Tumor Board: Multidisciplinary Approach to Rare Breast Lesions Moderator: Aysegul A. Sahin, MD Panelists: Bruce Haffty Kelly K. Hunt Liane Philpotts Kalliopi.

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Presentation transcript:

Tumor Board: Multidisciplinary Approach to Rare Breast Lesions Moderator: Aysegul A. Sahin, MD Panelists: Bruce Haffty Kelly K. Hunt Liane Philpotts Kalliopi P. Siziopikou Debu Tripathy ASBD-SIS 2014 World Congress on Breast Healthcare

48-year old female presents with a palpable breast mass. She has a strong family history of breast cancer. Physical examination reveals a 2.5 cm mass, not fixed to overlying skin or underlying chest wall. Case #1

Courtesy of Dr. W. Yang

Case #1 Courtesy of Dr. W. Yang

Case #1 CNB reveals spindle cell malignant neoplasm cytokeratin

Case #2 48-year old woman had a stereotactic CNB of pleomorphic calcifications identified on screening mammogram.

Case #2

Dx: Pleomorphic Lobular Carcinoma in situ Case #2 E-cadherin

Case #2

Case #3 68-year old woman with history of myocardial infarct was found to have punctate calcifications associated with 1 cm left breast density on annual screening mammogram. Stereotactic CNB revealed invasive ductal carcinoma grade 2, ER+, PR+, Her2 -.

Case #3 Segmental resection and SLN biopsy was performed. 1.1 cm IDC, grade 2, no LVI Margins free (closest margin 0.5 cm)