{"text":"Clelland Agnes o \n- CHI: 0809555328 \no \nClinical letter - GP: \nDr.E Stafford \nKilsyth Medical Pannersh:p \nKilsyth.Community Health Centre \n- Airdrie Road \n_Kilsyth \nG65 9JE \nDear Dr Stafford, \nAgnes Clelland; D.O.B: 08\/09\/1955; \nMany thanks for refernng this.61 year o[d who was seen in Mrs Macl.ean's breast C|InIC \nCHI: 0809555328 \n39 Rennie Road Kllsyth Glasgow, Lanarkshlre, \u2018G65 9PQ . \nMain \nSwitchboard: \nDepartment: \nContact Tel; \nEnquiries to: \nLetter Date: \nReference:. \n'Dictated \nDate: \nDate: - \n\u00bb Transcribed \n- \nwith a one month history of a non tender right breast lump. She has no history of any \ntrauma or nipple discharge. She tells me she previously.had .a benign lump removed from - \nher right breast in 2010. \u2018Her last screening mammogram was two years ago and was \nnormal. She had her menopause at age 50, has never been on any HRT and she has'no \nfamily history of any breast cancer. She.has four children whom she did not breastfeed \nand is a non smoker. \nOn examination at the area of her concern she had an'ill defined, P3 mass inthe right \n\" . upper outer quadrant just lateral to the-areola with a tiny, lentil sized, _mobile, P2 lump \nNHS \nGreater G!asgow \n\u201cand Clyde \nStobhill Hospital \n133 Balornock Road \nGlasgow \nG21 3UW \n0141 201 3000 - \nBreast \n0141 3551504 \nkelly.lynch@ggc.scot.nhs.uk \n29\/03\/2017 \nAMALS \n28\/03\/2017 \n29\/03\/2017 \n)t \n- overlying this that felt like a tiny cyst: She was also noted to have some fullness in her right \n\" . upper outer quadrant that | have graded P3 also. Initially | graded both of these areas P4, \nbut on reflection I downgraded it to P3. | was not able to detect any lymphadenopathy on \nthe right and left breast was unremarkable. \nBilateral mammograms were satisfactory, R1. Ultrasound of the right breast revealed only \nthe lentil sized, P2 lump near the nipple which. equalled 4 mm and was a U2 cyst. She \nhad a normal axilla and there was.no other masses seen on ultrasound. The area that the \n* patient was concerned about was the ill defined, P3 mass just lateral to h\u00e9r areola and not \nthe lentil sized cyst. Following re-examination we still felt she had an ill defined, P3 mass \nwhich required free hand core biopsy'as her imaging was negative. | also did a free hand \ncore biopsy of the vague thickening.in her right upper outer quadrant lateral to this area just \nunder her axillary tail on the right. \nWe are bringing her back to Mrs MacLean's cllnlc in two days time following dlscussmn at \n* MDT. \n- \u00a5 \nYours sincerely \n' \n\u00a5 \nPrinted on 29\/03\/2017 13:09 by Elizabeth Stevenson \nPage 1 of 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