Case 2 Jane McNicholas Consultant Oncoplastic Breast Surgeon

Slides:

Advertisements

Similar presentations

Breast Mass Linda M. Barney, MD Wright State University.

Advertisements

Benign Breast Disease Jennifer L. Ragazzo, M.D.

Sutter Pacific Medical Group of the Redwoods

Case presentation DR.AHMED KENSARAH.

BIOC 401. Blood Sample To Detect Breast Cancer Cancer is actually a group of many related diseases that all have to do with cells. Cells are the very.

Breast Cancer 101 Barbara Lee Bass, MD, FACS Professor of Surgery

Breast Cancer By Kajal Haghmoradi.

Breast Pathology Dr. M. Griffin.

Breast Imaging Made Brief and Simple

Normal Ultrasound Protocol Breast

HealthGov Conference December 2007 “CASE STUDY – REMOVAL OF THE WRONG BREAST” The uneasy balance between systematic/individual responsibility Helen.

The breast disease.

© Copyright 2003 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved. PET in Breast Cancer Early detection of disease Precise Staging.

Breast Pathology Seminar CASE PRESENTATION PART 1 Elba Torres Matundan MD FCAP Victor Carlo Vargas MD FCAP.

ASSESSMENT OF BREAST SYMPTOMS/LUMPS Professor P Grantley Gill Specialists Without Borders Seminar in Surgery Rwanda, September 2010.

Alireza Mohammadzadeh, MD Thoracic Surgeon

Marion C.W. Henry, MD Yale University

Benign Breast Disease Case Based Discussion Fayyaz Mazari and Emma MacInnes Supervised by Miss Clare Rogers Regional Registrars’ Teaching Day November.

Breast Pathology. Breast pathology Inflammatory Disorders Acute Mastitis Preiductal Mastitis Mammary Duct Ectasia Fat Necrosis Lymphocytic Mastopathy.

MedPix Medical Image Database COW - Case of the Week Case Contributor: Russell A. Patterson Affiliation: Uniformed Services University.

Done by Mohammad Binhussein & Mohammad Mini.

WORK UPS. Ultrasound method of choice for the differentiation of cysts from solid masses and for guidance in interventional procedures. Benign: – solid.

MAMMOGRAPHY - Pt 2 EQUIPMENT LECTURE & more….. RTEC 255 Week # 3 D. CHARMAN, M.Ed.,R.T.(R,M)

NYU Medical Grand Rounds Clinical Vignette Daniel P. Eiras, MD, MPH PGY2 December 1, 2010 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

Faculty of Allied Medical Sciences Histopathology and Cytology (MLHC-201)

T1: Tumor 2.0 cm or less in greatest dimension

The Breast Clinic Index case Year 2 Michaelmas term.

Imaging examinations of breasts

How will you approach the 35-year old, with a 2x2x2cm, firm, mobile, well-circumscribed non-tender mass on her R breast?

Female Genital Tract Lab Dr. Nisreen Abu Shahin Assistant Professor of Pathology University of Jordan.

Manzano, Clairol  Marcelo, Pamela Marcial, Karmi Margaret  Matematico, Michelle Matias, Evangelyn  Maulion, Marienelle.

HEALTH PSYCHOLOGY Psychological Aspects of Breast Cancer.

Case 1 38 years female Right breast lump: 6 months

BREAST CANCER: Half a million women later… Amy Miglani M.D September 3, 2004.

Breast Masses in Adolescent Females

Breast. Differential diagnosis for breast lump Malignant lump Breast abscess Fibrocystic changes: Lumpiness, thickening and swelling, often associated.

2/19/2012 دکتر مریم طباطبائیان. E ARLY DETECTION OF BREAST CANCER 2/19/2012 دکتر مریم طباطبائیان.

HEAPHY 1 & 2 CASE RACE 1 – DIAG Yvonne CLARKE Sat 31 st Aug 2013 Session 3 / CR1-4 13:16 – 13:20 WELLINGTON ABSTRACT Following a woman’s pathway from her.

Case scenario- Breast Lump

NEOPLASIA CASES. CASE 1 A 20 year old female presented with a round mobile breast lump. She has no family history of breast cancer Question : What test.

Fibroadenoma Dr. Gehan Mohamed.

Breast Cancer By Taylor Miller. Who should care? Why? Who? Every woman Why? The facts and statistics.

Jeannie Harper, PhD, RN.  Approximately 50% of women have breast problems  Palpable mass most common sign, detected with self-breast exam  Emotional.

Case D Karmi Margaret G. Marcial. How will you approach the 35-year old, with a 2 x 2 x 2cm, firm, mobile, well-circumscribed non-tender mass on her R.

Benign Breast Conditions

OVERVIEW OF BREAST PATHOLOGY Shahin Sayed, MMed, FCPath(ECSA) Assistant Professor, Department of Pathology, Aga Khan University Hospital, Nairobi.

MAMMOGRAPHY Positioning & Anatomy

BREAST DISEASES.

Application of the breast imaging reporting and data system final assessment system in sonography of palpable breast lesions and reconsideration of the.

Case 3 Jane McNicholas Consultant Oncoplastic Breast Surgeon

Dr. Amit Gupta Associate Professor Dept Of Surgery

Case 4 Jane McNicholas Consultant Oncoplastic Breast Surgeon

Breast Case 1 Jane McNicholas Consultant Oncoplastic Breast Surgeon

Diagnosis and Management of Benign, Atypical, and Indeterminate Breast Lesions Detected on Core Needle Biopsy Lonzetta Neal, MD, Nicole P. Sandhu, MD,

Volume 39, Issue 4, Pages (July 2015)

Primary Care management of breast lump in females younger than 30 years without personal or family history of breast/ ovarian cancer Discrete lump

Case scenario- Breast Lump

Role of the Community Specialist Breast Care Nurse

Case scenario- Breast Lump

Fig. 1. Preoperative mammography and breast ultrasound of a 60-year-old woman. A. Mammography reveals a 0.9 cm mass (arrows) with an indistinct margin.

Diagnosis and Management of Benign, Atypical, and Indeterminate Breast Lesions Detected on Core Needle Biopsy Lonzetta Neal, MD, Nicole P. Sandhu, MD,

Current Status of Breast Ultrasound

Jeong Mi Park, MD, Limin Yang, MD, PhD, Archana Laroia, MD, Edmund A

Priscilla J. Slanetz, MD, MPH, FACR, Shieh-Pei Wu, MD, Jeffrey B

Action Against Cancer HISHAM HAMED

Avoiding Pitfalls in Mammographic Interpretation

Priscilla J. Slanetz, MD, MPH, FACR, Shieh-Pei Wu, MD, Jeffrey B

Cancer 101: A Cancer Education and Training Program for [Target Population] Date Location Presented by: Presenter 1 Presenter 2 1.

Marion C.W. Henry, MD Yale University

ABUS = automated breast ultrasonography

Presentation transcript:

Case 2 Jane McNicholas Consultant Oncoplastic Breast Surgeon East Lancashire Hospitals

Case 2 42 year old woman Noticed a lump in breast 6 weeks ago Unchanged since first noticed No significant personal or family history On examination a 1.5cm lump found at 6o’clock in the left breast - P2

Case 2 What investigations would you do?

Case 2 Mammogram - dense breasts, discrete benign looking lesion at 6o’clock in left breast - M2 Ultrasound - 18mm benign mass corresponding to area on examination - U2 FNA - highly cellular aspirate, benign cells - C2 Core biospy - fibroadenoma - B2

Case 2 M1 - normal mammogram M2 - benign features M3 - indeterminate M4 - probably malignant M5 - malignant

Case 2 What would you advise?

Case 2 New discrete mass in breast in woman over 35 - offer to excise Otherwise - reassure and discharge

Fibroadenoma Classified as an aberration of normal breast development Made of a combination of connective tissue and proliferatory epithelium Arise from the lobule of the terminal duct lobular unit and influenced by hormones (so increase in size in pregnancy) In one study, over a 2 year period, 55% stayed the same, 37% stayed the same or got smaller and only 8% increased in size