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Breast Carcinoma Diagnosis and Treatment

A 57-year-old female presented with a non-painful lump in her right breast and axilla, which had gradually increased in size over six months. Examination revealed signs consistent with breast carcinoma, and investigations confirmed a diagnosis of Invasive Ductal Breast Carcinoma grade 3. The treatment plan included neo-adjuvant chemotherapy followed by modified radical mastectomy.

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4 views1 page

Breast Carcinoma Diagnosis and Treatment

A 57-year-old female presented with a non-painful lump in her right breast and axilla, which had gradually increased in size over six months. Examination revealed signs consistent with breast carcinoma, and investigations confirmed a diagnosis of Invasive Ductal Breast Carcinoma grade 3. The treatment plan included neo-adjuvant chemotherapy followed by modified radical mastectomy.

Uploaded by

kirtirajbehera6
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

A 57 year old female presented to the surgery OPD with a lump in the right breast since the past

six months. The patient was apparently all right 6 Months ago. To begin with, she noticed a
swelling in her right breast. The swelling was non painful and increased gradually in size. She
also noticed a swelling in her right axilla which was non painful. She presented to the local
hospital for treatment. However, the symptoms were not relieved on medication and she
presented to the surgery OPD. The patient did not complain of any breast tenderness, vomiting,
abdominal pain, back pain, distension of abdomen, headache yellowish discoloration, burning
micturition or weight [Link] were no complaints of anorexia or loss of appetite, and no
complaints of a similar swelling on the contralateral breast. Upon examination, it was found that
the swelling in both the right breast as well as the right axilla was non painful, with no history of
discharge and no fungation or ulceration. The right breast was shrunken, tense and hard. There
was puckering/dimpling at 9 ‘o’ clock position, peau d’orange appearance and retraction of
nipple present. The lump was present in all four quadrants of the breast. It was hard in
consistency, with irregular margins and was fixed to the skin and the chest wall. Axillary and
cervical lymph nodes were palpable. The probable diagnosis was breast carcinoma( T 4B N3 M0 )

On investigation the first step was a mammography, which classified the lump as a BIRADS
grade 4. Following which a Tru cut biopsy was done to confirm the diagnosis of Invasive Ductal
Breast Carcinoma grade 3 with a modified Bloom Richardson score of 8 and
immunohistochemistry showed ER negative, PR negative, Her 2 neu positive and Ki67 45%.The
treatment plan for the patient included neo adjuvant chemotherapy and modified radical
mastectomy.

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