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SEPTEMBER 2016 TRAINING DAY

BRISTOL - DR KIM BILLINGTON - BREAST NEEDLE CORES

The whole slides images can be viewed on the Bristol server at this link

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For each case, I would like you to consider the following:
- Describe what you see and if possible come to a conclusion/diagnosis. Think how you would word your report.
- Do you need to do any additional work before signing out the report?
- What biopsy reporting category would you place the biopsy in?
- Is there anything additional you might like to discuss at the multidisciplinary meeting
Breast needle cores - 15 cases

Case No

Clinical details given

Any additional information /point to discuss at MDM

1

59F M4 U5 lesion left breast .....

Immuno?Would you flag up at MDM?

2

77F R5 3.3cm mass upper aspect left breast.

Immuno? Additional tests?

3

35F M1 UOQ U4/5 ?carcinoma.....

Immuno? What next?

4

76F Well defined mass of right breast.....

What would you tell the surgeon?

5

72F Left retroareolar dilated duct with debris.....

MDM recommendation?

6

62F M3 6mm calcs right breast. Prev C1 FNA but anticoag changed so OK for core.....

Reporting category?

7

53F P1 M5 U5. 16mm mass left breast.....

Special type?

8

84F U5P5 lesion left retro-areolar complex.....

9

66F Scaly area on areola.....

What immuno would you order to make a definite diagnosis?

10

56F Prev L breast cancer node +ve 2010, new lump R UOQ ?node.....

What else do you need to know?

11

76F 5cm central breast mass.....

34βE12, CK5, p63, AE1/3 and CD34 negative, weak ER +ve

12

43F 17mm P3M3U5 mass, patient diabetic.....

What would you advise at MDM?

13

62F UIQ M5 U5 P5 well defined ?high grade carcinoma.....

Immuno? DD?

14

65F At least two lesions left beast UOQ and lateral to nipple.....

Any additional work?

15

44F P2 U2/3 4mm ??mass ?distortion left UIQ.....

Previous FNA