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Dr. Barbara L. Smith (Surgical Oncology): A 36-year-old woman was seen in the multidisciplinary breast cancer clinic of this hospital for management of hormone-receptor–positive breast cancer.
Approximately 3 months earlier she noted a lump in her right breast. Her primary care provider palpated a mass, adjacent to the nipple, in the upper central quadrant of the right breast. Approximately 2 months after she first noted the lesion, digital mammography, performed at another hospital, showed heterogeneously dense breast parenchyma, with no discrete mass, architectural distortion, or suspicious microcalcifications. The same day, ultrasonography of the breast revealed a mass, 1.3 cm by
Differential Diagnosis
Pathological Discussion
Discussion of Management
Management of Stage II Breast Cancer in a Young Woman
Preservation of Fertility in Patients with Breast Cancer
Anatomical Diagnoses
Source Information
From the Division of Medical Oncology, Dana–Farber Cancer Institute, and the Department of Medicine, Brigham and Women's Hospital (H.J.B.); the Departments of Obstetrics, Gynecology, and Reproductive Biology (I.S.), Radiology (H.A.D.), and Pathology (D.C.S.), Massachusetts General Hospital; and the Departments of Medicine (H.J.B.), Obstetrics, Gynecology, and Reproductive Biology (I.S.), Radiology (H.A.D.), and Pathology (D.C.S.), Harvard Medical School — all in Boston.
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