Dr. Sandhya Pruthi on Breast Cancer

This Mayo Clinic Medical Edge Weekend episode features Dr. Sandhya Pruthi talking about breast cancer and breast health.

Medical Edge Weekend 10-16-10


  1. cynthia
    Posted October 14, 2010 at 3:51 am | Permalink

    Someone has diagnosed a breast cancer, aftar 6x chemotherapy and 22 x radiotherapy the patient in the few month later got the cancer on liver,kidney and lung, why could that happen Doc. ?

    • jstreed
      Posted October 16, 2010 at 7:50 am | Permalink

      Cynthia, thanks for yur question. Here is a response from Dr. Pruthi:

      Breast cancer commonly spreads to bone, lungs and liver but metastasis or spread to the kidney is not as common with breast cancer and this may be due to a second new cancer starting in the kidney. Although the goals of treatment with chemotherapy and radiation are not to cure cancer but to control the disease there is still always a risk of cancer recurrence or metastasis after breast cancer treatment and is dependent on the stage and aggressive of the breast cancer when it was originally diagnosed.

  2. dani
    Posted October 16, 2010 at 9:27 am | Permalink

    Hello Dr. Pruthi.
    When I raise my arms, there is an obvious dent in my left breast. I don’t feel a lump. I am in my early 30’s, and concerned about this. Other than cancer (benign or otherwise), what could cause this indentation to occur?

  3. Frances
    Posted October 16, 2010 at 9:36 am | Permalink

    I had DCIS a little over a year ago, followed by a my decision to have a double mastectomy and then seven weeks of radiation because my cancer it turned out to be 9 cm across of microscopic tumor. It appears to have been very slow growing and there for years. (No pos. lymphs, not BACA pos, but ER pos). I also had immediate implants and radiated on top of that, which I tolerated very well with slight shrinkage, but not much skin damage.

    However a year later, I fee tenderness on the affected side mostly where I had nipple reconstruction and mostly after I become a bit aggressive with stretching and starting to lift weights again. The other side feels fine.

    My question is I don’t know what to be concerned about any more. Pre BC I knew to feel for lumps and such. Now I have implants with chest muscle on top and skin. I’ve been told by my oncologist that an MRI is optional in my case. Cost is the only thing holding me back on that but at the same time, since my cancer was microscopic, the 9 cm never even showed on two MRIs. Show how do I reassure myself?

    I know I feel lucky that even though the size was spread out, I was a stage zero! I’m 45 and my heart breaks when I hear stories of it coming back for people. My surgeon, once told me keep in mind “that’s a different animal”.

    So my basic question is…what should I be feeling on the radiated breast and how to I know what to be concerned for? No one tells you a year later how the skin should feel, does it heal slower than the other side, when I excercise is it normal to irritate the scars a year later?? Also, I feel a tiny pimple size bump on the outer side next to the ribs…my doc once said thats where he put the suture. Would that leave scar tissue?

    I hope this isn’t too much…but women do need to know more about what to expect AFTER and DOWN the road from treatment.

    Thanks. Frances

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