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Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 49206
Experience:  Board Certified Oncologist
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I had a lumpectomy and msmmoplasty with total land 4/21

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I had a lumpectomy and msmmoplasty with total land 4/21 nodes Grade 1 my surgical oncologist sent me for ct scan 1 month after operation also radioactive scan 1 month after operation - both clear - she said I now have 'no cause for concern' she said I would be reviewed after a year. My appointment will be for s yearly mammogram, I am extremely anxious as my breast is still quite sore/painful and the thought of a mammogram is causing me too much anxiety, I cannot relax at all, I have heard of soft msmmopads to help with this but they are not available here yet (U.K.) could I not have an ultrasound instead as my breast is still painful and sore and the thought of undergoing a mammogram is causing me much distress? Thank you

This is Dr. David. I am reviewing your question now and will be with you momentarily.

I am sorry you are having this pain after lumpectomy surgery

did you have 4 out of 21 lymph nodes involved with cancer?

if that is the case, you need additional chemotherapy and radiation therapy after your breast surgery, even if the scans don't show cancer.

have you tried ice packs wrapped in towels on your breast and incision area to help decrease pain?

you may benefit from anti-anxiety medications.

did your doctors give you pain medications to take after your surgery?

Customer: replied 1 year ago.
I was offered radiation/chemotherapy but the medical oncologist said the chemotherapy would only increase my survival rate by 4% - so I had radiotherapy, he is of the opinion that my chances of reoccurrence are less than 20% which he said was very low, my main problem is the anchor shape scar which is quite thick and indented and as I mentioned still sore/painful, I massage this every day and have sent for silicone sheets to help with the scarring, hopefully. I do not think at the present time I could have a mammogram due to the scar/pain, and could I have an ultrasound instead, until further healing has occurred? Thank you.
Customer: replied 1 year ago.
I am also on letrozole/adcal
Customer: replied 1 year ago.
Pain medication - paracetomol

ultrasound would be less painful than mammogram

breast MRI scan would not be painful at all and is an option, but more expensive, and NHS may not pay for a breast MRI scan.

Customer: replied 1 year ago.
it is possible to have ultrasound instead, thank you, that's great!

yes, that is ok to to have ultrasound

it is not the best

when your breast becomes less painful, you can have a mammogram.

let me know if you have other questions.

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