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

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Stage 0 – TisDuctal Carcinoma In Situ (DCIS)• Presentation- clustered microcalcifications onmammogram• Management• Simple Mastectomy +/-Sentinel LN bx• Excision i and Radiation i Therapy (RT)• Excision alone
Stage 0 – TisDuctal Carcinoma In Situ (DCIS)• Simple Mastectomy• Indications• Multicentric disease identified on mammogram• Positive margins after reexcision• Unacceptable cosmesis to obtain negative margins• Patient’s choice.• Cures 98% patients• Tx failure related to unrecognized invasive carcinoma.• Invasive carcinoma found in 26% of pts having mastectomy forDCIS (Morrow, et al)• Radical tx for a lesion that may not progress to invasivecarcinoma.
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 and 16: TNM Classification for Breast• Di
Page 17: Stage 0 - TisLobular Carcinoma In S
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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