1. Action Against Cancer HISHAM HAMED
Consultant Oncoplastic Breast Surgeon
Honorary Senior Lecturer
Guy’s & St Thomas’ Hospital
University Hospital Lewisham

2. Breast Cancer Presentation
Breast lump
Nipple: eczema, ulcer, inversion, discharge
Skin: dimpling, lump, ulcer, redness, skin oedema (peau d’orange)
Lump in axilla
Lymphoedema
Screen detected

3. Significant Risk Factors
Gender
Age
Benign histology (e.g Lobular neoplasia (LCIS), Atypia)
Strong FH (Moderate / High risk)
Previous irradiation for lymphoma
Genetic mutations (BRCA1&2, P53 and others)

4. Diagnostic Pitfalls
Nipple: inversion, eczema, itching
Skin: redness, prominent pores, texture changes, infected lesions
Lumpy breasts in a young woman
Breast lump following a trauma
Axillary breast tissue
Medical problems (cardiac failure, intra-thoracic disease

5. Thank You
Questions