Invasive ductal carcinaoma and atypical lobular hyperplasia

Case No. 98/03
Patient Age: 68

Submitted by: Dr Owen Ung

Institution: Westmead Hospital

Date: 24 APR 98

HISTORY:

January 1998

Routine clinical breast examination by patient’s gynaecologist - a smooth non-tender lump was palpated at the 10 o’clock position of the right breast.

Clinically this was felt to be benign.

Previous Breast History

• Always had lumpy breasts
• Multiple cyst aspirations in the past from both breasts.
• Last mammography, 1996

Gynae History

• Menarche 14
• G3 P3, aged 21 at first delivery,
• Breast-fed one child for more than 3 months,
• Menopause age 55, on HRT for 10 years

Previous Medical / Surgical History

Hypertension, osteoarthritis, hypothyroidism, transient ischaemic attacks.

Medications

• Hormone Replacement Therapy (HRT) - Ogen, Primolut N, for past 10 years
• Oroxine

Family History of Cancer

• Sister, diagnosed with breast cancer aged 58
• Mother, stomach cancer
• Son, melanoma