Resolved question:
Dear Doctor,
I have attached my cousin report for the consultation she is having breast pain when we examined the local doctor requested us to take certain test where the reports have been provided with an identification of Tiny Fibroadnemo in right breast and simple Cysts in both the breast i have attached all the reports for your reference can you please provide us details and how to proceed for further treatment.
She is afraid of whether this may lead to cancer so we are unhappy with that can you guide us and I need your open opinion on this so that i can understand the situation
1)she is having an uproper menstrual cycle
2)During the Cycle period she is having pain on both breast
less than strong greater than whether it has to be operated if so what will be the procedures also her blood examinations are also showing uncertain results can you please provide with a complete explanation on the blood examinations. less than /strong greater than
Submitted:
4 Days
Category:
OBGYN
Hello
Thanks for writing to us with your health concern.
I have gone through the reports.
Please relax.
These are simple hormonal changes in the breasts.
The likelihood of cancer happening here is less than 5 %.
Do not worry about that.
The treatment is simple observation and follow up scans every 6 months.
She can take Vitamin E and Evening Primrose Oil supplements for 3 months.
If she is overweight, ask her to lose weight.
Wear well fitting bra, and exercise daily.
There is no indication for surgery in this situation.
All the best.
PLease feel free to discuss further.
Dear Doctor,
Thanks for your kind words and which makes us to feel relax.
1)Whether she go for a operation to remove the Fibroadnemo or it is not needed because the local doctor here suggested for an operation is manadtory or is there any other ways to treat them without operation.
2) The blood test report shows are below the Biological Reference Interval we need a more detailed information on the blood samples
Haemoglobin (WB/Automated Counter) 9.5 12 - 15 gm % Hematocrit (WB/Automated Counter) 33.1 36 - 46 % MCV (WB/Automated Counter) 67 83 - 101 fl MCH (WB/Automated Counter) 19.3 27 - 32 pg MCHC (WB/Automated Counter) 28.7 31.5 - 34.5 % RDW (WB/Automated Counter) 15.6 11.6 - 14.0 %
3)she is having an uproper menstrual cycle and during the cycle period she is having pain on both breast
Can you please upload again the breast scan report ?
I cannot visualize it, I want to go through it again.
Hemoglobin levels are slightly low, she can take iron supplements for it, and iron rich foods ( meat, liver, marrow, spinach, methi ).
Vitamin E and Primrose Oil will help in breast pain.
For irregular cycles, she should have separate workup as follows -
CHeck up internally by a Gynecologist, Pap smear, Pelvic transvaginal ultrasound scan and hormonal levels ( FSH, LH, TSH, Prolactin , OGTT, DHEAS, Free testosterone, Lipid Profile ).
Take care.
Dear Doctor,
I have attached the scan report as requested by you for the reference.
I meant the typed report please, not the images.