OPDCARD

Dr.SWARUPAMITRA/DAVIDKSIMSON.
RadiationOncology
Date
Name:MRS.
:29-
PRAVESH.,3
Jun-
01952
2022
Age/Gender:56
yrs,Female

PATIENTALLERGICTOCHLOROQUININE,CHLOROQUININE,CHLOROQUININE,chloroquinine,CHLOROQUININDRU
Allergy: GS, CHLOROQUININDRUGS, CHLOROQUININDRUGS, PTHAVENO ALLERGIES, PTHAVENOALLERGIES
Remarks:BRIEFCASESUMMARY:

A56yearoldfemalewithnohistoryofcomorbiditiespresentedtoRGCIopdwithcomplaintsoflumpinleftbreastsince6months.mammogram(8/2/

22)- BIRADS5 lesion leftbreast.FNAC-ductalcarcinoma .

ShecametoRGCIforfurthermanagement.

On examination,a 5x5cmlumpwaspalpablein upper innerquadrantofleftbreast(cT2N0).shewasfurtherinvestigatedin

RGCI.Biopsyfromleftbreastlesion-invasiveductal carcinoma,ER-90%,PR-40%,her2neu-negative.

PETCTSCAN-metabolicallyactivelesionleftbreast,withipsilaterallymphnodes.noevidenceofmetastasis.

SheunderwentLEFTMODIFIEDRADICALMASTECTOMYUNDERGAON19.02.2022..e.

OPERATIVEFINDING:

A5X5cmLUMPSEENINTHELEFTBREASTINTHEUPPEROUTERQUADRANTOFTHEBREAST.MILDENLARGEDLYMPHNODESINTHELEFTAXILLA.

HPE--InvasivebreastCarcinomapT3NoMo,ER/-90%,PR-40%,Her-ve.

ShereceiveadjuvantChemotherapywith4ACand4Tlast on29thJune2022.She

toleratedthe treatmentwell.

Nowplannedfor RT.

Patienttobeexaminedonnextvisit.

IMPRESSION--CaleftBreastPostMRM,PostChemoEr+ve,PR+ve.Her-vePlan--

adjuvantRTtothechestwallandSCLLNwithDIBH.

allprosandconsofRtexplainedtothepatientandherson,includingdiscolourationofskin.Milddysphagia,DecreasedBloodcounts.

Investigations to be done: PET- CT

DIBH Training from 21 july 2022

Dr.SWARUPAMITRA...
SENIORCONSULTANT(RadiationOncology)

Note:PleasetaketheappointmentfromFront-Officeorourwebsitewww.rgcirc.org.