BREAST CANCER

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BREAST CANCER

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9 Posts

fredsua20
Forum Newbie

Topics: 1
Posts: 3

12/23/04 - 10:41 AM

miky
Forum Senior

Topics: 16
Posts: 99

12/25/04 - 11:23 AM

A 23 year old female comes to your office because of a solid mass in her right breast from 2 years ago. She also tells you that sometimes a bloody discharge appears on her right nipple. At physical examination you find a solid semimovable mass with some of contourn. At FNA, you find a diversity of atypic, malignant and normal cells. What is the best next step in the management of this patient?
a) Chemotherapy alone
b) Chemotherapy and Total mastectomy.
c) Lumpectomy, Drainage of lymph nodes and Radiation therapy
d) An excisional biopsy
e) An steroractic needle biopsy then management
f) Tamoxifen alone
g) Lumpectomy, Drainage of lymph nodes, Radiation therapy and Ovarian ablation
h) Ovarian ablation, Chemotherapy and Tamoxifen
i) none of above

solid mass in her right breast from 2 years ago - it has presumably not enlarged?
bloody discharge appears on her right nipple - clue to malignancy
solid semimovable mass with some of contourn - clue to malignancy
FNA, you find a diversity of atypic, malignant and normal cells. - probably malignant tumor
The tumor displays the features of a malignant neoplasm. However, the age of the pt. speaks against this possibility. Malignant breast tumor are usually rare at this age.
I would incline to chose between c & d
c) Lumpectomy, Drainage of lymph nodes and Radiation therapy
d) An excisional biopsy

C is a better choice in my view. What is the correct answer ?

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mjl1717
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12/25/04 - 07:07 PM

answer-c, Id give tamoxifen if the mass is estrogen sensitive.

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samia
Forum Newbie

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Posts: 4

01/21/05 - 04:08 PM

i wil choose option c
no matter what the age or history of size of lump
bloody discharge & fna shows malignancy
treatmant is lumpectomy axillary clearance and radiotherapy

lucky
Forum Guru

Topics: 23
Posts: 505

02/05/05 - 09:39 AM

i'd go for c too.

Drmos
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Topics: 8
Posts: 41

02/12/05 - 03:34 PM

just a question: why not also ovarian ablation....thanks :shock:

bozhenka
Forum Senior

Topics: 1
Posts: 122

02/13/05 - 12:57 AM

just a question: why not also ovarian ablation....thanks

she is only 23 years old, she can become pregnant

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sandra
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Topics: 201
Posts: 470

10/05/07 - 12:27 PM

y not go for an excisional biopsy to get more details before going to definitive therapy

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titly
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10/06/07 - 09:00 AM

ya same doubt

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