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Breast Abnormalities and Other Symptoms
General questions about breast health and possible symptoms.
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AskedPublicly Submitted Question
11/22/2017My mother is 69 years old and she found lump on her right breast then she had the breast ultrasound this is the description and impression.

Breast echotexture is heterogeneous with predominantly fatty background and some echogenic fibroglsdulsr tissues. An ill defined hypoechoic focus with an indistinct margin is seen in the right breast at 4:00 2cm from the nipple measuring 2.4 x 1.2 x 1.3 cm. No skin thickening, skin and nipple retraction, nor inflammatory changes surroundings the mass are appreciated.

Ill defined solid breast mass, right (category 4c)
Breast cyst, left (Category 2)

The Breast specialist/surgeon advised her to have remove the whole right breast immediately and have the biopsy after the surgery.. Can you please give second opinion if it really necessary to have the entire breast remove and have the biopsy after surgery. Your opinion will be much appreciated.

Thank you,
RepliedJHU's Breast Center Reply
11/22/2017Before any surgery is ever to be done, a core needle biopsy is to be performed in breast imaging by a radiologist to determine what this is. Even if they believe it is cancer this still requires being confirmed by pathology. If it is cancer, then the specifics of the type of breast cancer and its prognostic factors need to be also determined in advance of surgery because it can change the surgical procedure considerably. also there are situations in which chemo is needed first before surgery. so biopsy first before anything else is done.

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