6. 10 o’clock: two benign nodules measuirng 4mm and 5mm respectively
A mildly enlarged right axillary lymph node is present.
A few cysts measuring up to 7mm are seen in the right breast.
Solid nodules seen in both breasts as described above. Note the presence of suspicious lesion in the right breast at the 11 o’clock position with right axillary lymphadenopathy.
BILATERAL MAMMOGRAMS -15 January
There is an ill-defined opacity seen in the right upper outer quadrant at the periarreolar region. There are associated pleomorphic microcalcifications in this area. There are also isolated foci of benign type calcification in both breasts. No suspicious left breast leasion is seen.
There is no nipple retraction but the right axillary nodes appear larger and denser than the left
The findings in the right breast can be classified as BIRADS 5 category . There is also suggestion of ipsilateral axillay node involvement.
BIRADS Category 5 Malignant (RIght breast Tumour) There are masses with an appearance of cancer. A biopsy is recommended to make an accurate diagnosis.
Diagnosis: Ductal Carcinoma in SITU (DICS) a type of breast cancer.
In terms of tumuor size, the Breast Cancer is at Stage 2
FIRST Line of Treatment: RADicAL MASECTOMY of the RIGHT BREAST
On the same week we went to National Cancer Centre Singapore (SGH) for a 2nd opinion, the diagnosis, findings and recommended treatment is the same, a RADICAL MASECTOMY with Sentinel Lymph Node Biopsy . (which means that a 15-25 lymph nodes under the armpit will be removed.