Breast tumor
During a physical examination, a 0.6 cm tumor was found at the 7 o'clock position on the right side.
The doctor recommended a biopsy because it appeared to be raised, but stated there is a 95% chance it is benign.
I immediately went to Chang Gung Memorial Hospital for further evaluation, where the doctor mentioned that there is a mass on the left side and suggested that I either have surgery to remove the tumor on the right side, undergo a biopsy, or return for a follow-up in three months.
He indicated that the chance of it being benign is 80-90%.
I decided to proceed with surgery to remove it, but it took nearly two months to get an appointment at the large hospital.
Recently, I have been so worried that I can't sleep well.
After the surgery, will I have to wait at least a week for the results? How should I mentally prepare for this situation, and what should I do if it turns out to be malignant?
mo, 30~39 year old female. Ask Date: 2015/12/25
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Mo: 1.
Changing hospitals would be fine.
2.
Conversely, the chances of it being benign are very high, which is why the doctor scheduled such a long wait, but no doctor can definitively tell the patient that it is benign; we can only wait.
3.
If it is malignant, a second surgery can be performed for a partial mastectomy or a total mastectomy.
Reply Date: 2015/12/25
More Info
Understanding breast tumors can be a daunting experience, especially when faced with the uncertainty of diagnosis and treatment options. It is completely normal to feel anxious and worried during this time, particularly when you have been advised to undergo further testing or surgery. Here’s a comprehensive overview of breast tumors, their diagnosis, treatment options, and emotional support strategies.
Diagnosis of Breast Tumors
When a breast tumor is detected, as in your case with the 0.6 cm mass at the 7 o'clock position, the first step is often to perform a biopsy. This procedure helps determine whether the tumor is benign (non-cancerous) or malignant (cancerous). The fact that your doctor mentioned a 95% chance of it being benign is reassuring, but it is essential to follow through with the recommended procedures to confirm the diagnosis.
There are several types of biopsies, including Fine Needle Aspiration (FNA), Core Needle Biopsy (CNB), and excisional biopsy. Each has its own indications, and the choice depends on factors such as the size and location of the tumor. In your case, the recommendation to remove the tumor surgically indicates that the healthcare team is taking a cautious approach to ensure a definitive diagnosis and treatment.
Treatment Options
If the biopsy results indicate that the tumor is benign, the treatment may involve regular monitoring rather than immediate intervention. However, if the tumor is malignant, treatment options may include surgery, chemotherapy, radiation therapy, or hormone therapy, depending on the type and stage of cancer.
1. Surgery: This may involve a lumpectomy (removal of the tumor and some surrounding tissue) or a mastectomy (removal of one or both breasts). The decision will depend on the size of the tumor and its characteristics.
2. Chemotherapy: This is often recommended for more aggressive tumors or those that have spread beyond the breast. It uses drugs to kill cancer cells and may be administered before or after surgery.
3. Radiation Therapy: This treatment uses high-energy waves to target and kill cancer cells, usually after surgery to eliminate any remaining cells.
4. Hormone Therapy: If the tumor is hormone receptor-positive, medications may be prescribed to block hormones that fuel cancer growth.
Emotional Support
The emotional toll of waiting for biopsy results and the potential for a cancer diagnosis can be overwhelming. Here are some strategies to help manage anxiety and stress during this time:
1. Stay Informed: Understanding your condition and treatment options can empower you. Ask your healthcare provider questions and seek reliable information from reputable sources.
2. Talk About Your Feelings: Sharing your concerns with family, friends, or a support group can provide emotional relief. Sometimes, just talking about your fears can lessen their intensity.
3. Practice Relaxation Techniques: Techniques such as deep breathing, meditation, or yoga can help reduce anxiety. Consider incorporating these practices into your daily routine.
4. Seek Professional Help: If feelings of anxiety or depression become overwhelming, consider speaking with a mental health professional who specializes in cancer care. They can provide coping strategies tailored to your situation.
5. Focus on Self-Care: Engage in activities that bring you joy and relaxation, whether it’s reading, gardening, or spending time with loved ones. Maintaining a routine can also provide a sense of normalcy.
Conclusion
While the waiting period for biopsy results can be incredibly stressful, it’s important to remember that the majority of breast tumors are benign. Regardless of the outcome, having a support system and being proactive about your health can make a significant difference in your emotional well-being. If the results indicate malignancy, remember that there are effective treatment options available, and you will not be alone in this journey. Your healthcare team will guide you through the next steps, and emotional support will be crucial as you navigate this challenging time.
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