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Submitted Case

2022
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Patient Information: (Do not provide name of the patient)
Age
  57
Diagnosis
  Invasive mammary carcinoma with lobular features of the left breast
Pathology
  IMC w/lobular features, 8 mm, grade 2, no LVSI, + DCIS, grade 2, solid and cribriform, +LCIS, negative margins, no SLNB, ER>95%+, PR 80%+, HER2 negative, Ki67 5%, GATA3 +, E-cad +
Stage
  pT1bNx
Overall Oncology Management Plan
Surgery (biopsy)
  Left partial mastectomy without SLNB
Chemotherapy (if given, what is the regimen)
  N/A
Hormone Therapy
  Yes
Radiation Therapy (fields, dose)
  If go back to OR to have SLNB to clear axilla, will offer APBI. Questions: 1. Do you push surgeon to have SLNB in this case? 2. Do you think she is a good candidate for APBI if SLNB is negative?
Images
Session Name
  Breast Specialist Dr. Abram Recht – June 24, 2022
Session ID
  11956
created_by
  3893
post_id
  11956
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