breast on present study. On sonofraphy examination,small cysts are seen in left breast. The biggest cyst is about 12x5 mms size seen in superior and lateral quadrant. No definite mass seen in right breast on sonohraphic study. COMMENTS : Nodular breast parenchyma on both side. Small cysts are seen in left breast on sonographic study suggestive of benign lesions. 2. Mammogram dated 14-11-2003 Breast Parenchyma appear nodular on both sides. No evidence of skin thickening or nipple retraction seen. No well defined soft tissue mass seen in both breast on mammography study.On sonography examination, no cyst is seen in right breast on present study. Small cysts are seen in lef t breast in superior and lateral quadrant. Biggest cyst is about 14x5 mms size and biggest cyst is about 11 x 4 mms size. COMMENTS: No mass seen in both breast on mammography examination. Small custs are seen in left breast on sonographic examination. No cyst seen in right breast on present study. COMPARED WITH PREVIOUS EXAMINATION, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE OF CYST SEEN IN LEFT BREAST. 3 Mammogram dated 21-08-2004 Breast parenchyma appears nodular on both sides. No well defined soft tissue mass seen in right breast on mammography study. Oval opacity is seen in left breast. Rest of the breast parenchyma appears nodular. There is no evidence of micro calcification, skin thickening or nipple retraction seen on both sides. On sonography examination, cysts are seen in left breast. The biggest cyst seen at the site of opacity is about 12 x 4 mms size. No definite cystic mass seen in right breast on sonographic study. COMMENTS NODULAR BREAST PARENCHYMA ON BOTH SIDES. CYSTS ARE SEEN IN LEFT BREAST ON SONOGRAPHY STUDY. COMPARED TO PREVIOUS EXAMINATION OF 14-11-2003, THERE IS NO SIGNIFICANT CHANGE IN THE SIZE AND APPEARANCE OF THE CYSTS . POSSIBILITY OF BENIGN LESIONS APPEARS LIKELY. On 02-12-2004, my wife underwent a cancer health check at M P Shah Cancer Hospital and her reports are as under : 1.Hb. 09.9 2. Urine- Normal 3.Hbs Ag : Negative by Elisa method 4. Pap Smear : Satisfactory for eveluation, obscuring inflammation present. Negative for intraephitelial lesion or malignancy 5.Lipid Profile : S Cholestrol: 186 S Trigliceride 60 HDL 67 VLDL 12 LDL 107 HDL/Chol Ratio 0.36 6. X Ray Chest Normal Bilateral memogram : Both breasts show dense parenchymal pattern which on USG has features suggestive of fibrocystic changes. Two hypoechoic lesions of size 13x4 mm and 10x4 respectively in the left central outer quadrant. Possibility of two fibroadenomal appears likely. No evidence of skin thickening or nipple retraction or microcalcification noted in either breats. USG whole Abdomen Normal. FSH 63.90 - LH 27.88 TSH 1.6 FBS PPBS Normal HBP on treatment Betaloc 50 mg twice and Losar-H ½ once a day Her CAG in October 2003 absolutely normal. Sir, She has occasional pain on the left side of the breast Looking to the previous 3 reports of mamograms and recent reports, do you find any abnormality and whether, surgical intervention at this stage for removal of fibroadenoma is advisable and do you find any warning signals in the foregoing. Kindly guide us and we shall be highly obliged to receive your advices.
Based on what has been sent, it appears that your wife has benign cyst and perhaps a fibroadenoma (which is a benign tumor of the breast). Unless there is a change in appearance over time, which there is not on the reports, surgery is not indicated. However, if your wife's symptoms or xray change then she will need to be reevaluated.
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Syed A Ahmad, MD Associate Professor of Surgery Division of Surgical Oncology Department of Surgery College of Medicine University of Cincinnati |
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