Ductal carcinoma in situ

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Ductal carcinoma in situ
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Case No. 98/04
1998 Case Studies

Submitted by: Dr J Boyages

Institution: Westmead Hospital

Date: 25 FEB 98

Patient Age: 56

This is the case history of a health worker, post DCIS diagnosis and treatment. She self presented for a second opinion regarding further management. This woman has a significant family history of breast cancer, she researched her disease using the internet, and library sources and presented asking numerous pertinent questions. She illustrates the need for coordinated multidisiplinary care.

The patient was contacted at home by telephone and an appointment at a multidisciplinary clinic was arranged. Her pathology slides were sent for a second opinion.

HISTORY:

• Routine screening mammography yearly since 1985
• Practices monthly breast self examination

September 1997 - Screening Mammography at a BreastScreen NSW screening unit

Left breast

• Sub-areolar area - irregular clustered branching calcification extending over 30mm.

Right breast

• No significant abnormality

Magnification Views – Left sub areolar region. Fine irregular clustered calcification behind the left nipple

7 October 1997 - Assessed at BreastScreen NSW assessment centre.

Bilateral Ultrasound

• No significant abnormality

Clinical Examination

• No abnormality in either breast or regional nodes

Left Breast Core Biopsy of left breast calcifications

• High grade ductal carcinoma in situ.

Patient referred back to general practitioner to organise treatment

 

Last Updated on Thursday, 01 October 2009 21:06