I Somarni Khaze
I Somarni Khaze
09/11/17
I am writing to refer Mrs. Khaze, a 46-year-old married nurse with 4 children who has been
diagnosed with left breast cancer.
Mrs. Khaze is a premenopausal woman whose sister was your patient (you treated her for breast
cancer 7 years ago). She 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 5 years ago and her
mammogram was normal 2 years ago.
Initially, she presented to me on 22/10/17 after she had discovered a left breast lump 6 weeks
previously which was not increasing in size . She was overweight with a body mass index of 31
but her general examinations 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. I suspected breast cancer and
ordered ultrasound and mammogram. 2 weeks later, she was anxious and worried with sleep
disturbance and the results found a 1.6x 1.8 cm nodule in the left breast which was suspected to
be malignant with multiple axillary lymph nodes. Therefore, I prescribed diazebam 10 mg at
night and did a core biopsy of the nodule.
Today, the biopsy result confirmed the diagnosis of moderately differentiated invasive ductal
carcinoma of the left breast.
I would appreciate your urgent attention to her condition. Please be advised that Mrs. Khaze
has expressed a wish for immediate reconstructive surgery.
Yours sincerely,