Honc: Late recurrence of breast CA

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Please make your selection... 1. Chest CT scan 2. Panendoscopy of the aerodigestive tract 3. Right mastectomy and axillary lymph node dissection 4. Thyroid ultrasonography 25% 25% 25% 25% 1 2 3 4
MKSAP Question Although most cases of unilateral axillary lymphadenopathy in women are benign, when a malignancy does occur, it is most commonly breast cancer. Other tumors manifested by axillary lymph node metastasis include those of the lung, thyroid, head and neck, skin, and gastrointestinal tract. The primary site remains unknown in about 30% of patients. Patients with axillary lymphadenopathy, negative imaging studies, and positive findings on immunohistochemical analysis supportive of a diagnosis of occult breast cancer should receive treatment according to established guidelines for stage II breast cancer.
Page 1 and 2: Morning Report August 11, 2011 Nanc
Page 3 and 4: MKSAP Question On physical examinat
Page 5: MKSAP Question Which of the followi
Page 10 and 11: HPI Summary • Nausea and associat
Page 12 and 13: Oncologic History The patient had a
Page 14 and 15: Physical Exam • BP 100/52 Pulse 8
Page 16: Differential Nausea/Vomiting 16
Page 19 and 20: Labs 13.7 9.2 261 38.9 HbA1C 7.5 13
Page 21: Mechanism of Nausea and Emesis •
Page 24 and 25: 6 weeks later, returns to PCP…
Page 26 and 27: Indications for referral 26
Page 28 and 29: CT Abd/Pelv • Metastatic disease.
Page 30 and 31: MRI Head • Multiple lesions in th
Page 32 and 33: CT Chest • RUL pulmonary nodule h
Page 34 and 35: Brain metastasis • Any cancer can
Page 36 and 37: Sir William Richard Gowers (20 Marc
Page 38 and 39: Patient course • Started on oral
Page 40 and 41: Primary Tumor CTCs Bone Marrow Expa
Page 42 and 43: Brain metastasis in HER2+ breast ca
Page 44 and 45: References • Keane JR. Neurologic

Honc: Late recurrence of breast CA

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