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Breast lump
A level 1 left axillary node with focal cortical thickness of 3.8 mm is seen. It has equivocal appearances.
An irregular dense non circumscribed mass with multiple lobulations in the upper outer quadrant of the left breast at the 3’ O’ clock 3A position. Imaging features are suspicious? Infiltrating malignancy? Fibroepithelial mass.
A level 1 left axillary node with focal cortical thickening has equivocal appearances.
ACR BI-RADS CATEGORY LEFT BREAST IV B: Suspicious.
Oval circumscribed isodense masses in the right breast at 9’ O’ clock 2B position and 2’ O’ clock 2B position are s/o benign etiology likely fibroadenomas.
ACR BI-RADS CATEGORY RIGHT BREAST II: Benign.
Answers (3)
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Tru-cut biopsy from the left breast lesion to confirm whether the lesion is benign or malignant.
Positive - molecular breast panel Er/Pr/her2 /ki 67
FNAC from left axillary node to assess the metastatic deposit
Metastatic work up -cect chest/abdomen n pelvis or pet ct
Right breast lesion- under observation
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The left breast lesion and axillary lymph node are highly suspicious of malignancy. You must consult an oncosurgeon at the earliest and proceed with biopsy and other diagnosistic tests immediately.
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Dr. Siddharth Turkar
Medical Oncologist
16 yrs exp
Raipur
Get USG guided biopsy done to rule out or confirm malignancy from suspicious axillary lymph node.
If malignancy confirmed will have to do PET CT to ascertain staging.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.