Breast Cancer - Department of Surgery at SUNY Downstate Medical ...

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Stage 0TisN0M0Stage IT1N0M0Stage II AT0N1M0T1N1M0T2N0M0Stage II BT2N1M0T3N0M0Stage III AT0N2M0T1N2M0T2N2M0T3N1M0T3N2M0Stage III BT4N0M0T4N1M0T4N2M0Stage III CAny TN3M0Stage IVAny TAny NM1
Stage 0 – TisLobular Carcinoma In Situ (LCIS)• Incidental finding in breast biopsies.• Breast cancer risk factor and not a malignancy thatprogresses locally.ll• Tx• Risk of breast cancer development of 1 % per year.• Risk affects both breast.• Pt may develop infiltrating lobular or ductal ca.• Average time for cancer to develop is 10-1515 yrs.• Close follow up - annual mammogram• Chemoprevention• Tamoxifen- 65% risk reduction (Fisher et al).• Prophylactic bilateral mastectomy• Simple or subcutaneous mastectomy.• 90% risk reduction (Hartmann et al).
Page 2 and 3: Case Presentation• 36 y/o female
Page 4 and 5: Case Presentation• Lumpectomy and
Page 6: Modified Radical Mastectomy
Page 9 and 10: Case Presentation• Pt was dischar
Page 11 and 12: • Breast cancerBreast Cancer• M
Page 13 and 14: TNM Classification for Breast• Pr
Page 15: TNM Classification for Breast• Di
Page 19 and 20: Stage 0 - TisDuctal Carcinoma In Si
Page 21 and 22: Stage I and Stage II Breast Cancer
Page 23 and 24: Stage I and Stage II Breast Cancer
Page 25 and 26: Axillary Nodes• Staging procedure
Page 27 and 28: Stage III and Stage IV Breast Cance

Breast Cancer - Department of Surgery at SUNY Downstate Medical ...

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