Case
breast carcinoma

Age: 37
Sex: Female
Race: muslim

History
History of present illness:
biopsy shows infiltrating ductal carcinoma NOS

Medical History:
nothing contributory

Past surgical history:
NAD

Allergies:
NAD

Medications:
NAD

Family history:
NAD

Social history:
middle class family


Physical Exam
General:
good looking, pulse normal, normotensive

Temperature:
normal

Blood pressure:
120/80 mmHg

Respiratory rate:
12

Oxygen saturation:
not done

Head, ears, eyes, nose & throat:
NAD

Neck:
No lymph node is pulpable

Chest:
NAD

Cardiovascular:
NAD

Abdomen:
NAD

GU:
NAD

Rectal:
Not done

Neurological:
NAD

Skin:
No skin involvement

Laboratories:
all investigations are within normal limit

Radiology:
x-ray chest NAD

Other:
NAD

Pathology:
infiltrating ductal carcinoma

Problems:
please evalute the case and give your opinion

Assessment:
T-2 type cancer

Plan of treatment:
asking bone

Results of treatment:
simple mastactomy was done with axilary clearence. Post-operative period uneventful.

Discussion:
wating for your answer.




Comments
The following are comments made by other users of this site and are not in any way an opinion of thirdspace.org or its staff.


sudjai4/20/2004 - 11:18:30 AM
good

mr_style7/6/2004 - 3:53:27 AM
there was a chance for this patient for conservative breast surgery!

ikeokeke3/14/2005 - 5:27:08 AM
if sentinel lymph node biopsy was done, the need for axillary clearance may have been avoided. a course of chemotherapy is indicated.

ikeokeke3/14/2005 - 5:27:20 AM
if sentinel lymph node biopsy was done, the need for axillary clearance may have been avoided. a course of chemotherapy is indicated.

stheos4/28/2005 - 9:10:57 PM
the common practice is lumpectomy w sentinel node bx. Location and size of tumor in regards to size of breast is always a consideration. adjuvant tx should be considered

drolusolaadeyemi12/3/2007 - 3:48:26 AM
hi doc
think this patint will also require breast replacement surgery using silica gel for cosmesis


Want to comment? Use your login below. If you do not have one, click here to create one. All that is required is a valid email.


Login: Password: