FIBROADENOMA GROWING IN SIZE IN BREAST ARE CANCERS?

[gannu1951]

My daughter, aged 19, UNMARRIED  is persuing here studies in B.Sc (Microbiology).  Since last  2 years, she has low grade fever.  Despite extensive investigations, the reasons could not be found out and it is termed as Pyrexia of Unknown Origin (PUO).  Under this circumstances, Doctor has asked her to undergo PET/CT SCAN for the whole body upto tow. The PET/CT scan results reveal as under:

QUOTE

1) Ill-defined isodense soft tissue density lesion in the right breast involving the upper inner quadrant and well-defined rounded isodense lesion in the left breast involving the upper outer quadrant-sub-areolar region with delayed enhancement of contrast shows focal increased metabolic activitiy and delayed / dual phase study also shows increase in the intensity of activity - represents active disease - ? Benigh or malignant - may need further evaluation.

2) Increased metabolic activity in the muscular plane of the dorsum of right foot shows decrease in the intensity of activity in the delayed / dual phase - may represent inflammatory changes.

3) No other abnormality seen elsewhere in the body covered by PET-CT scan field of view.  Please correlate with clinical findings.

UNQUOTE

During the year January 2009, she underwent Bone Marrow Aspiration and Biopsy for PUO.  The results reveal:

Quote

1.Moderately Hypercellular Bone Marow (Trephine) Biopsy showing Myeloid and Megakaryocytic Hyperplasia with many micromegakaryocytes with no increase in reticulin and mild increase in iron stores.  Negative for focal lesions.

2.Normocellular marrow with cellular trails. Erythroid series is adequate with predominantly normoblastic maturation.  Myeloid hyperplasia with increase in neutrophils.  Lymphocytes and plasma cells are normal. Megakaryocytes are increased in number and show dyspoiesis. Reticuloendothelial cll activity noted.  No atypical cell/parasite/granulomas.  Iron stores are adequate (Grade II).  Peripheraol smear - RBC are normocytic normochromic.  WBC are within normal limits.  Platelets are adequate.  

IMPRESSION:  Normocellular marrow with myeloid hyperplasia, increased megakaryocytes with dyspoiesis, adequate iron stores.

UNQUOTE

Now the Medical Oncology Doctor has advised "TRU CUT BIOPSY" of right breast to ascertain whether the isodense soft tissue lesion is malignant or benign.

Is it possible that unmarried young girls can get cancer of breast before their marriage ?  Whether the above confirms to any lymph nodes in the breast had infected with cancer cells.  Her FNAC breast reveals that the lumps are " FIBROEPITHELIAL LESION PROBABLY FIBROADENOMA "

Please clarify and give me medical advise.

Thanks and Regards

Gannu1951

[bluebutterfly2222]

Breast cancer can occur in young women (and men), although it becomes more common with increasing age. Whether the person is single or married does not make a difference.

Although I understand how concerned you must be about your daughter, we are unable to provide medical advice. This is a forum is a community of BC survivors and other interested contributors who for the most part are not identified as medical professionals. In any case, medical advice obtained over the Internet would be of limited value  compared with that of the medical oncologist, who has actually examined your daughter and has access to all of her records.

The recommendation for a biopsy is certainly appropriate in ordere to obtain a definitive diagnosis of the breast lesion that has been detected.  The surgeon will no doubt discuss with your daughter (and with you, if she requests that you attend the consultation with her), whether the lymph nodes would be checked by Sentinel node biopsy or by axillary dissection.

We certainly hope everything will be fine with your daughter, and would appreciate if
you would update us in regard to how things turn out.

Best wishes...

[katarina777]

It is indeed very uncommon for a 19 year old woman to have breast cancer. It is to my knowledge, at least in the US, unheard off that a doctor, or father, or mother, of priest, or ANYONE for that matter believes a daughter's  potentially malignant illness could be affected by her marital status. ( your implying that you can understand a married woman getting cancer, but surely not an unmarried, 'innocent' daughter?)

Please sir, get this out of your head right now, as you can surely not help your daughter with a suspicion on your mind like this; it is just not true, or related.

What your daughter is experiencing more likely than not is not cancer,  but some form of inflammation that needs to be, and is being, investigated.

If you want to  help your child, please listen to her and the doctors and be supportive?

Katrin