Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Hello world, - The Breast Cancer Surgeon
Transcript
Test, Prenatal1 Unit #: 99908071206 DOB: 01/11/1970 Age: 42 Provider: HUGHES, KEVIN S Gender: F 08/07/2012 PROVIDER’S OFFICE CONTACT INFORMATION Surgeon Dr. Kevin S. Hughes 55 Fruit St Yawkey Building 7th Floor Boston, MA 02114 617-724-3895 Primary Care Physician Dr. John D Goodson Medical Oncologist Dr. Irene Kuter Radiation Oncologist Dr. Alphonse Taghian Plastic Surgeon MGH Wang 625 Boston, MA 02114 MGH Cox 6 Boston, MA 02114 MGH Radiation Oncology Boston, MA 02114 MGH Plastic Surgery Boston, MA 02114 (617) 726-7939 617-726-8743 617-734-7982 617-734-7985 Dr. Jay Austen REASON(S) FOR VISIT Right Breast Pain Right Breast Lump OUTCOME OF THE VISIT Right Abnormal mammogram: Core Bx There are currently 2 approaches to the treatment of the breast for breast cancer. These approaches are lumpectomy with radiation therapy Vs. mastectomy. I have explained that in general, lumpectomy plus radiation has the advantage of preserving the breast, and carries with it about a 5% risk of in breast recurrence. I have explained that the survival rate with either approach is essentially the same. The local extent of your cancer would make a lumpectomy essentially impossible. The high probability of obtaining a positive margin and/or a poor cosmetic result makes a lumpectomy a poor choice. We therefore agree to proceed with a mastectomy. There are currently 2 approaches to the axilla, axillary node dissection Vs. sentinel node biopsy. Axillary node dissection means removing approximately 10 to 15 lymph nodes from under the arm. This has a risk of lymphedema, probably in the range of about 10 to 15%, and a risk of bleeding or infection. In addition there is a permanent increase in risk of infection of the arm or breast due to the absence of these nodes. The surgery will require an overnight stay in the hospital and will require drains. We feel that this is your best option. S Your breast imaging shows an abnormality that is of concern, and we agree it should be biopsied. I have scheduled you for a core biopsy. The core biopsy only removes a sample of the abnormality but usually gives an answer. If the biopsy is inconclusive, you may need an open biopsy to confirm what this area is. The result is not final until Breast Imaging places an addendum onto their report stating that the pathology results correlate with the mammographic findings. We will call you when the pathology report is back and the radiologist who did the biopsy has reviewed the finding. Template Modified: 04/02/12 http://TheBreastCancerSurgeon.org Test, Prenatal1 Unit #: 99908071206 DOB: 01/11/1970 Age: 42 Provider: HUGHES, KEVIN S Gender: F 08/07/2012 You have been scheduled for a Core Biopsy. It takes about 1 week to get the final results back. Sometimes the results do not give us a final answer. In that case, we will need to do a surgical biopsy. This happens about 20% of the time. PLANS FOR FOLLOW-UP Patient to be seen at the Risk Clinic for opinion regarding risk Schedule Surgery To be seen by Connie Roche 7 to 10 days after procedure Bilateral screening mammogram in 08/13 YOUR MEDICAL PROBLEMS TO DATE Cardiac History Angioplasty High blood pressure Respiratory History None Endocrine History None Neurologic History None Musculoskeletal History None Hematological History None Gastrointestinal History None Genitourinary History None Anesthesia History None General History None BREAST IMAGING Date 08/07/12 Type Mammography Template Modified: 04/02/12 BIRADS Right 1 BIRADS Left 1 BIRADS http://TheBreastCancerSurgeon.org Test, Prenatal1 Unit #: 99908071206 DOB: 01/11/1970 Age: 42 Provider: HUGHES, KEVIN S Gender: F 08/07/2012 FAMILY HISTORY Father Paternal Aunt Melanoma age 45 Breast Cancer age 40 Template Modified: 04/02/12 http://TheBreastCancerSurgeon.org Test, Prenatal1 Unit #: 99908071206 DOB: 01/11/1970 Age: 42 Provider: HUGHES, KEVIN S Gender: F 08/07/2012 YOUR MEDICATIONS Medication metronidazole chlorpheniramine / pseudoephedrine OTC Dose Route Frequency PRN Source Patient Patient Hormone History OC: No Tamoxifen: No YOUR ALLERGIES Allergy Cephalosporin Template Modified: 04/02/12 Reaction Comments Reported By Patient http://TheBreastCancerSurgeon.org
