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Case for homework – case 2
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Palpable lump in upper outer quadrant of right breast.
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Mammography: cluster of cysts, tumour located amongst the cysts.
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Ultrasound: suspicious lesion: biopsy -> malignant
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Lumpectomy with SN and ALND:
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Pathology:
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IDC gr 2; 12mm; no LVI, irradical at cranial resection side
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SLNB: 2+/3 ; ALND:9+/11; total 11+/14
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pT1cpN3M0; ER = ++; PR = ++; Her-2-Neu = -
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Further Treatment:
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Adjuvant chemotherapy and hormonal treatment and locoregional RT:
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Breast with boost (!) and all lymph node areas: axilla L1, L2, L3, L4,
IMN, Rotter