Breast lump
•Download as PPTX, PDF•
0 likes•73 views
A 52-year-old woman presented with a lump in the upper outer quadrant of her right breast that had been growing over the past 2 months. On examination, a 3x3 cm hard, irregular lump was found fixed to the breast tissue but not to the skin or chest wall. A 1.5x1.5 cm mobile lymph node was palpated in the right axilla. The patient's history was notable for menopause at age 45, no family history of breast cancer, and no other health issues. The provisional diagnosis was carcinoma of the right breast, stage IIB.
Report
Share
Report
Share
Recommended
[MBBS/MS/DNB] Sample EXAM Long Case on Breast Lump
LABC IS A VERY COMMON LONG CASE for examinations.
This presentation describes the method to present or document your case sheets for MBBS, MS, or DNB examinees. Subtle differences may vary from UG to PG standard, this is a summary for a postgraduate trainee, underagraduates may have a few relaxations on a few specific terminologies, however, the gross pattern is the same.
Uterine sarcoma
Uterine sarcoma is a rare and challenging type of cancer that grows rapidly. It accounts for 2-5% of uterine malignancies and is diagnosed in about 17 per 1000 women annually. Risk factors include prior pelvic radiation and black race. Long-term tamoxifen use also increases the risk. The most common presenting symptom is vaginal bleeding. Surgery is the primary treatment but the benefits of adjuvant radiation and chemotherapy are unclear due to limited data. Prognosis is generally poor, especially for later stages, and more research is needed to determine optimal adjuvant therapies.
Gastric cancer presentation final
Gastric cancer is the second most common cancer worldwide. It is most common in elderly men over 65 years old. Risk factors include family history, diet high in salt/fat/nitrates, H. pylori infection, and atrophic gastritis. Premalignant conditions include polyps, intestinal metaplasia, and dysplasia. Symptoms include dyspepsia and pain induced by meat that does not respond to treatment. Staging systems include Bormann's classification and the Japanese classification. Histologically, Lauren's classification divides gastric cancer into intestinal and diffuse types based on cell morphology and growth pattern.
Breast lump
A 39-year-old woman presented with a painful lump in her right breast that had been gradually enlarging over the past 3 years. On examination, there was a large irregular hard mass in the right breast along with enlarged lymph nodes in the right axilla. No abnormalities were found in other organs. Based on the examination, she was diagnosed with a probable breast carcinoma involving the breast and right axillary lymph nodes, but without signs of distant metastasis.
Breast Cancer Awareness Conversation Starters Series by iStudentNurse
The 'Conversation Starters' is a series by iStudentNurse designed to promote discussions about life-saving awareness topics. Composed by a team of RNs, it draws upon the latest evidence-based research to provide a summary of the most crucial breast cancer awareness concepts. While designed as a lecture outline for nursing students, the Breast Cancer Awareness presentation is also of value to patients, survivors, and healthcare professionals. Topics addressed include: pathophysiology, etiology, epidemiology, risk factors, genetic testing/counseling, the 3 Tiers of Early Detection, screening and diagnostic methods, and treatment modalities (surgery, chemo, radiation, and endocrine therapy). The self-breast exam (SBE) is described step-by-step. Additionally, an example nursing care plan for a post-operative mastectomy is provided, which describes nursing diagnoses, interventions, and outcomes. Happy Student Nursing!
Uterine sarcoma mine
This document discusses uterine sarcoma, its classification, features, diagnosis, and management. The main points are:
1. Uterine sarcoma arises from the myometrium or connective tissue of the endometrium. It includes leiomyosarcoma, endometrial stromal sarcoma, and other rare subtypes.
2. Diagnosis involves imaging such as ultrasound, MRI and biopsy. Treatment depends on the subtype and stage but generally involves a hysterectomy with or without chemotherapy or radiation for advanced stages.
3. Prognosis is generally poor, even in early stages, with high recurrence rates. Ongoing research focuses on improving staging systems and adjuvant therapies to
Ovarian Carcinoma
This document provides details from a presentation on ovarian carcinoma including:
1) An introduction defining ovarian tumors and their classification.
2) A WHO classification of ovarian tumors into 9 categories.
3) Details on the clinical signs, symptoms, differentiation and complications of benign vs malignant ovarian tumors.
INVASIVE DUCTAL BREAST CANCER: SIGNS, TREATMENTS, & SURVIVAL RATE
Regarding breast cancer diagnoses, almost 80% of cases involve invasive ductal carcinoma. IDC – Invasive (infiltrating) ductal carcinoma begins in a milk passage or duct and breaks through the wall of the duct. Invasive Ductal Breast Cancer generally occurs when the cancer cell invades the basement membrane of the breast, penetrating the underlying supportive tissue. From there, the cells can also extend to other parts of the body.
Recommended
[MBBS/MS/DNB] Sample EXAM Long Case on Breast Lump
LABC IS A VERY COMMON LONG CASE for examinations.
This presentation describes the method to present or document your case sheets for MBBS, MS, or DNB examinees. Subtle differences may vary from UG to PG standard, this is a summary for a postgraduate trainee, underagraduates may have a few relaxations on a few specific terminologies, however, the gross pattern is the same.
Uterine sarcoma
Uterine sarcoma is a rare and challenging type of cancer that grows rapidly. It accounts for 2-5% of uterine malignancies and is diagnosed in about 17 per 1000 women annually. Risk factors include prior pelvic radiation and black race. Long-term tamoxifen use also increases the risk. The most common presenting symptom is vaginal bleeding. Surgery is the primary treatment but the benefits of adjuvant radiation and chemotherapy are unclear due to limited data. Prognosis is generally poor, especially for later stages, and more research is needed to determine optimal adjuvant therapies.
Gastric cancer presentation final
Gastric cancer is the second most common cancer worldwide. It is most common in elderly men over 65 years old. Risk factors include family history, diet high in salt/fat/nitrates, H. pylori infection, and atrophic gastritis. Premalignant conditions include polyps, intestinal metaplasia, and dysplasia. Symptoms include dyspepsia and pain induced by meat that does not respond to treatment. Staging systems include Bormann's classification and the Japanese classification. Histologically, Lauren's classification divides gastric cancer into intestinal and diffuse types based on cell morphology and growth pattern.
Breast lump
A 39-year-old woman presented with a painful lump in her right breast that had been gradually enlarging over the past 3 years. On examination, there was a large irregular hard mass in the right breast along with enlarged lymph nodes in the right axilla. No abnormalities were found in other organs. Based on the examination, she was diagnosed with a probable breast carcinoma involving the breast and right axillary lymph nodes, but without signs of distant metastasis.
Breast Cancer Awareness Conversation Starters Series by iStudentNurse
The 'Conversation Starters' is a series by iStudentNurse designed to promote discussions about life-saving awareness topics. Composed by a team of RNs, it draws upon the latest evidence-based research to provide a summary of the most crucial breast cancer awareness concepts. While designed as a lecture outline for nursing students, the Breast Cancer Awareness presentation is also of value to patients, survivors, and healthcare professionals. Topics addressed include: pathophysiology, etiology, epidemiology, risk factors, genetic testing/counseling, the 3 Tiers of Early Detection, screening and diagnostic methods, and treatment modalities (surgery, chemo, radiation, and endocrine therapy). The self-breast exam (SBE) is described step-by-step. Additionally, an example nursing care plan for a post-operative mastectomy is provided, which describes nursing diagnoses, interventions, and outcomes. Happy Student Nursing!
Uterine sarcoma mine
This document discusses uterine sarcoma, its classification, features, diagnosis, and management. The main points are:
1. Uterine sarcoma arises from the myometrium or connective tissue of the endometrium. It includes leiomyosarcoma, endometrial stromal sarcoma, and other rare subtypes.
2. Diagnosis involves imaging such as ultrasound, MRI and biopsy. Treatment depends on the subtype and stage but generally involves a hysterectomy with or without chemotherapy or radiation for advanced stages.
3. Prognosis is generally poor, even in early stages, with high recurrence rates. Ongoing research focuses on improving staging systems and adjuvant therapies to
Ovarian Carcinoma
This document provides details from a presentation on ovarian carcinoma including:
1) An introduction defining ovarian tumors and their classification.
2) A WHO classification of ovarian tumors into 9 categories.
3) Details on the clinical signs, symptoms, differentiation and complications of benign vs malignant ovarian tumors.
INVASIVE DUCTAL BREAST CANCER: SIGNS, TREATMENTS, & SURVIVAL RATE
Regarding breast cancer diagnoses, almost 80% of cases involve invasive ductal carcinoma. IDC – Invasive (infiltrating) ductal carcinoma begins in a milk passage or duct and breaks through the wall of the duct. Invasive Ductal Breast Cancer generally occurs when the cancer cell invades the basement membrane of the breast, penetrating the underlying supportive tissue. From there, the cells can also extend to other parts of the body.
Breast screening pallavi
This document provides information on breast cancer screening and prevention. It discusses screening principles and guidelines for mammography, MRI, ultrasound and other screening techniques. It outlines high-risk factors for breast cancer and recommends annual screening starting at age 30-40 for high-risk individuals, including those with BRCA gene mutations or family history. Screening mammography every 1-2 years is recommended for average risk women starting at age 40. Chemoprevention with tamoxifen or raloxifene can lower breast cancer risk in high risk postmenopausal women. Genetic testing guidelines are also provided.
خمس طرق لاكتشاف سرطان الثدى
العرض به معظم ما يخص سرطان الثدى بمراحله الأربعة من طرق تشخيص و علاجات و نصائح
Colorectal Cancer Screening - What does the evidence really say?
Colorectal cancer is one of the most common cancers around the world. Screening has been proven to detect cancers in early curable stages, and to even prevent them. Yet, few topics are as controversial as colorectal cancer screening in medicine today. We take an evidence based approach to examine what the science truly says about the different modalities of cancer screening.
Ca cervix evaluation and staging
This document provides an overview of carcinoma of the cervix, including its anatomy, histology, risk factors, evaluation, staging, and treatment. Some key points:
- HPV infection is the main risk factor, with some high-risk HPV subtypes associated with 95% of cervical cancers. Vaccination can prevent HPV infection.
- Evaluation involves Pap smear, colposcopy if abnormal Pap, and biopsy for diagnosis. Staging includes physical exam, imaging like CT/MRI, and FIGO clinical staging.
- Early lesions are treated with LEEP or conization. Advanced invasive cancers are staged surgically with radical hysterectomy and may involve chemotherapy or radiation if disease has spread. Regular screening can
Breast Cancer
The document provides information about breast cancer including statistics, risk factors, and tips for breast self-exams. It states that breast cancer impacts over 240,000 new patients per year in the US and that 70% of cases occur in women with no identifiable risk factors. It describes factors that can increase the risk of breast cancer like family history, lifestyle, personal history, and discusses how to properly perform breast self-exams.
CA ENDOMETRIUM-KIRAN.pptx
1) Endometrial cancer is the most common gynecologic cancer in developed countries, with a lifetime risk of 1 in 35 women. It occurs most often in postmenopausal women.
2) Diagnosis involves endometrial biopsy or dilation and curettage to obtain tissue samples. Staging involves total abdominal hysterectomy and bilateral salpingo-oophorectomy.
3) For low-risk early-stage disease, no additional treatment is typically needed. For high-risk early-stage disease, adjuvant pelvic radiation with or without chemotherapy is recommended based on trials such as PORTEC-3.
Cervical cancer
Cervical cancer is the third most common cancer among Malaysian women. It is caused by certain strains of the human papillomavirus (HPV) which can be contracted through sexual activity. Risk factors include early sexual initiation, multiple partners, smoking, and a weak immune system. Symptoms may include abnormal bleeding or discharge. Screening tests like Pap smears can detect pre-cancerous changes, while exams and biopsies confirm cancer. Treatment options depend on stage and severity but may include surgery, radiation, and chemotherapy, with the goal of curing early-stage cancer or relieving symptoms of later-stage cancer. Regular screening and safe sexual practices can help prevent cervical cancer.
Ca breast, diagnosis, clinical examination and diagnostic workup
This document provides an overview of the clinical presentation, examination, and diagnostic workup for breast cancer. It discusses collecting a history including symptoms like breast lumps or nipple discharge. Physical examination involves inspecting and palpating the breasts and axillary lymph nodes. Diagnostic workup includes imaging like mammography or ultrasound, as well as pathology studies to confirm a diagnosis and determine tumor characteristics. Staging further involves tests like bone scans or CT scans to identify distant metastases. A thorough evaluation is important for developing a treatment plan tailored to each patient's specific cancer.
Breast Cancer Awareness
Breast cancer is increasing year by year in India and we are moving towards western statistics in prevalence of disease.
I was invited by air force gandhinagar to deliver the breast cancer awareness talk to their staff.
This presentation is all about breast cancer, early signs, symptoms, prevention, diagnosis and treatment.
Clinical presentation and investigations for breast carcinoma
This document provides an overview of breast carcinoma, including:
1) The embryology, functional anatomy, blood supply, innervation, and lymphatics of the breast.
2) The epidemiology of breast cancer, noting it is the most common cancer in women worldwide.
3) Clinical presentations like palpable masses, pain, nipple discharge, and skin changes.
4) Recommendations for diagnostic tools like mammography, ultrasound, and MRI to evaluate symptoms based on patient age and risk factors.
5) The BI-RADS assessment system to categorize imaging findings and guide next steps.
Breast cancer screening
Breast cancer screening involves various tests to detect breast cancer early in women who have no symptoms. Mammograms are currently the primary screening method, detecting cancers via calcifications or masses on x-rays. Ultrasounds can further examine masses and distinguish cysts from solid tumors. Women at average risk should begin annual mammograms at age 40-44 and continue screening every 1-2 years depending on age. Those at high risk due to family history or genes may begin screening earlier and also receive annual MRIs. Newer tests like molecular breast imaging are being studied but do not replace mammography. Screening aims to find cancer early when treatment is most effective.
Ca rectum
This document discusses carcinoma of the rectum. It begins by explaining the anatomy of the rectum and its blood supply, lymphatic drainage and innervation. It then discusses the epidemiology, risk factors, staging systems including Dukes and TNM classification. Signs and symptoms, diagnostic workup including endoscopic, radiological and biopsy evaluation are explained. Principles of surgical treatment including resection margins are outlined. The goal of surgery is eradication of the primary tumor along with adjacent mesorectal tissue.
Ovarian carcinoma by Dr wasif ullah
The document discusses ovarian cancer, including its causes, risk factors, symptoms, diagnosis, staging, histological classification, treatment options involving surgery, chemotherapy, and radiation. It notes that ovarian cancer most commonly arises from the ovarian surface epithelium and discusses reproductive, genetic, and other risk factors. Treatment involves surgery to stage and debulk the tumor when possible, followed by platinum-based chemotherapy. Prognosis depends on stage, with 5-year survival rates ranging from 80-100% for stage I-II to 5% for stage IV disease.
Ovarian Carcinoma
Ovarian cancer is the fourth leading cause of cancer death in women. Most women are diagnosed at an advanced stage due to non-specific symptoms. While screening may detect some early stage cancers, no screening strategy has proven to reduce mortality. Standard treatment is surgical staging and debulking followed by chemotherapy with carboplatin and paclitaxel, though some studies suggest dose-dense or alternative schedules may improve outcomes.
CA Cervix Case presentation
Mrs. Rahela Begum, a 55-year-old shopkeeper, presented with postcoital bleeding, foul-smelling discharge, bleeding with straining, and back pain for several months. Examination revealed severe anemia and a cauliflower-like cervical growth involving the whole vagina. The provisional diagnosis was stage IVa cervical cancer. Treatment options included blood transfusion, antibiotics, chemoradiation, or ultraradical surgery and palliation given the advanced stage.
Cancer
Cancer is one of the leading causes of death worldwide, responsible for about 25% of deaths. There are over 100 types of cancer that can affect people of all ages, with risk increasing with age. Approximately 90-95% of cancer cases are caused by environmental and lifestyle factors like smoking, poor diet, obesity, infections, radiation, and pollution rather than genetics. Cancer occurs when cells divide uncontrollably due to abnormalities in their genetic material. More than 30% of cancers are preventable by avoiding risk factors within one's control such as smoking, diet, exercise, alcohol, and infections.
Case presentation of metastatic breast cancer
A 53-year-old post-menopausal woman presented with left hip pain following minor trauma. Imaging revealed an osteolytic lesion in her left hip bone and soft tissue mass. Biopsy showed metastatic carcinoma of breast origin. Examination found a right breast lump with axillary lymphadenopathy. Immunohistochemistry of the breast tissue showed strong expression of estrogen receptor, progesterone receptor, and HER2 score of 3+. The patient received palliative radiotherapy and was prescribed endocrine therapy with trastuzumab and pertuzumab for HER2-positive metastatic breast cancer to the bone only.
Endometrial cancer JNMCH AMU ALIGARH
This document discusses endometrial cancer, including its risk factors, types, staging, evaluation, treatment, and prognosis. It begins with an introduction stating that endometrial cancer is the most common gynecologic malignancy in the US. It then describes the two main types (Type I and Type II), their associated risk factors and histological features. The document outlines the FIGO staging system and discusses factors that influence prognosis. It provides guidance on evaluating and surgically staging patients, including recommended procedures for different stages of disease. The principles of treatment involve hysterectomy, with additional therapies such as radiation depending on stage, grade, and other prognostic factors.
treatment of Ca Endometrium
This document summarizes the treatment of carcinoma of the endometrium across different stages. For stage 0 endometrial hyperplasia, progestogen therapy is recommended for younger women, while total hysterectomy is recommended for elderly women. For stage I cancer confined to the uterus, surgery including hysterectomy and lymph node sampling is recommended, with additional radiotherapy for stages IB and IC involving the myometrium. Stage II involving the cervix is treated with brachytherapy followed by surgery and radiotherapy or hysterectomy. Stage III with local/regional spread is generally inoperable and treated with chemotherapy and radiotherapy. Stage IV widespread cancer is treated with palliative therapies to prolong life. 5-year survival rates
CHORIOCARCINOMA case & presntn-Dr.Mohammad.ashraful amin
This document presents a case study of a 27-year-old female patient named Shila Rani who presented with symptoms of amenorrhea for 6 weeks, vomiting for 12 days, chest tightness for 12 days, and fever and weakness for 12 days. On examination, she appeared ill with respiratory distress. Tests revealed mild anemia, elevated white blood cell count and beta-HCG levels, suggestive of an ectopic pregnancy in the left ovary with metastasis to the lungs. She was diagnosed with choriocarcinoma and referred to an oncologist for chemotherapy with methotrexate.
Labc case presentation
A 40-year-old Hindu lady presented with a rapidly enlarging swelling in her right breast reaching 10 cm in size over 4 months, along with an ulcerating node. Examination found a hard, fixed breast mass with peau d'orange appearance and serous discharge from the ulcer, as well as two mobile axillary lymph nodes. She was diagnosed with locally advanced carcinoma of the right breast, stage IIIb. Further tests and treatment including chemotherapy and surgery were planned.
A case study of prolapse in female .pptx
This document presents a case of a 50-year-old woman with a chief complaint of vaginal prolapse, increased urinary frequency, and lower back pain. She has a history of 6 vaginal births without proper prenatal or postnatal care. On examination, she has a 3rd degree uterovaginal prolapse with cystocele protruding 8cm from the hymenal ring. Laboratory tests and ultrasound are normal. The diagnosis is 3rd degree uterovaginal prolapse with cystocele. The planned management is a vaginal hysterectomy with pelvic floor repair.
More Related Content
What's hot
Breast screening pallavi
This document provides information on breast cancer screening and prevention. It discusses screening principles and guidelines for mammography, MRI, ultrasound and other screening techniques. It outlines high-risk factors for breast cancer and recommends annual screening starting at age 30-40 for high-risk individuals, including those with BRCA gene mutations or family history. Screening mammography every 1-2 years is recommended for average risk women starting at age 40. Chemoprevention with tamoxifen or raloxifene can lower breast cancer risk in high risk postmenopausal women. Genetic testing guidelines are also provided.
خمس طرق لاكتشاف سرطان الثدى
العرض به معظم ما يخص سرطان الثدى بمراحله الأربعة من طرق تشخيص و علاجات و نصائح
Colorectal Cancer Screening - What does the evidence really say?
Colorectal cancer is one of the most common cancers around the world. Screening has been proven to detect cancers in early curable stages, and to even prevent them. Yet, few topics are as controversial as colorectal cancer screening in medicine today. We take an evidence based approach to examine what the science truly says about the different modalities of cancer screening.
Ca cervix evaluation and staging
This document provides an overview of carcinoma of the cervix, including its anatomy, histology, risk factors, evaluation, staging, and treatment. Some key points:
- HPV infection is the main risk factor, with some high-risk HPV subtypes associated with 95% of cervical cancers. Vaccination can prevent HPV infection.
- Evaluation involves Pap smear, colposcopy if abnormal Pap, and biopsy for diagnosis. Staging includes physical exam, imaging like CT/MRI, and FIGO clinical staging.
- Early lesions are treated with LEEP or conization. Advanced invasive cancers are staged surgically with radical hysterectomy and may involve chemotherapy or radiation if disease has spread. Regular screening can
Breast Cancer
The document provides information about breast cancer including statistics, risk factors, and tips for breast self-exams. It states that breast cancer impacts over 240,000 new patients per year in the US and that 70% of cases occur in women with no identifiable risk factors. It describes factors that can increase the risk of breast cancer like family history, lifestyle, personal history, and discusses how to properly perform breast self-exams.
CA ENDOMETRIUM-KIRAN.pptx
1) Endometrial cancer is the most common gynecologic cancer in developed countries, with a lifetime risk of 1 in 35 women. It occurs most often in postmenopausal women.
2) Diagnosis involves endometrial biopsy or dilation and curettage to obtain tissue samples. Staging involves total abdominal hysterectomy and bilateral salpingo-oophorectomy.
3) For low-risk early-stage disease, no additional treatment is typically needed. For high-risk early-stage disease, adjuvant pelvic radiation with or without chemotherapy is recommended based on trials such as PORTEC-3.
Cervical cancer
Cervical cancer is the third most common cancer among Malaysian women. It is caused by certain strains of the human papillomavirus (HPV) which can be contracted through sexual activity. Risk factors include early sexual initiation, multiple partners, smoking, and a weak immune system. Symptoms may include abnormal bleeding or discharge. Screening tests like Pap smears can detect pre-cancerous changes, while exams and biopsies confirm cancer. Treatment options depend on stage and severity but may include surgery, radiation, and chemotherapy, with the goal of curing early-stage cancer or relieving symptoms of later-stage cancer. Regular screening and safe sexual practices can help prevent cervical cancer.
Ca breast, diagnosis, clinical examination and diagnostic workup
This document provides an overview of the clinical presentation, examination, and diagnostic workup for breast cancer. It discusses collecting a history including symptoms like breast lumps or nipple discharge. Physical examination involves inspecting and palpating the breasts and axillary lymph nodes. Diagnostic workup includes imaging like mammography or ultrasound, as well as pathology studies to confirm a diagnosis and determine tumor characteristics. Staging further involves tests like bone scans or CT scans to identify distant metastases. A thorough evaluation is important for developing a treatment plan tailored to each patient's specific cancer.
Breast Cancer Awareness
Breast cancer is increasing year by year in India and we are moving towards western statistics in prevalence of disease.
I was invited by air force gandhinagar to deliver the breast cancer awareness talk to their staff.
This presentation is all about breast cancer, early signs, symptoms, prevention, diagnosis and treatment.
Clinical presentation and investigations for breast carcinoma
This document provides an overview of breast carcinoma, including:
1) The embryology, functional anatomy, blood supply, innervation, and lymphatics of the breast.
2) The epidemiology of breast cancer, noting it is the most common cancer in women worldwide.
3) Clinical presentations like palpable masses, pain, nipple discharge, and skin changes.
4) Recommendations for diagnostic tools like mammography, ultrasound, and MRI to evaluate symptoms based on patient age and risk factors.
5) The BI-RADS assessment system to categorize imaging findings and guide next steps.
Breast cancer screening
Breast cancer screening involves various tests to detect breast cancer early in women who have no symptoms. Mammograms are currently the primary screening method, detecting cancers via calcifications or masses on x-rays. Ultrasounds can further examine masses and distinguish cysts from solid tumors. Women at average risk should begin annual mammograms at age 40-44 and continue screening every 1-2 years depending on age. Those at high risk due to family history or genes may begin screening earlier and also receive annual MRIs. Newer tests like molecular breast imaging are being studied but do not replace mammography. Screening aims to find cancer early when treatment is most effective.
Ca rectum
This document discusses carcinoma of the rectum. It begins by explaining the anatomy of the rectum and its blood supply, lymphatic drainage and innervation. It then discusses the epidemiology, risk factors, staging systems including Dukes and TNM classification. Signs and symptoms, diagnostic workup including endoscopic, radiological and biopsy evaluation are explained. Principles of surgical treatment including resection margins are outlined. The goal of surgery is eradication of the primary tumor along with adjacent mesorectal tissue.
Ovarian carcinoma by Dr wasif ullah
The document discusses ovarian cancer, including its causes, risk factors, symptoms, diagnosis, staging, histological classification, treatment options involving surgery, chemotherapy, and radiation. It notes that ovarian cancer most commonly arises from the ovarian surface epithelium and discusses reproductive, genetic, and other risk factors. Treatment involves surgery to stage and debulk the tumor when possible, followed by platinum-based chemotherapy. Prognosis depends on stage, with 5-year survival rates ranging from 80-100% for stage I-II to 5% for stage IV disease.
Ovarian Carcinoma
Ovarian cancer is the fourth leading cause of cancer death in women. Most women are diagnosed at an advanced stage due to non-specific symptoms. While screening may detect some early stage cancers, no screening strategy has proven to reduce mortality. Standard treatment is surgical staging and debulking followed by chemotherapy with carboplatin and paclitaxel, though some studies suggest dose-dense or alternative schedules may improve outcomes.
CA Cervix Case presentation
Mrs. Rahela Begum, a 55-year-old shopkeeper, presented with postcoital bleeding, foul-smelling discharge, bleeding with straining, and back pain for several months. Examination revealed severe anemia and a cauliflower-like cervical growth involving the whole vagina. The provisional diagnosis was stage IVa cervical cancer. Treatment options included blood transfusion, antibiotics, chemoradiation, or ultraradical surgery and palliation given the advanced stage.
Cancer
Cancer is one of the leading causes of death worldwide, responsible for about 25% of deaths. There are over 100 types of cancer that can affect people of all ages, with risk increasing with age. Approximately 90-95% of cancer cases are caused by environmental and lifestyle factors like smoking, poor diet, obesity, infections, radiation, and pollution rather than genetics. Cancer occurs when cells divide uncontrollably due to abnormalities in their genetic material. More than 30% of cancers are preventable by avoiding risk factors within one's control such as smoking, diet, exercise, alcohol, and infections.
Case presentation of metastatic breast cancer
A 53-year-old post-menopausal woman presented with left hip pain following minor trauma. Imaging revealed an osteolytic lesion in her left hip bone and soft tissue mass. Biopsy showed metastatic carcinoma of breast origin. Examination found a right breast lump with axillary lymphadenopathy. Immunohistochemistry of the breast tissue showed strong expression of estrogen receptor, progesterone receptor, and HER2 score of 3+. The patient received palliative radiotherapy and was prescribed endocrine therapy with trastuzumab and pertuzumab for HER2-positive metastatic breast cancer to the bone only.
Endometrial cancer JNMCH AMU ALIGARH
This document discusses endometrial cancer, including its risk factors, types, staging, evaluation, treatment, and prognosis. It begins with an introduction stating that endometrial cancer is the most common gynecologic malignancy in the US. It then describes the two main types (Type I and Type II), their associated risk factors and histological features. The document outlines the FIGO staging system and discusses factors that influence prognosis. It provides guidance on evaluating and surgically staging patients, including recommended procedures for different stages of disease. The principles of treatment involve hysterectomy, with additional therapies such as radiation depending on stage, grade, and other prognostic factors.
treatment of Ca Endometrium
This document summarizes the treatment of carcinoma of the endometrium across different stages. For stage 0 endometrial hyperplasia, progestogen therapy is recommended for younger women, while total hysterectomy is recommended for elderly women. For stage I cancer confined to the uterus, surgery including hysterectomy and lymph node sampling is recommended, with additional radiotherapy for stages IB and IC involving the myometrium. Stage II involving the cervix is treated with brachytherapy followed by surgery and radiotherapy or hysterectomy. Stage III with local/regional spread is generally inoperable and treated with chemotherapy and radiotherapy. Stage IV widespread cancer is treated with palliative therapies to prolong life. 5-year survival rates
CHORIOCARCINOMA case & presntn-Dr.Mohammad.ashraful amin
This document presents a case study of a 27-year-old female patient named Shila Rani who presented with symptoms of amenorrhea for 6 weeks, vomiting for 12 days, chest tightness for 12 days, and fever and weakness for 12 days. On examination, she appeared ill with respiratory distress. Tests revealed mild anemia, elevated white blood cell count and beta-HCG levels, suggestive of an ectopic pregnancy in the left ovary with metastasis to the lungs. She was diagnosed with choriocarcinoma and referred to an oncologist for chemotherapy with methotrexate.
What's hot (20)
Colorectal Cancer Screening - What does the evidence really say?
Colorectal Cancer Screening - What does the evidence really say?
Ca breast, diagnosis, clinical examination and diagnostic workup
Ca breast, diagnosis, clinical examination and diagnostic workup
Clinical presentation and investigations for breast carcinoma
Clinical presentation and investigations for breast carcinoma
CHORIOCARCINOMA case & presntn-Dr.Mohammad.ashraful amin
CHORIOCARCINOMA case & presntn-Dr.Mohammad.ashraful amin
Similar to Breast lump
Labc case presentation
A 40-year-old Hindu lady presented with a rapidly enlarging swelling in her right breast reaching 10 cm in size over 4 months, along with an ulcerating node. Examination found a hard, fixed breast mass with peau d'orange appearance and serous discharge from the ulcer, as well as two mobile axillary lymph nodes. She was diagnosed with locally advanced carcinoma of the right breast, stage IIIb. Further tests and treatment including chemotherapy and surgery were planned.
A case study of prolapse in female .pptx
This document presents a case of a 50-year-old woman with a chief complaint of vaginal prolapse, increased urinary frequency, and lower back pain. She has a history of 6 vaginal births without proper prenatal or postnatal care. On examination, she has a 3rd degree uterovaginal prolapse with cystocele protruding 8cm from the hymenal ring. Laboratory tests and ultrasound are normal. The diagnosis is 3rd degree uterovaginal prolapse with cystocele. The planned management is a vaginal hysterectomy with pelvic floor repair.
BENIGN_BREAST_CONDITIONS_cases-1[1].pptx
This document presents 5 cases of benign breast conditions:
1. A 20-year-old female with a 3-month history of a left breast lump, which was diagnosed as fibroadenoma.
2. A 26-year-old breastfeeding female with 2 months of right breast pain and 3 weeks of swelling, diagnosed with mastitis.
3. A 33-year-old female with a 2-year history of cyclical left breast pain, diagnosed with mastalgia.
4. A 38-year-old female with a 3-month history of bloody discharge from her right nipple, diagnosed with an intraductal papilloma.
5. A 48-year
Breast Cancer(Dr.Kishan).pptx
A 55-year-old post-menopausal woman presented with a lump in her left breast for 5 months, retraction of her left nipple for 1 month, and blood-stained discharge from the left nipple for 10 days. On examination, her left nipple was circumferentially retracted and a 4x4 cm hard, non-tender lump was palpable in the left upper and lower outer quadrants of her breast, which moved with the breast tissue but not independently. No lymph nodes were palpable in her axilla. The provisional diagnosis was Stage IIA carcinoma of the left breast.
Carcinoma Breast.pptx
Mrs. Subamma, a 45-year-old housewife, presented with a rapidly growing lump in her right breast for the past 7 months. She has a family history of breast cancer and was recently diagnosed with carcinoma of the right breast. She received 4 cycles of neoadjuvant chemotherapy with some reduction in lump size. On examination, a 6x5 cm irregular hard lump was found in the right breast involving multiple quadrants, with a single 1x1 cm mobile lymph node in the right axilla. Investigations and staging showed T3N1M0 stage 3A disease. She is to undergo modified radical mastectomy followed by completion of chemotherapy and consideration of radiotherapy and hormone therapy.
Presentation1
A 45 year old lady, a housewife Came with continuous bleeding since 20 days and Irregular cycles with heavy flow since 1yr.
Breast Carcinoma.pptx
This document summarizes a case study of a 47-year-old female farmer presenting with a lump in her right breast that has been gradually increasing in size over the past 4 months. On examination, a large diffuse lump measuring approximately 10x10 cm was observed in the upper outer quadrant of her right breast. No abnormalities were noted in her left breast or lymph nodes. Based on the history and examination, she received a preliminary diagnosis of stage cT3N0M0 right-sided breast carcinoma. Further investigations including imaging tests and biopsy were planned to confirm the diagnosis and stage the cancer.
RCC_case.pptx
A 65-year-old female presented with a 1-month history of blood mixed with urine. She reported two prior episodes of hematuria accompanied by mild left flank pain. Her medical history and examinations were otherwise unremarkable. Laboratory tests found anemia and blood in her urine. Imaging revealed a 3.5 cm mass in her left kidney. She underwent a left radical nephrectomy, and pathology of the surgical specimen showed renal cell carcinoma.
Rh negative case.pptx
A physical examination was performed on a 28-year old pregnant female who is Rh negative. The examination found the patient to be in overall good health with normal vital signs. Her pregnancy was at 28 weeks gestation with a single live fetus in cephalic presentation and a fetal heart rate of 142 beats per minute. The patient has a history of delivering a baby during her second pregnancy who developed anemia and jaundice and died after 10 days.
Case presentation.pptx
A 14-year-old boy presented with difficulty breathing, facial swelling, swelling of both feet, and chest pain for two days. He had a history of a similar episode 8 months prior where he was diagnosed with a heart condition. On examination, he had an irregularly irregular pulse, low blood pressure, visible apex beat, and grade V pansystolic murmurs in the mitral, tricuspid, and pulmonary areas, suggestive of chronic rheumatic heart disease with mitral regurgitation and left ventricular hypertrophy.
Case Presentation - Final Edit - Copy.pptx
A 53-year-old woman presented with a swelling on her chest wall where she previously underwent surgery for breast cancer. Imaging found recurrence at the surgical site and metastases to lymph nodes. Biopsy of the chest wall mass revealed pleomorphic rhabdomyosarcoma, a rare type of soft tissue sarcoma.
Case presentation
- A 40-year-old female presented with a gradually enlarging midline neck swelling over the past year without symptoms of thyroid dysfunction.
- On examination, a 3cm x 4cm solitary, smooth, mobile swelling was found in the lower midline neck extending to the right sternocleidomastoid.
- Differential diagnoses included benign thyroid nodule, colloid goiter, follicular adenoma, or cyst. Tests planned included bloodwork, thyroid function tests, ultrasound of the neck, and FNAC of the neck swelling.
CASE PRESENTATION-IRREGULAR BREAST LUMP.pptx
This document presents a case report of a 40-year-old woman who presented with a rapidly enlarging swelling in her right breast over the past 4 months, which had reached approximately 10cm in size. She also reported a smaller swelling in her right axilla for the past 2 months. More recently, she developed an ulcer on her right breast above the swelling associated with serous discharge and pain. On examination, asymmetry was noted between breasts with the right breast higher than the left. An ulcer was seen on the right breast involving the nipple with serous discharge. Differential diagnoses included phylloides sarcoma, plasma cell mastitis, tuberculosis of the breast, and chronic fat necrosis.
1.COPD in laparoscopy surgery 28th Aug.pptx
1. Mr. Irfan, a 68-year-old male carpenter, presented with 4 months of intermittent upper abdominal pain and vomiting.
2. Examination found tender epigastric and right hypochondriac regions. Investigations including ultrasound revealed chronic calculous cholecystitis.
3. He also had a 5-year history of shortness of breath and cough. Examination of his lungs and PFT were consistent with chronic obstructive pulmonary disease.
4. The final diagnosis was chronic calculous cholecystitis and chronic obstructive pulmonary disease.
9.CERVIX CA CD.ppt
A 40-year-old woman presented with a 4-month history of increased menstrual bleeding and intermenstrual bleeding. On examination, the physician discovered a 2x2 cm cauliflower-like growth on the anterior lip of her cervix that bled easily. Further examination found involvement of the parametrial tissue. The diagnosis was likely stage II B carcinoma of the cervix requiring further evaluation and treatment.
9.CERVIX CA CD.ppt
A 40-year-old woman presented with a 4-month history of increased menstrual bleeding and intermenstrual bleeding. On examination, the physician discovered a 2x2 cm cauliflower-like growth on the anterior lip of her cervix that bled easily. Further examination found involvement of the parametrial tissues without lymph node enlargement, consistent with Stage IIB cervical cancer.
sathyaa.pptx
A 58-year-old female presented with a lump in her right breast for 2 months, along with pain over the lump for 1 month. Examination found two lumps in the right breast measuring 3x2 cm and 4x3 cm. Ultrasound showed lesions in the right breast and multiple subcentimetric lymph nodes in the right axilla. Core needle biopsy revealed invasive ductal carcinoma (IDC), grade 3, estrogen receptor negative, HER2 neu negative, with a Ki67 of 40%. The working diagnosis was carcinoma of the right breast cT2N0M0, clinical stage IIA. The plan was for modified radical mastectomy followed by chemotherapy with or without radiotherapy and/or hormonal
First stage of labor
The document describes the procedures for admission, history taking, physical examination, abdominal examination, and vaginal examination during the first stage of labor. Key steps include checking vital signs, medical history, performing Leopold's maneuvers to determine fetal position and presentation, measuring fundal height and symphysio-fundal height. A vaginal exam is done to assess cervical dilation, rupture of membranes, presentation and descent of the fetus. The goal is to monitor labor progress and the condition of the mother and fetus safely.
Similar to Breast lump (20)
Recently uploaded
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...Nguyen Thanh Tu Collection
https://app.box.com/s/y977uz6bpd3af4qsebv7r9b7s21935vdHow to Manage Your Lost Opportunities in Odoo 17 CRM
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
How to Make a Field Mandatory in Odoo 17
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
The Diamonds of 2023-2024 in the IGRA collection
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
PCOS corelations and management through Ayurveda.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
Hindi varnamala | hindi alphabet PPT.pdf
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
-------------------------------------------------------------------------------
Find out more about ISO training and certification services
Training: ISO/IEC 27001 Information Security Management System - EN | PECB
ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB
General Data Protection Regulation (GDPR) - Training Courses - EN | PECB
Webinars: https://pecb.com/webinars
Article: https://pecb.com/article
-------------------------------------------------------------------------------
For more information about PECB:
Website: https://pecb.com/
LinkedIn: https://www.linkedin.com/company/pecb/
Facebook: https://www.facebook.com/PECBInternational/
Slideshare: http://www.slideshare.net/PECBCERTIFICATION
How to Fix the Import Error in the Odoo 17
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
The History of Stoke Newington Street Names
Presented at the Stoke Newington Literary Festival on 9th June 2024
www.StokeNewingtonHistory.com
Walmart Business+ and Spark Good for Nonprofits.pdf
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
How to Setup Warehouse & Location in Odoo 17 Inventory
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptxMohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama UniversityAkanksha trivedi rama nursing college kanpur.
Natural birth techniques are various type such as/ water birth , alexender method, hypnosis, bradley method, lamaze method etcবাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Recently uploaded (20)
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
How to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRM
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
Breast lump
- 1. LONG CASE by Dr Sumit SCB
- 2. CHIEF COMPLAINTS • My patient Ms Swarnalata Swain, 52yrs, HF, from Kendrapada, presented to Surgery OPD with c/o of lump in the upper outer quadrant of right breast since 2 months.
- 3. HISTORY OF PRESENT ILLNESS
- 4. PAST HISTORY • No such h/o of similar lump in either breast in the past • No h/o – T2DM , TB, HTN • No past h/o radiation to chest
- 5. PERSONAL HISTORY • Farmer by occupation • Taking avg mixed Indian diet • Bowel and bladder habits are normal • Not addicted to any substance
- 6. FAMILY HISTORY • No h/o breast cancer in first degree relatives • No h/o BRCA related malignancies in family
- 7. MENSTRUAL HISTORY • Attained menarche at 13 yr with regular cycles of normal flow, volume and duration. • Attained menopause at 45 years.
- 8. OBSTETRICS HISTORY •Married at 26yr, blessed with 2 sons all by NVD, both were full term. •No h/o abortion •1st child birth at 27 yrs age, last child at 31 yrs. •All children were exclusively breastfed.
- 9. TREATMENT AND DRUG HISTORY • Not undergone any surgical intervention before except family planning. •No h/o of intake OCP or HRT.
- 10. GENERAL EXAMINATION • Informed consent • Well lit room • Adequate privacy • In front of a female attendant • Pt was conscious, co-operative and well oriented to time, place and person • Performance score of 90 on Karnofsky scale
- 11. GENERAL EXAMINATION • PR- 70 bpm, regular rhythm, normal volume, no radio-radial and radio-femoral delay • BP-120/78 mm hg at right arm supine position • RR-16 /min abdomino-thoracic • No e/o pallor, icterus, cyanosis, clubbing, pedal edema and generalized lymphadenopathy
- 12. INSPECTION Patient in sitting position with arm at side • Both breasts appear normal shape, symmetry , position and right breast slightly larger than the left • Nipple areola complex of right breast slightly lower than the left breast in horizontal plane • visible lump over the right breast • No scar mark, no engorged veins • Skin over both breasts normal
- 13. PATIENT RAISING HER BOTH ARMS – • nipple areola complex of both breast at same horizontal line • Visible fullness over upper outer quadrant of right breast • No visible skin changes • No nipple retraction
- 14. • PATIENT LEANING FORWARD- • Right breast fall more on leaning forward
- 15. Axilla, Supraclavicular Fossa and Upper limbs appears to be normal.
- 16. PALPATION LEFT BREAST – no local rise of temperature, no lump palpated in breast as well as in the axilla RIGHT BREAST– no local rise of temp or tenderness noted • A Lump of size 3*3 cm palpated in UOQ • Hard in consistency • Irregular, ill-defined margin • Uneven surface • Lump is fixed to breast tissue • Not fixed to overlying skin • Not fixed to underlying Pectoralis Major muscle and chest wall • Nipple areola complex normal , no discharge from nipple on pressing the lump.
- 18. Examination of Right Axilla • Single, mobile, non-tender lymph node of size 1.5× 1.5 cm • Firm in consistency in anterior group of nodes • No palpable lymph nodes in Left Axilla • No palpable lymph nodes in Rt. and Lt. Supraclavicular fossa
- 19. SYSTEMIC EXAMINATION Respiratory examination- • trachea centrally placed • B/L air entry present • normal VBS Cardiovascular examination – • s1 s2 N M0 NAS Abdominal Examination • Abdomen normal in shape, umbilicus centrally placed ,skin over abdomen normal. • No organomegaly and no free fluid in abdomen. Musculoskeletal Examination • No bony tenderness or any skeletal deformity PV and DRE • No growth or mass palpated
- 20. SUMMARY A case of 55yrs post menopausal lady with painless, progressive lump in upper outer quadrant of right breast since 2 months without any ulceration, nipple discharge and without any h/s/o distant metastasis. •O/E a non-tender lump of 3*3 cm palpable in UOQ of the right breast with ill-defined irregular margin, uneven surface, hard in consistency, fixed to breast tissue and not fixed to overlying skin or underlying Pectoralis Major muscle and chest wall. A Single, mobile, ipsilateral 1.5 × 1.5 cm level 1 pectoral lymph node palpable with other systemic examinations within normal limit. • MY PROVISIONAL DIAGNOSIS – CARCINOMA OF RIGHT BREAST HAVING TNM STAGING T2N1M0 (STAGE IIB).