Postmenopausal node-negative

Case No. 96/09
Patient Age: 46

Submitted by: Professor Allan Langlands
Institution: Westmead Hospital
Date: 21 October 1996 

HISTORY

December 1995

• Patient felt a sharp pain in the outer aspect of the right breast and on palpation discovered a lump.

• Saw her local doctor who organised a diagnostic mammogram which was positive. Referred to Department of Radiation Oncology.

• Menarche - 13 years old

• Family history - Maternal grandmother died of breast cancer, sister with breast cancer aged 37, brother died of bowel cancer aged 51, sister with pancreas cancer died aged 51.

• Non-drinker, 30-40 cigarettes/day for the past 30 years.

  • G4 P4

  • Aged 18 at first pregnancy

• Previous exposure to hormone replacement therapy (duration not known)

• Natural menopause at age 40 years.

PAST MEDICAL HISTORY

• Previous benign breast biopsy.

• No regular medications.

Mammographic appearance of a spiculated lesion in the upper outer quadrant of the right breast typical of carcinoma. Also benign nodules seen in both breasts. The mass in the right breast measures 3cm.