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MICRODOCHECTOMY for nipple blood discharge. HISTOPATHOLOGY report.

Resolved Question:

Patient Name - Mr. Ashok Kumar
Age- 57 years
Sex - Male
Weight- 120 Kgs
Height- 6 Feet

Complications - Left Breast Nipple blood discharge for last 2.5 months

Hypertensive - Since 1992
Diabetic - Since 2000
Currently on Diabteic & Hypertensive Medicines

Had- USG Breast
Microdochectomy of left breast (Biopsy done)

Reports shared-

1.Histopathology Report
2.USG Breast
3.Bio- Chemistry Report
4.Micro-biology Report
5.Complete Blood Count
6.Haematopathology Report.

Family History- Sister of Patient diagonosed with breast cancer at 48 years.

                       Father of Patient diagonosed with Oesophagus Cancer at 56 years.

Please suggest correct action to be taken based on the reports uploaded.

Thank you in advance


Category: Oncologist

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Category: Hematologist
Dr. Prasad Eswaran is online now

Expert:  Dr. Prasad Eswaran replied 4 Days.

Hello.
Thank you for your query at DoctorSpring.com.

If only Microdochectomy has been done, the whole breast tissue has to be removed. If no other surgery was done initially, I would suggest a Modified Radical Mastectomy (MRM) procedure to be done.

The tissue report suggested a lot of in situ (non-spreading) component and 0.3 cm invasive(spreading) component of the tumor.

A final pathology report after the MRM procedure can give a better idea based on nodal involvement.
I cannot comment on chemotherapy (treatment with medications) but the patient may have to be on 5 years old patientof Tamoxifen therapy plus or minus Radiation therapy in view of close margins.

You can discuss this with your oncologist, and about the pros and cons of the treatment modalities suggested and decide.

I hope this was helpful. Let me know if you have further queries.

Kind regards.


Dr. Prasad Eswaran
Category: Hematologist
Experience: 
Doctorate in Medicine (Fellowship in Oncology), DM,  Madras Medical College & Govt. General Hospital, Chennai, India.

Doctor of Medicine (Residency in Radiation Oncology) , MD, Christian Medical College, Vellore, Tamilnadu, India, 2004-06.

Diploma in Medical Radiology & Therapy (Residency in Radiation Oncology), D.M.R.T, Madras Medical College & Govt. General Hospital, Chennai, India, 2004-06.

Bachelor of Medicine & Bachelor of Surgery - M.B.B.S, Govt. Stanley Medical College & Hospital, Chennai, India, 1998-2004.
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