A 61-YEAR-OLD FEMALE PATIENT COMES TO THE PHYSICIAN BECAUSE OF A PALPABLE NODULE IN HER BREAST, MEASURING 1,5 CM IN DIAMETER. MAMMOGRAPHY REVEALS A NODULE MEASURING 9 MM IN DIAMETER, WITH SPICULATED MARGINS AND CLUSTERED MICROCALCIFICATIONS LOCATED IN HER RIGHT BREAST. THICK NEEDLE BIOPSY REVEALS AN INVASIVE DUCTAL CARCINOMA (GRADE I). FURTHER STUDIES SHOW THAT THE LESION STAINS POSITIVE FOR ESTROGEN RECEPTORS AND NEGATIVE FOR HER-2. WHICH OF THE FOLLOWING IS THE MOST APPROPRIATE TREATMENT? MODIFIED RADICAL MASTECTOMY, HORMONE THERAPY AND CHEMOTHERAPY, REGARDLESS OF THE LYMPH NODE INVOLVEMENT. TUMORECTOMY COMBINED WITH SENTINEL NODE BIOPSY. RADIOTHERAPY, HORMONE THERAPY AND CHEMOTHERAPY ACCORDING TO THE RESULT OF THE SENTINEL NODE BIOPSY. LYMPHADENECTOMY. CHEMOTHERAPY ACCORDING TO THE RESULT OF THE LYMPH NODES BIOPSY. MASTECTOMY AND TRATUZUMAB. TUMORECTOMÍA, RADIOTERAPIA, LINFADENECTOMÍA Y DANAZOL. TUMORECTOMY, RADIOTHERAPY, LYMPHADENECTOMY AND DANAZOL.
Posted on: Fri, 08 Aug 2014 23:00:15 +0000
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