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Cas 4 Mme ADM

Cas 4 Mme ADM. 49 ans, 1GAT<30 Atcds familaux: C+ tante maternelle âge? Atcds personnel: 1991 tumorectomie B sein G (HEA simple) MX 2000 / 2001: 2 foyers de microcalcifications poussièreuses et granuleuses ( Le Gal 3 et 4) QSI et QSE évolutives par rapport à 1998. int. ext. Cas 4 Mme ADM.

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Cas 4 Mme ADM

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  1. Cas 4 Mme ADM • 49 ans, 1GAT<30 • Atcds familaux: C+ tante maternelle âge? • Atcds personnel: 1991 tumorectomie B sein G (HEA simple) • MX 2000 / 2001:2 foyers de microcalcifications poussièreuses et granuleuses ( Le Gal 3 et 4) QSI et QSE évolutives par rapport à 1998

  2. int ext

  3. Cas 4 Mme ADM • Mammotome sous stéréotaxie foyer externe SG: Lames 4A • Foyer interne SG : non réalisable, cervicalgie+++

  4. Cas 4 Résultats Pré-op • Mammotome foyer calcifications externe SG :sous stéréotaxie : DCIS Grade I Van Nuys strictement associé aux calcifications. Pas de tumeur invasive décelable. Classe B5 selon EGBP • Avis multidisciplinaire CSG : mammectomie conseillée

  5. Cas 4 Mammotome

  6. Cas 4 Mammotome

  7. Cas 4 Conclusions • Mammectomie + Curage (Bordet) • QSE : CCinvasif grade 2 mesurant O,9 cm avec 10 % de composante in situ de grade 3 ) • 10 ganglions indemnes

  8. Cas 4 Conclusions mammectomie CCinvasif grade 2

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