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Doctor insights on: Pre Surgery Blood Tests For Breast Reconstruction

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"Galactorrhea" from both breasts, 1 clear, 1 milky, upon squeezing only. Prolactin, thyroid, blood tests all "norm".Should I get further testing? Not preg

Yes: Mary there can be many reasons for your observation. You have had somewhat of a work up but would stop squeezing and if it persists check with a good Internal medicine doctor or endocrinologist ...Read more

Dr. Minas Chrysopoulo
242 Doctors shared insights

Breast Reconstruction (Definition)

Breasts can be reconstructed using implants or a patients own tissue. If you use your own tissue either a flap (attached to the body) or free fat can be transfered to the breast. Using your own tissue requires a donor site on your body. Implants can be used to replace the lost breast tissue. The implant is placed under the breast muscle. Nipples and areola ...Read more


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Does breast cancer show up in blood tests?

Does breast cancer show up in blood tests?

Not really.: Apart from tests for genetic markers, breast cancer is usually diagnosed from self exam or mammography where a mass is detected. If it persists throughout the cycle, or is in postmenopausal women, it should be aspirated. If the fluid is bloody or leaves a residual mass, or the original mass is solid, a mammogram and excisional biopsy are done. ...Read more

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Do I have to get some blood tests before doing a breast implant removal?

Do I have to get some blood tests before doing a breast implant removal?

Depends: Thus will depend on your age and medical history such as potential for pregnancy or history of bleeding or diabetes l, etc. ...Read more

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Groin lymph nodes have been swollen for 1 1/2 years, blood tests before showed nothing, now have swollen auxiliary nodes both side breasts - thoughts?

Groin lymph nodes have been swollen for 1 1/2 years, blood tests before showed nothing, now have swollen auxiliary nodes both side breasts - thoughts?

Leave them alone: If they have stayed basically the same size, ignore them. They're your friends, protecting you from infection. Serious disease is going to present as clear-enlarging nodes or some other symptoms / signs, especially at your age but actually at any others. Back when I could go barefoot in the summer, my groin nodes always enlarged. Your chest x-ray's normal, right? Stop worrying & enjoy being young. ...Read more

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My period is 8 days late. Pain in my abdomen, cervix and breasts. Blood tests and ultrasounds show that I am healthy also not preg. What is the cause?

My period is 8 days late. Pain in my abdomen, cervix and breasts. Blood tests and ultrasounds show that I am healthy also not preg. What is the cause?

Hormones: If your period is late, but your not pregnant, it's likely that the symptoms you are experiencing are due to hormones. At age 25, depending on any other medical conditions you may have, this could be normal. Birth control pills can help to regulate your hormones and decrease these symptoms women get right before their period starts. See your doctor to discuss this. ...Read more

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My period is 8 days late. Pain in my abdomen, cervix and breasts. Blood tests and ultrasounds show that I am healthy also not preg. What is the cause?

My period is 8 days late. Pain in my abdomen, cervix and breasts. Blood tests and ultrasounds show that I am healthy also not preg. What is the cause?

Repeat urine test: Repeat the pregnancy test. If you don't have a period the following month, see a health care professional. Also if you have heavy bleeding, worsening pain, or feel dizzy go back for a second evaluation. ...Read more

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I had a mastectomy of my left breast for a carcinoma in situ in 2011. What blood tests should I get to follow up on my health? I had a mastectomy of my left breast for a carcinoma in situ in 2011 and now I am not really getting any follow ups. I heard tha

I had a mastectomy of my left breast for a carcinoma in situ in 2011. What blood tests should I get to follow up on my health? I had a mastectomy of my left breast for a carcinoma in situ in 2011 and now I am not really getting any follow ups. I heard tha

Though: Though a medical oncologist could best answer this, there are no blood tests currently recommended for follow-up of dcis (carcinoma in situ) of the breast.

Your best follow-up would be clinical breast exams by an experienced practitioner and mammograms of your other breast annually. If any unusual changes are noted on your mastectomy side (nodules, skin changes, etc.), those should be evaluated promptly.

I hope that helps! ...Read more

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What are the necessary blood tests after treatment of breast cancer to detect if your ok. Is ca 125 important?

What are the necessary blood tests after treatment of breast cancer to detect if your ok. Is ca 125 important?

No: Ca-125 not important for breast cancer. Good test for ovarian cancer. The most important things are routine physical exam. Most recurrences are found by the patient or the physician. Hope this helps. No routine blood tests have been shown to be of benefit. However, if someone received chemotherapy, I typically check blood because they received chemo. ...Read more

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Pain under my right breast bone. Ekg and blood tests were normal. No clotting and enzymes were fine. What could this be?

Pain under my right breast bone. Ekg and blood tests were normal. No clotting and enzymes were fine. What could this be?

Chest wall pain, gall: It may be due to following causes
1costochondritis or chest wall pain
2 gall bladder like cholecystitis, gall stones
3esophageal reflux/esophagitis/hiatus hernia
4pleurisy
5pancreatis. ...Read more

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I have had a hysterectomy dec 2013. I have constant "ovary" pain and sore breasts. I also have acne along my jaw line and back. Would blood tests help?

I have had a hysterectomy dec 2013. I have constant "ovary" pain and sore breasts. I also have acne along my jaw line and back. Would blood tests help?

Hormone changes: Hormone fluctuations can occur normally with age. Testing specific female hormones is not very accurate due to normal changes of levels daily.
Pelvic pain can have many possible causes including ovarian cysts, bowel or bladder infections or issues, muscle or nerve pain, back pathology. An evaluation and exam by an obgyn is a good place to start for both issues ...Read more

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I've been having mood swings, not sleeping well and sore breast. I went to see my gp and he did some blood tests and he told me that I am pre menopausal?

I've been having mood swings, not sleeping well and sore breast. I went to see my gp and he did some blood tests and he told me that I am pre menopausal?

You mean perimenopau: Your age of 37 years is quite young for these symptoms to be due to hormonal changes that occur if one is getting close to menopause. You should go see a psychiatrist and seek medication for mood swings and poor sleep which apprear to me to be possibly symptoms of depression. A good antidepressant may be helpful to control your symptoms. ...Read more

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My period is 10 days late. Have abdomen, cervix & breast pain. Ultrasounds and blood tests show I am healthy & also not pregnant. What is the cause?

My period is 10 days late. Have abdomen, cervix & breast pain. Ultrasounds and blood tests show I am healthy & also not pregnant. What is the cause?

See your doctor: Symptoms like these are best deterimed by a thorough evaluation by your physician. Based on his/her findings, a treatment plan can be developed to help you. ...Read more

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Cramps, no blood, breast tenderness, not sexually active...diagnosed with PCOS by blood tests and irregular menstruation but no ultrasound. Any ideas?

Cramps, no blood, breast tenderness, not sexually active...diagnosed with PCOS by blood tests and irregular menstruation but no ultrasound. Any ideas?

Help is available: Poly cystic Ovarian Syndrome (PCOS) is a serious disease that has significant symptoms and side effects. But those symptoms can be managed. You should see a gynecologist who has an interest in treating PCOS. ...Read more

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How can I make someone feel special after breast reconstruction surgery?

How can I make someone feel special after breast reconstruction surgery?

Life After breast ca: Encourage her to live life to the fullest. Remind her that breasts don't make her and don't make a woman. Now that she has a second chance at life she needs to forget the past live in the present and look forward to all the wonderful things ahead in her life. I.e. children, grandchildren, graduations. ...Read more

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What is a pedicled flap for breast reconstruction? I've been researching my options for breast reconstruction surgery and I'm confused by the different kinds of flaps the surgeon can use. I'm especially unsure what is a pedicled flap, and how is it differ

What is a pedicled flap for breast reconstruction? I've been researching my options for breast reconstruction surgery and I'm confused by the different kinds of flaps the surgeon can use. I'm especially unsure what is a pedicled flap, and how is it differ

A: A pedicled flap is a flap that has a blood supply connected to the flap from its original site. Examples include the pedicled tram flap, which takes the rectus abdominus muscle (or sit-up muscle) with it, containing the superior deep epigastric artery, and the latissimus dorsi myocutanous flap, which carries the thoracodorsal artery along with the latissimus muscle. The tram flap is used to create a breast out of abdominal skin and fat, while the latissimus flap is used to provide muscle and skin coverage over an expander or implant. This is espiecially useful in a patient who has had radiation.
A free flap is a flap that has its original blood supply divided. The artery (and vein) to the flap is then connected to a new blood supply under the microscope. The new blood supply is usually the internal mammary artery, which runs lateral to the sternum or breast bone. The flap vessel used is the deep inferior epigastric pedicle (diep flap). This bloode vessel comes from below the abdomen and doesn't run through the sit-up muscle. The purpose of a free flap in breast reconstruction is to improve circulation, and to prevent the side effects resulting from removing the sit-up muscle from the abdominal wall, which can lead to hernia or bulging.
The free flap is a complicated procedure that should be done by a surgeon who has ecperience with this technique. ...Read more

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What is the recovery time after breast reconstruction surgery?

What is the recovery time after breast reconstruction surgery?

2-6 weeks depending: There are many different types of breast reconstruction procedure including breast implants and various techniques that use our own tissue (flaps and fat grafting). Recovery time and time off work vary based on the complexity of the surgery (2-6 weeks). The more complex flap procedures (like the diep or gap flap) usually require 4-6 weeks off work (i recommend you plan for 6 weeks to be safe). ...Read more

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Can you tell me more about the surgery for breast reconstruction where?

Can you tell me more about the surgery for breast reconstruction where?

Reconstruction: If you are entertaining flap reconstruction then research the plastic surgeons in your area who focus on techniques like the diep flap, tug/tmg flap, sgap and pap flap. Type these in a search along with your city or state. Alternatively look at the asrm and asps websites. ...Read more

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How do you know if you are a candidate for breast reconstruction surgery?

How do you know if you are a candidate for breast reconstruction surgery?

Medical issues: Breast reconstruction is needed for trauma, disease or congenital absence of breast. The most obvious need for breast reconstruction is for breast reconstruction following mastectomy for breast cancer. Your insurance company will allow breast reconstruction for medical issues; you can check with them to see if you are a candidate. ...Read more

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My mom is having a breast reconstruction surgery, should I be worried?

My mom is having a breast reconstruction surgery, should I be worried?

Breast Recon is safe: Breast reconstruction is usually a safe procedure. Every surgery has a risk of complication. The risk of a life threatening complication is less than 1%. Her surgery should be done in a certified operating room with a abps certified plastic surgeon. ...Read more

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After bi-lateral breast reconstruction surgery with implants, can I use my chest area?

After bi-lateral breast reconstruction surgery with implants, can I use my chest area?

Yes but be careful: When used for breast reconstruction, breast implants are placed under the "pec" muscle. As you work your chest, your pec muscles compress and push the implants out to the side. Light chest work outs shouldn't make a difference longterm. More aggressive chest work outs can widen the implant pocket over time which can lead to the implants being displaced sideways, especially when you're laying down. ...Read more

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Is it okay to work out my chest after having bi-lateral breast reconstruction surgery with implants?

Is it okay to work out my chest after having bi-lateral breast reconstruction surgery with implants?

Yes: Once you get the go ahead from your surgeon it is ok to do chest exercises after breast reconstruction. The typical restriction period immediately post op is about 6 weeks. ...Read more

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Can I have my breast reconstruction done to make my breasts bigger than they were pre-mastectomy? I've always wanted  bigger breasts, but didn't want augmentation surgery. Now that I'm going to need breast reconstruction after a double mastectomy, I'd lik

Can I have my breast reconstruction done to make my breasts bigger than they were pre-mastectomy? I've always wanted  bigger breasts, but didn't want augmentation surgery. Now that I'm going to need breast reconstruction after a double mastectomy, I'd lik

Discuss with Surgeon: Discuss your goals with your plastic surgeon. It may be helpful to show him/her goal pictures. Depending on how much skin is present and what type of reconstruction you undergo, your goals made or may not be achievable. Best wishes. ...Read more

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What are the current breast reconstruction techniques after breast cancer surgery?

What are the current breast reconstruction techniques after breast cancer surgery?

Flap or implant: Basically - you can use your own tissue or reconstruct with a breast implant. There are several options when your own tissue is used including tram (uses the rectus muscle in the abdomen with attached skin and fat), latissimus (the muscle going from shoulder to back - usually for relatively small defects), diep (uses skin and fat on abdomen, but preserves the muscle). ...Read more

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I am 19 years old and I would like to have a breast reconstruction. When will be the best age to have this kind of surgery?

Breast surgery: The majority if the issues I see with patient who are your age is a difference in size and shape comparing side to side. These issues should be evaluated by a board certified plastic surgeon to rule out polands syndrome. If this doesn't exist then majority if these asymmetries can be treated either though the use of implants or your own tissue such as fat grafting depending on the size difference. ...Read more

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Why might I need breast reconstruction surgery?

Why might I need breast reconstruction surgery?

To Rebuild a Breast: Breast reconstruction is the rebuilding of a breast, usually after surgery for breast cancer (mastectomy or lumpectomy), or surgery to prevent breast cancer ("prophylactic mastectomy"). Non-cancer related reasons to need breast reconstruction include congenital breast absence (eg poland's syndrome), and to reconstruct after mastectomy performed for severe infection or tumors like phyllodes. ...Read more

Blood Tests (Definition)

Blood is usually drawn from your ...Read more