Ateneo de Zamboanga University College of Nursing 1st Semester 2013-2014 NCM 106B

CASE STUDY 3: Breast Cancer G. A., a 37 year old female, married, G1P1 came in for consult due to a right breast mass. HPI:

6 months PTC, the patient felt a 1x1 cm mass over the upper outer quadrant of her right breast. It was movable and non-tender. No consult was done. She noted gradual enlargement of the same mass but was non-tender. One month PTC, she noted skin dimpling on her right breast. Persistence of the above symptoms with now accompanying tenderness on the right breast prompted her to seek consult. Personal History Non-smoker, non-alcoholic drinker, with regular monthly menstruation, G1P1 Family History: Aunt died of breast cancer, father has HTN & DM QUESTION 1: What will be your diagnostic tests/procedures for this patient ? And why? QUESTION 2:What is your management plan for the patient? QUESTION 3: What other tests do you plan to request ? INCLUDE ADDITIONAL IMMUNOHISTOPATHOLOGICAL & LABORATORY REQUESTS FOR STAGING SYSTEM QUESTION 4 : DISCUSS PROGNOSTIC & PREDICTIVE FACTORS IN BREAST CANCER QUESTION 5: DISCUSS SCREENING TESTS, SURVEILLANCE & HORMONAL TREATMENT