R M. is a 72-year-old female who went to her health care provider with a complaint of “feeling tightness” around a lump in her right breast. She has a history of hypertension and smoking (25 pack-year history).
Has a family history of breast cancer-one sister recently had lumpectomy and radiation therapy. Mother and aunt died from breast cancer when they were in their 60s.
Has had history of “lumpy” breasts, but this lump feels “different”
Says she cannot quit smoking because of all of the stress in her life. Her husband recently left her, and she has not seen her two daughters in more than 6 months.
She spends most of her time watching TV
5’9”, 205 lb
Blood pressure 165/100, pulse 76, respirations 20, temperature 98.8°F
Palpable mass in right breast in upper outer quadrant
Bilateral mammogram and ultrasound of right breast
Case Study Progress
R.M. goes to her follow-up visit and is told that the mammogram and ultrasound show a 4-cm mass. She undergoes a core needle biopsy. The results indicate that the mass is infiltrating lobular carcinoma. She undergoes a lumpectomy and axillary lymph node dissection. Six of 15 axillary lymph nodes are positive for cancer. Two weeks after surgery, she is being seen to discuss further treatment options.
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