Dr Neha Choudhary on Lump in the Breast & Early Detection Breast lump detection is crucial in the early diagnosis of breast ...

dr-neha-choudhary-on-lump-in-the-breast-amp-early-detection

Dr Neha Choudhary on Lump in the Breast &amp; Early Detection

[Music] hello everyone I'm Dr Niha Chri I'm a consultant breast surgeon at narana Health Kolkata and today I would like to talk about what happens if a lady feels a lump in her breast so lump in a breast is something which can really scare you and it is not something you always need to be scared about lump and breast doesn't always mean that it is cancer there are a lot of other diagnosis which is a possibility so if you ever happen to feel a lump in your breast what happens next let's talk about it so once you feel a lump in your breast the first and the most logical thing to do is go meet your breast doctor once you meet one of us what we do next is known as a triple test or a triple examination there are there are three components to a triple test one is a clinical examination second is Imaging and third is the tissue diagnosis so when you come to us we take a detailed history of how the lump came since when it is there is there any pain associated with the lump is the lump increasing in size are there any other symptoms apart from the lump is there any discharge in the breast and henceforth after that we examine you we take you on the examination table and we try to feel the lump and based on these two things the clinician makes up a diagnosis in their mind of how suspicious or how significant the lump is the next step is to send you for some kind of a scan or Imaging so usually the most common Imaging would be an ultrasound breast or a mamography especially if you're more than 40 years of age once an Imaging is is done that Imaging gives us a report in something which is known as birads category so birat category 0 1 and two is not to worry about Z one means normal two means there is something benign bat's Category 3 means it is probably benign however we need to relook after 6 months however if the ultrasound or mamography report shows a bat category of four or five that means that this lump is probably suspicious for cancer and it needs further evaluation so once we get a Virat category 4 or five or we have a stronger clinical suspicion then what we do next is know known as a tissue diagnosis or a biopsy now again it can be either a fine needle aspiration cytology or effiny or a trut biopsy usually we go for a trut biopsy because that is more conclusive it gives us gives us a more accurate report now again there's a lot of myth about biopsy or a trut biopsy a lot of people feel or they would have heard from someone that once you get a biopsy done then the tumor will grow very fast the chances of its spreading is higher all this is false it's a myth there is no scientific evidence to prove it trer biopsy is absolutely safe it does not increase the risk of spread it can be done as outpatient procedure it takes barely 10 minutes to do it we will give you local anesthesia you'll be very comfortable and under ultrasound guidance a small needle is inserted and the tissue is taken you can go back home same day you're given some kind of pain killers and usually there's hardly any pain so do not be worried about biopsy and do not try to avoid or Escape it or try to delay your treatment for the fear of biopsy once a biopsy is is done when then we wait for your biopsy report which usually comes back in 3 to 4 days and depending on the report a diagnosis of what exactly that lump is is made now what are the possible commonly diagnosed um results that we come across we come across we come across a lot of times something which is known as a fibro adoma fibroadenoma is a benign lump it is completely safe nothing to worry about unless it is growing in size or it is it has achieved a significant size you don't even need to remove it it can be safely observed apart from that we can get something a report which is known as a pho tumor now again if it Pho tumor it can be benign bot line or malignant and depending on what the report is you do need to get a surgery done usually what we do is we do a wide local excision that means we remove the lump with some margin so that the whole uh the whole tumor is out apart from that there are if you might get a report of something which is known as invasive ductal carcinoma or duct carcinoma in C2 now duct carcinoma in C2 is kind of a precancer however it does need treatment you need to remove it with margins and it might have to be followed up with radiation therapy usually for DCS you do not need any chemotherapy if you get diagnosed with invasive ductal carcinoma then we do further testing on your biopsy reports we do something which is known as imunohistochemistry or ER PR and herto report to understand what is the type of cancer that you have apart from that you may also need some staging investigation like maybe a CT scan or a pet scan to understand understand whether the cancer has spread to any other part of the body and depending on these final reports we decide your treatment so a lump in the breast does not always mean it's a danger signal however if you do see it do not ignore it do not be scared of it come come to the doctor and get it evaluated thank [Music] you

Dr.

Related Videos

Consultation & Treatment

Consult With Loading Doctor Data