Tumour board sample for stanleans

1. Prof Dr T Babu Antony
Sir's Unit S5
Tumor board No: 202/22
CARCINOMA RIGHT BREAST

2. Patient details
• Name :Mrs. Banu
• Age/sex : 33/F
• Occupation :
Homemaker
• Address : Chennai

3. • A 33 years woman presented with complaints of lump
in right breast for 1 month for which she was operated
in a private hospital on 19.11.22
• Usg - BIRADS 3
• Biopsy turned out to be positive for breast carcinoma
• O/E ECOG - 1
• L/E
• Right breast – sutured Wound with surrounding
induration present. No lump palpable. No skin changes
noted.
• NAC –normal. Axilla no palpable lymph nodes
• Opposite breast and axilla normal.

4. USG B/L breast and Axilla (prior to
excision biopsy)
• Right breast- Irregular hypoechoeic lesion
measuring 3.1×2.1cm in size in upper outer
quadrant at 11 o clock position
• Right axilla- multiple enlarged axillary lymph nodes
are seen, largest measuring 2.6× 1.1 cm in size
with well preserved hilar architecture
• Right breast BIRADS III lesion.
• Left breast – normal.

5. Biopsy 6285/22
(Institutional review)
• Invasive breast carcinoma – nos grade II
• IHC- Awaited

6. Work up
• Chest x ray - normal
• USG abdomen - no significant abnormalities noted
• CT CHEST- no significant abnormality in lung
parenchyma.
• CECT ABDOMEN-no significant abnormality in
abdomen.
• Bone scan – No evidence of skeletal metastasis.

7. CECT ABDOMEN- No significant
abnormality

8. CT CHEST – NO SIGNIFICANT
ABNORMALITY

9. BONE SCAN

10. Diagnosis
• CA right breast cTx N0 M0

11. Surgical oncology opinion 512/22
Right MRM followed by
Adjuvant chemotherapy- +/- RT and HT after tumor
board discussion

12. Plan
Right Modified radical mastectomy followed by
adjuvant chemotherapy +/-RT +/- HT

13. Tumour board consensus