1. 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

2. A Hidden Life Changer NZIMRT Conference 2013 Yvonne Clarke

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

8. Examples of Breast Cancers Ductal Tubular Lobular

9. 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

10. 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