Re: Recurrent Metastatic Breast Carcinoma

From: Robert Brenner (robbrenner@earthlink.net)
Mon Mar 16 09:08:42 1998


At 02:02 AM 3/15/98 -0600, you wrote: >Medical Summary
>
>Mrs. ABC was first seen at the Tata Memorial Hospital, Bombay on 18.5.92
>with complaints of lump in the left breast. She was investigated and
>diagnosed as a case of carcinoma left breast and underwent left modified
>radical mastectomy on 26.5.92. The histopathological review of the
>specimen revealed a 2 x 1.5 cm tumour (IDC grade II). All 16 axillary
>nodes dissected were negative for metastasis. Post-operatively she was
>started on adjuvant chemotherapy – Tamoxifen 10 mg bd which was stopped
>in 1995. In July 1997 she presented with hoarseness of voice. A CT scan
>of thorax and abdomen done on 3.11.97 showed a soft tissue mass in
>antero-superior mediastinum encasing the left subclavian and the left
>common carotid artery with caudal extension upto the level of aortic
>arch.
>

>
>I would really like a second-opinion, suggestions, advise & will be
>grateful for the same.
>

Do you have a tissue diagnosis for the mediastinal mass?

--
Robert Brenner MD FACOG
Pikesville MD
robbrenner@earthlink.net
http://docs.obgyn.net/drbrenner




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