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Breast cancer: the history in brief
Family Anamnesis
Mother: Little is known about the state of her health during her life (died 1981 after a cerebral hemorage, 71 years old).
Sister of the mother: Breast cancer, died 78 years old.
Personal Anamnesis
Nulligravida - Menarche approx. with 11/12 years - Menopause with 51 ½-years -
16 years with Kliogest (estrogen-replacement therapy) - no sisters and brothers.
Before the surgery: 49 kg, 154 cm tall, 68 years old.
Thrombosis in the right leg after hip joint prosthesis in November 1999.
In July of 2003, a hard thickening in the left breast in the upper outer quadrant was palpable, and at the end of August of 2003, the familydoctor was consulted. His opinion: "firm parts in the gland tissue often occur when women get older".
At the end of October of 2003, again a visit to the familydoctor, now the resistance is a pea-sized lump. The doctor arranges a mammography for November 11th, 2003:
Findings: Sonography shows an echo-poor, irregularly limited lump with a diameter of 1 cm, absolutely malignom suspicious.
Two ultrasound-guided core biopsies: fibro-lipomatous tissue, no malignancy.
Declaration of the radiologist: "Suspected malignant lump, must be removed".
At the beginning of December of 2003: Referral by the family doctor to the gynecologist at the nearest hospital for further examination.
His findings on December 18th, 2003: 2 x 1 cm lump in the upper outer quadrant in the left breast, well relocatable. He suggests: "Lumpectomy in the left breast with excision of the microcalcifications in the right breast, after preoperative marking at the right".
Patient goes for a second opinion to another surgeon on December 29th, 2003.
His suggestion: "Open excision of the lesion with frozen section and eventually axillary lymphnode dissection".
Already the next day the registration for the hospital arrived. Patient was uncertain, did not accept this.
At New Year's the patient read in the InterNet about "breast lump" and informed herself about lump excision on an outpatient basis. Found an article from the KSW (Cantonal Hospital in Winterthur) about Mammotome Breast Biopsy and inquired there on January 2nd, 2004.
Answer: at the KSW not possible, should consult the USZ (University Hospital in Zürich) or breast-center Dr. Rageth.
Immediately consulted the breast-center: Beginning of the clarifying examinations on January 5th, 2004.
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