Ketty Badrinath, M.D.
53 yr old F presented to Breast Care Center at Loyola for a second opinion.
HPI: She was healthy all her life and has been getting screening mammograms since 1995 and her last mammogram was found to be abnormal. Her mammogram showed subtle architectural distortion, without a mass or calcifications. Read as Birads 4, and biopsy was recommended.
Course: She underwent an ultrasound guided biopsy showing DCIS. Slide review showed DCIS extending into lobules, cribriform and solid type, nuclear grade 1 measuring 2.2 cm in diameter. DCIS was focally seen at inked margins.
Social: Japanese translator. Married. Menarche at 13 yrs and menopause at 51 yrs of age. No Hx of smoking or alcohol. No Hx of BCP or ERT.
Family Hx: Mother died of tongue carcinoma and multiple myeloma. Father died of Addison's disease secondary to tuberculosis. Two sisters are alive and well.
Review of Systems: None
PEx: Was normal except for S/P biopsy of right breast. Left breast examination was normal.
Assessment: DCIS S/P ultrasound guided biopsy of right breast.
Plan and Recommendation: She was advised reexcision in view of margin involvement followed by radiation and adjuvant tamoxifen. She is currently on adjuvant tamoxifen without sequelae.