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Submitted Case

2023
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12. Peer Review
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Patient Information: (Do not provide name of the patient)
Age
  44 very healthy fashion model, mammogram detected L breast calcs
Diagnosis
  L breast lower outer quadrant 4:00, pT1cN0 with LVSI+
Imaging
  MRI = In the left breast at 4:00 posterior depth, there is an enhancing mass measuring 1.8 x 1.4 x 1.7 cm which abuts the pectoralis major muscle, surrounded by regional nonmass enhancement measuring approximately 4.3 x 3.8 x 5.2 cm
Pathology
  18 x 15 x 14 mm Invasive ductal carcinoma, grade 2 of 3, ER+PR+Her-, 0/2SN, LVSI+; 62mm DCIS G3/necrosis; all margins >2mm, posterior margin <0.5mm but pec fascia stripped.
Stage
  pT1cN0
Overall Oncology Management Plan
Surgery (biopsy)
  Bilateral nipple sparing mastectomy with tissue expanders bilaterally
Hormone Therapy
  yes
Radiation Therapy (fields, dose)
  ?
Images
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Session Name
  Breast Specialist Dr. Abe Recht – October 27, 2023
Session ID
  13563
created_by
  6949
post_id
  13563
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