Azra bibi CA ghjgugjjgffyuvcdy BREAST.pptx

Ghghbbb

1. King Edward Medical University West Surgical Ward Mayo Hospital Patient : Azra bibi 45y /F ∆ Breast Carcinoma By Dr Siddique Baig 02-09 -2024

2. Bio data Patient: Azra bibi Age: 45y /F (Married) R/O: Lahore Non smoker Occupation: Housewife No children Family History: -ve

3. Brief History Left breast lump - 3 months Nipple discharge (serous)

4. Examination There is 2.3 × 1.9 cm lump in upper outer quadrant of left breast at 3 o' clock position Abnormal nipple shape (inverted) Nipple discharge (serous) It is tender and adherent to underlying structures Axillary lymph nodes not palpable

5. At 3 O clock position

6. INVESTIGATIONS

7. A heterogenous lobulated lesion with multiple internal calcific foci and dense posterior shadowing at 3 o'clock retroarealar and periareolar region measuring 2.6 × 1.7 cm showing vascularity on color doppler Overlying skin thickening and nipple retraction noted Few axillary lymph nodes are seen largest measuring 11 × 9 mm with preserved fatty hilum USG Left Breast (07-03-2024)

8. Mammography (07-03-2024) Impression: Right breast; BIRADS I Left breast: BIRADS V

9. Trucut Biopsy (23-05-2023) LEFT BREAST - Invasive ductal carcinoma - Grade II - No special type

10. Receptor Status (23-05-2024) ER; Positive PR; Positive HER 2; Positive

11. CT CHEST with Contrast (16/08/24) A homogenously enhancing soft tissue density lesion measuring 23 × 36 × 19 mm with adjacent skin thickening of 6.6 mm is noted involving nipple areolar complex of left breast Few internal calcified foci noted in the lesion Enlarged ipsilateral axillary lymph nodes seen largest measuring 10.5 mm Numerous lung parenchymal soft tissue density nodules seen largest measuring 7.5 mm in right lower llobe.fewsmallvovolume mediastinal lymph nodes seen No lytic or sclerotic lesions noted in visualized spine Impression: Left breast mass with ipsilateral axillary lymphadenopathy and pulmonary deposits

12. Bone Scan ( 27-06-2024) No scintigraphic evidence of metastatic deposits in bones.

13. Plan ??