Ppt on carcinoma breast held at stanley

1. A CASE OF CARCINOMA
RIGHT BREAST
PROF DR MANIVANNAN SIR UNIT-S7

2. CASE SUMMARY
• Post menopausal 60/F
• Lump in right breast x 1 month.
• associated with pain
•H/O nipple retraction+
•No H/O nipple discharge
•k/c/o T2DM/SHTN
•H/o hysterectomy with b/L salpingo oopherectomy done (records NA)

3. EXAMINATION
• ECOG 2
• Swelling of 3*3cms in upper outer quadrant of right breast
• no fixity to chest wall
• Peau d orange noted inferior to the right nipple.
• Not fixed to pectoral major muscle
• multiple palpable axillary lymphnodes
• Opposite breast and axilla normal

4. USG B/L BREAST AND AXILLA
Illdefine hypoechoic mass lesion with spiculated and irregular margin in
right upper outer quadrant measuring1.5cm×2.1 cms noted in zone 2
at 10 to 11 o clock position.
Few enlarged hypoechoic lymphnodes with loss of fatty hilum noted in
right axilla

5. USG ABDOMEN
• No significant abnormality

6. HPE 41/23
Right breast Lump-invasive breast carcinoma-grade II NOS
IHC under study

7. MEDICAL ONCOLOGY OPINION
• Metastatic workup PET CT with IHC

8. PET CT
• Metabolically active spiculated soft tissue density mass lesion in the upper
outer
• quadrant of right breast.
• - No skin or chest wall infiltration.
• - Nipple retraction seen.
• Mild metabolically active right level II axillary lymph node.
• - No metabolically active right internal mammary nodes.
• No evidence of significant pulmonary nodules.
• No evidence of metabolically active disease anywhere else in the body.

9. WORKING DIAGNOSIS
• CARCINOMA RIGHT BREAST T2N1MO

11. PLAN
• Modified radical mastectomy +adjuvant chemotherapy

12. TUMOUR BOARD CONSENSUS

13. THANK YOU