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Case #2

Physical Exam

Left breast: Palpable mass at about the 6:00 area on the left breast. No nipple retraction noted, no discharge. Right breast: No discrete masses, no discharge noted. Remainder of physical examination was negative.

Imaging

July 2004

Mammogram: Abnormal mass at 6:00 in left breast, right breast normal

Laboratory

10/24/04

SMA 20: within normal limits

Surgical Observations

10/3/04

Excisional biopsy

Pathological Report

10/3/04

Ductal Carcinoma In Situ (DCIS), apocrine type with extensive necrosis with one focus showing microinvasion (measuring less than 1 mm in diameter). The morphology of the DCIS is classified as high-grade.