Follow-up after breast-conserving surgery
Zhao Meihong · Hangzhou, Zhejiang
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MYYL
Breast cancer
PATIENT FOLLOW-UP RECORDS
Zhao Meihong · 57 · Hangzhou, Zhejiang
English translation · Original medical images retained
CASE RECORD · Breast cancer · 57
Zhao Meihong's records describe follow-up after left breast-conserving surgery. The source narrative lists an earlier right breast finding of 0.9 × 0.5 cm, a left breast finding of 0.5 × 0.3 cm and a postoperative-area finding of 1.8 × 0.8 cm. It also refers to a prior BI-RADS 4B assessment. These are historical record descriptions, not proof of recurrent cancer.
The narrative describes later smaller breast findings and a BI-RADS 3 assessment. Its month labels do not fully agree with the supplied report dates. The complete original reports are retained for comparison, including the postoperative findings.
The 11 December 2024 report describes a 1.1 × 0.6 cm finding beneath the left breast incision, considered a postoperative change, alongside bilateral BI-RADS 3 findings. Reconcile the earlier measurements and dates before making a numerical treatment-response claim.


