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|Mastectomy with Flap Reconstruction
Questions about Mastectomy with Flap Reconstruction.
|Asked||Publicly Submitted Question|
|7/14/2012||Local recurrence - I had this recon done in 2005 in California, 0/3 nodes, IDC 6:00 8mm, Grade II/III, DCIS two areas- 6:00 and 9:00, Tamox. 5 years ending 2010. (ER+,PR-,HER2 -)I now have a small pea sized lump in the inner edge 2:00 of the rt recon'ed breast. The lump is partially raised but can tell there is more underneath to form a pea size. I have a surgeon appt on Thursday to hopefully schedule biopsy. Questions: living in Salisbury, MD - is it okay to get a local surgeon to remove the lump? Because of location should I encourage sentinel node in case of new cancer not recurrence? I could go to you, although insurance wouldn't cover as much if you think this initial surgery is important. Surgeon is head of Breast Center at PRMC. Is there anything else this pea sized hard lump could be? Thanks so much -|
|Replied||JHU's Breast Center Reply|
|7/14/2012||you've placed this question in the mastectomy with flap reconstruction category so i am assuming that you have had mast with flap recon and now have this pea size mass just under the skin of the flap. if this is the case then consider coming our way. it would be best to get ultrasound and biopsy done as a core biopsy in breast imaging with path results back the next day. on monday call 410-955-4100 and tell them that you have spoken with Lillie Shockney in the breast center via the website and have a mass in the "breast" and need diagnostic evaluation and have a personal history of breast cancer in that location. we should then be seeing you on tuesday. ask for me when you come so i can give you a hug. it can be a little tricky taking care of this type of recurrence. commonly it is a sign that there was some residual breast tissue just under the skin that harbored enough breast cells to manage to grow breast cancer again. see you soon. L|
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