OET Writing, Medicine, Pt Mrs Somarni Khaze
OET Writing, Medicine, Pt: Mrs Somarni Khaze
Dr Alaa Omar
The Breast Surgeon144 Wickham Tce
Spring Hill, 4004 Date: 09/04/1917
Dear Dr Omar
Re: Mrs Somarni Khaze
DOB: 12/04/'71
Thank you for seeing Mrs Khaze, a 46-year old married nurse with four children, who requires definitive diagnosis and further management of her moderately differentiated invasive ductal carcinoma of left breast.
Initially, on 22/10/'17, Mrs Kharze presented with a complaint of a six-week old breast lump, which was not painful, not increasing in size, and with no nipple discharge. She was over-weight with a body mass index of 31, but her general examination results were normal. However, a local examination revealed a 2x2 cm hard, non-tender nodule in the left breast accompanied by palpable left axillary lymph nodes, while her right breast showed the scar of the previous surgery. She was ordered an ultrasound and mammogram because of the probability of breast cancer.
A fortnight later, Mrs Khaze was anxious and worried with sleep disturbance and her test results showed a 1.6 x 1.8 nodule in the left breast, which was suspected to be malignant with multiple axillary lymph nodes. Therefore, she was prescribed diazepam 10 mg at night and a core biopsy of the nodule.
Today, the biopsy results confirmed the diagnosis of moderately differentiated invasive ductal carcinoma of left breast.
Mrs Khaze, whose sister you treated for her breast cancer, is a non-smoker, non-drinker and not on any regular medications. She has a history of benign right breast lump which was treated by lumpectomy five years ago and her mammogram was normal two years ago. Noteworthy, she has expressed her wish for an immediate reconstructive surgery.
In view of the above Mrs Khaze is being referred to you.
Should you have any quarries, do not hesitate to contact me,
Yours sincerely
Doctor.
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