2.BREAST CA
2.BREAST CA
2.BREAST CA
OF BREAST
CARCINOMA
C.GNANA PRAKASH
A 55 yr old female Mrs.Usha
Rani, house wife from
Perambur belonging to low
socioeconomic status
presents with the chief
complaints of lump in the
Right breast for the past 6
months.
HISTORY OF PRESENTING ILLNESS
Obstetric score: P3 L3
Age at marriage : 17
Age at first child birth : 18
2nd child : 20
3rd child : 22
breastfeeding done for all children till 10 months
FAMILY HISTORY
No h/o
breast/
gynaecological/
gastrointestinal malignancy in first degree
relatives.
GENERAL EXAMINATION
On Examination,
patient is conscious
oriented
moderately built and nourished
No pallor
No icterus
No cyanosis
No clubbing
No pedal edema
No significant generalized lymphadenopathy
VITAL SIGNS
PR-76/min,regular in rhythm,normal volume,no
specific character,no radiofemoral, radioradial
delay,felt in all peripheral pulses,nature of vessel
wall normal
RR-18/min, thoracoabdominal type
BP-130/70 mm Hg in right upper limb,sitting
posture
Afebrile.
LOCAL EXAMINATION
INVESTIGATIONS
Routine:
Blood: Complete hemogram- TC, DC, Hb%, ESR, BT, CT
breast
TREATMENT
1.WIDE LOCAL EXCISION (Breast conservative surgery)
+adjuvant radiotherapy of Right Breast
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