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Nonpalpable lesion Bx -u/s localization--have mass -stereotactic technic --no mass Palpable lesion Bx -FNA bx -CNB Indice of Poliferation Apoptosis
Angiogenesis GF Steroid H.R Dx study Hx,PE CBC,LFT CXR,MMG ER,PR HER-2/neu Bone scan U/s or CT abdo
PCNA Bcl2 protein bax:bcl2 ratio (dec ratio-poor prog) VGEF EGF,HER2/neu EP,PR
ca stage 1-4
ca stage 2-4
1.age 2.incidence 3.clinical 4.MMG 5.premeno 6.synchro 7.multicentric 8.bilat 9.axilla metas 10.male 11.subsequent interval to dx histo incidence laterality
LCIS -only in female breast -Terminal Duct Lobular Unit--TDLU -distort/distend TDLU -maintain normal N:C ratio -calcify in adjacent tissue -incidental finding DCIS -can seen in male breast ca -proliferation of epi in duct -papillary growth -intraductal ca 1.cribiform pattern 2.solid growth pattern 3.comedo growth pattern Classification of DCIS Histo nu.gr necrosis DCIS grade comedo hi extensive high IM IM focal/no IM noncomedo low absent low IM--intermediate
T1 T2 T3 T4
Breast RT I/C -BCT--aftet sx 2-3 wk, not>6 wk -T3,4 -inflam breast -skin,fascia,pectoralis involve -lymphovascular invasion -close margin,free margin <1mm -axilla LN status :+ve>4node :>2cm :matted node>3 nodes :gross extracapsular invasion -palliative tx for stage 4/recurrent
low Inter
high
E.rxn E.uncertain E.nonrxn ET ET ET CT-->ET CT or (antra) (antra/tax) CT-->ET (CMF/antra) CT-->ET CT-->ET CT (antra) (antra) (tax)