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.

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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 screening mammogram to diagnosis and treatment

A Hidden Life Changer NZIMRT Conference 2013 Yvonne Clarke

Patient Background 51 yr female, second screening episode Two month history of a right lump Family history of breast cancer

Examples of Breast Cancers Ductal Tubular Lobular

Further Clinical Investigations Ultrasound guided biopsy performed Nuclear Medicine whole body bone study CT Chest / Abdomen / Pelvis MRI Breast MRI Abdomen- Liver Left Breast Ultrasound

Outcome and Follow up Diagnosed with Infiltrating Ductal Carcinoma No evidence of bony metastatic disease Right Mastectomy Radiotherapy Hormone therapy for 5 yrs CT Abdomen Breast MRI Annual mammogram for the next 5 yrs 6 monthly appointments for clinical breast examination & review