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DUCTAL CARCINOMA INSITU, Her2 negative. Treatment options?

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Dear Sir,
About two months ago i have asked you about a lump next to the nipple which mammo cannot even see, but my obgy felt it. I did a ultrasound and found a small size lump.
I actually later got the incision biopsy and unfortunatly it turns our i have stage 0-1 cancer. It is 1, Ductal Carcinoma in Situ, intermediate grade, measure 1.6cm, with positive resection margins, 2, mutiple foci of microinvasive carcinoma, ranging in size from 0.15mm to 0.3mm. Also my ER test is positive 99% 3 +, Pr: Positive, 100% 3+, Her-2: negtive 0+, Ki-67: Low 5%
The doctor will need another surgery and this time which the size about golf ball. I do not think i have any other choice but i was wondered, after the surgery (the place is right next to nippple, so the surgeon told me he will save the nipple and do a bat wing cut), so the nipple will not drop, but will the breast change shape alot (it is about 4 o'clock to the right nipple)? I know it will be dented, but will it be a lot? or over the time it might get back a little?
also the doctor said i will have 6 weeks of radiation for the breast and later also should take hormone daily. I checked seems hormone will have some side effects, some people said it will make you aging faster and look older and dry the sex drive. so does the hormone is a must thing? or i can choose not to take?
I am so sorry to ask this, i understand to cure the cancer i have to do something, but i am also a woman only 40, so i do also care about what my body will look like afterwards. I just need a headsup so i know my option and what i have to look for.
Thank you.

Category: Sexually Transmitted Diseases(STD)Specialist

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Category: Cosmetic and Plastic Surgeon
 18 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
I am an InHouse Physician, and I request you to upload a high resolution picture of the sore that you referred to in your query.
Once you do, it will be forwarded to the concerned specialist.
Regards,
InHouse Physician.


Patient replied :

That was not a response I send a picture and would like a medical opinion


Hello,
Thank you for your query.
I am still awaiting your picture, but I do need additional few details from you.
- Is there any recent possible exposure to herpes?
- Is the scratch area itchy?
- Have you tried any anti-histaminic till now?
With a previous history of ingrown hair, the scratch like sore could be due to a localised inflammation around the ingrown hair area. So once I see the picture, I will be able to guide you better.
Do not worry about the number of follow ups, I will keep this consult open till all your queries have been answered.
Awaiting your reply,
Regards.


Patient replied :

No no and no can you tell my looking at the picture if it looks like herpes or not


Hello again,
I am one of the in-house physicians at DoctorSpring. I tried reaching you for email earlier. The picture that you tried uploading/sharing with us earlier was not uploaded. May be due to a technical error. The consulting Doctor or us HAVE NOT seen/received any picture from you. Hence, she is not able to comment. Our apologies for the delay and the issue - kindly upload it now, please.
We would appreciate if you retry uploading the pic as follow-up or please simply email it to me and I will share it with the Doctor. The email id for in-house physicians here is [email protected].
You could also reply to the questions put by the Doctor with regards to the medical history. But a high resolution pic is the most important aspect.
Thank you, look forward to your response and picture (s).
Best,
In-house Physician
DoctorSpring.com


Patient replied :

Hello again,
I am one of the in-house physicians at DoctorSpring. I tried reaching you for email earlier. The picture that you tried uploading/sharing with us earlier was not uploaded. May be due to a technical error. The consulting Doctor or us HAVE NOT seen/received any picture from you. Hence, she is not able to comment. Our apologies for the delay and the issue - kindly upload it now, please.

We would appreciate if you retry uploading the pic as follow-up or please simply email it to me and I will share it with the Doctor. The email id for in-house physicians here is [email protected].
You could also reply to the questions put by the Doctor with regards to the medical history. But a high resolution pic is the most important aspect.
Thank you, look forward to your response and picture (s).
Best,
In-house Physician
DoctorSpring.com



Dr. Kruti Jobanputra Banodkar
Category: Cosmetic and Plastic Surgeon
Experience: 
Diploma in Dermatology - Royal College Of Physicians & Surgeons Of Glasgow, UK , 2010
Residency - DNB, Dermatology -  K.J Somaiya Hospital, Mumbai, 2009
Medical School & Internship - MBBS - Dr. D . Y . Patil Medical College, Mumbai, 2004
Dr. Kruti Jobanputra Banodkar and 4 other Medical Specialists are ready to help you

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