Scribd Logo
Upload

Welcome to Scribd!

  • Breast Cancer

    Uploaded by

    api-312267074
    91 views12 pages
    This document describes a 70-year-old woman with a history of invasive lobular carcinoma of the breast diagnosed at age 61. She has undergone multiple surgeries on her left breast including lumpectomies and a mastectomy, and has received chemotherapy and radiation treatment. Her family history includes breast cancer in a paternal grandmother. The document provides information on lobular carcinoma including risk factors, lymph node drainage patterns, histologic classifications, and positioning for radiation treatment.

    Original Description:

    Original Title

    breast cancer

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document describes a 70-year-old woman with a history of invasive lobular carcinoma of the breast diagnosed at age 61. She has undergone multiple surgeries on her left breast including lumpectomies and a mastectomy, and has received chemotherapy and radiation treatment. Her family history includes breast cancer in a paternal grandmother. The document provides information on lobular carcinoma including risk factors, lymph node drainage patterns, histologic classifications, and positioning for radiation treatment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    91 views12 pages

    Breast Cancer

    Uploaded by

    api-312267074
    This document describes a 70-year-old woman with a history of invasive lobular carcinoma of the breast diagnosed at age 61. She has undergone multiple surgeries on her left breast including lumpectomies and a mastectomy, and has received chemotherapy and radiation treatment. Her family history includes breast cancer in a paternal grandmother. The document provides information on lobular carcinoma including risk factors, lymph node drainage patterns, histologic classifications, and positioning for radiation treatment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 12

    Breast Cancer

    Invasive Lobular Carcinoma


    By Tessa Rodgers

    Patient History

    70 year old Caucasian female

    Diagnosed at 61 years old

    TB 1

    SSCBC

    Dr. Bazan

    Family History

    Mother Stroke

    Sister Cancer of the throat @ 64 yrs. old

    Paternal Grandmother Breast cancer @ 43 yrs. old

    ???

    Medical + Surgical History

    2006 Riverside

    Right breast lumpectomy

    Lobular Carcinoma In Situ

    2007
    Bilateral oophorectomy

    Appendectomy

    Invasive Pleomorphic Lobular Carcinoma


    ER/PR+Her2Neu-

    1.6 cm

    Left lymph node biopsy

    Left breast lumpectomy

    High blood pressure

    Hypothyroid

    High cholesterol

    8/11 nodes ILC positive

    Arthritis

    Hemorrhoid

    1.8 cm

    Seroma drainage 14 weeks

    4/2/2015

    Left modified radical mastectomy after chemo

    ILC positive in axilla

    Invasive Pleomorphic Lobular Carcinoma ER/PR+Her2Neu-

    Left lymph node biopsy

    Left breast biopsy

    10/2014 - OSU

    Left breast biopsy

    2011

    No carcinoma found

    Left breast biopsy

    Polypectomy

    9/19/2013

    Left axilla + IMC + supraclav radiation

    7/10/2015

    Social History

    Gahanna, Ohio

    Divorced

    One daughter

    Retired

    Former Smoker

    pack a day x 20 years

    No alcohol use

    No drug use

    Presenting Signs

    Single, dominant and asymptomatic mass in breast

    Skin dimpling

    Peau d orange

    Nipple discharge

    Pagets disease

    Lymphadenopathy

    Mammographic abnormality

    THERES AN APP FOR THAT

    Etiology

    Females > males

    Primary relatives diagnosed before 50

    Increasing age

    2/3 55 years old or older @ diagnosis (invasive)

    History of breast cancer

    Lobular carcinoma in situ

    Early menarche, late menopause

    Older age at first birth

    Nullparity

    Hormone replacement therapy

    Lymphatics

    Axillary

    Low/mid/apical
    Major drainage

    Internal Mammary Chain

    1st 3rd intercostal space

    2-3 cm from midline and 2-3 cm deep

    Supraclavicular

    Triangle defined by the omohyoid muscle and tendon

    Histologic Classifications
    Invasive
    Adenocarcinoma

    Invasive Lobular
    Carcinoma

    Mucinous
    Carcinoma

    Medullary
    Carcinoma

    Tubular
    Carcinoma

    Pleomorphic

    Larger cells
    Aggressive
    Shortened patient survival
    Small clusters of cells
    Prone to mets

    Noninvasive
    Carcinomas
    Intraductal
    Carcinoma
    (DCIS)

    Lobular
    Carcinoma In
    Situ (LCIS)

    Papillary
    Carcinoma

    Patient Positioning

    Supine Breast Board

    Red HR @ 5 with shim

    Tilt 0

    Lt. and Rt. arm cup PV3

    Lt. and Rt. arm cup A1

    Butt stop 10

    Board # 26

    Head straight

    Chin strap

    Vac bag under left arm

    Knee sponge with pillow

    Sponge under pelvis

    Washcloth over eyes

    Difficulties?

    TATTOOS
    FROM
    PREVIOUS TX

    Treatment Plan + Field Design

    You might also like