Dr Mohinder Singh's blog

5.5.23

A 45 years old patient presented with a history of suffering for 5 years from varicose veins and a non-healing ulcer in the right lower leg. Had undergone surgery for varicose veins twice in RHP, first in 2018 and then again in 2020. A third surgery was done in a private hospital in 2023. On examination the ulcer and varicose veins were still present. Was advised a repeat venous doppler ultrasound study, and compression dressings/stockings in the meantime. He never reported back. However, the two prescriptions he carried were the following.

4.5.23

A wide local excision of a breast lump was carried out in a 45 years old female (Dr Jagga’s case), presuming the the lump to be not malignant because the FNAC had not reported carcinoma, but only atypical ductal hyperplasia. However, at operation a clear skin dimple was noted in the left upper quadrant, strongly suggesting cancer (this clinical sign was perhaps not noted by the clinician). The mammography report was BIRADS IV/V category (highly suspicious).

The biopsy report, as expected, was IDC. An MRM was done on 25.5.23.