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ASBD-SIS 2014 World Congress on Breast Healthcare

ASBD-SIS 2014 World Congress on Breast Healthcare. Tumor Board: Multidisciplinary Approach to Rare Breast Lesions Moderator: Aysegul A. Sahin, MD Panelists: Bruce Haffty Kelly K. Hunt Liane Philpotts Kalliopi P. Siziopikou Debu Tripathy.

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ASBD-SIS 2014 World Congress on Breast Healthcare

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  1. ASBD-SIS 2014 World Congress on Breast Healthcare Tumor Board: Multidisciplinary Approach to Rare Breast Lesions Moderator: Aysegul A. Sahin, MD Panelists: Bruce Haffty Kelly K. Hunt Liane Philpotts Kalliopi P. Siziopikou DebuTripathy

  2. 48-year old female presents with a palpable breast mass. She has a strong family history of breast cancer. Physical examination reveals a 2.5 cm mass, not fixed to overlying skin or underlying chest wall. Case #1

  3. Case #1 Courtesy of Dr. W. Yang

  4. Case #1 Courtesy of Dr. W. Yang

  5. Case #1 cytokeratin CNB reveals spindle cell malignant neoplasm

  6. Case #2 48-year old woman had a stereotactic CNB of pleomorphic calcifications identified on screening mammogram.

  7. Case #2

  8. Dx: Pleomorphic Lobular Carcinoma in situ Case #2 E-cadherin

  9. Case #2

  10. Case #3 • 68-year old woman with history of myocardial infarct was found to have punctate calcifications associated with 1 cm left breast density on annual screening mammogram. • Stereotactic CNB revealed invasive ductal carcinoma grade 2, ER+, PR+, Her2 -.

  11. Case #3 • Segmental resection and SLN biopsy was performed. • 1.1 cm IDC, grade 2, no LVI • Margins free (closest margin 0.5 cm)

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