1. Breast Case 1 Jane McNicholas Consultant Oncoplastic Breast Surgeon
East Lancashire Hospitals NHS Trust

2. Case 1 23 year old woman Noticed a lump 3 months ago in right breast
Might have got slightly larger in that time
Nil of note in history
On examination, a 2cm lump found in upper outer quadrant of breast - P2

3. Case 1 P1 - normal P2 - probably benign P3 - indeterminate
P4 - probably malignant
P5 - malignant

4. Case 1
What investigations would you do?

5. Case 1
Ultrasound of right breast reveals 2 cm discrete benign looking mass - U2
FNA - C2
Core biopsy - B2 - fibroadenoma

6. Case 1 U1 - normal U2 - benign U3 - indeterminate
U4 - probably malignant
U5 - malignant

7. Case 1
C1 - inadequate/ insufficient for analysis (i.e too few epithelial cells)
C2 - benign
C3 - indeterminate
C4 - suspicious of malignancy
C5 - malignant

8. Case 1 B1 - normal breast tissue B2 - benign B3 - indeterminate
B4 - suspicious of malignancy
B5a - DCIS
B5b - invasive cancer
B5c - unable to assess invasion

9. Case 1
What would you tell the patient?

10. Case 1 Benign breast lesion
Only reason to remove it is at patient request
Reassure and discharge