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.



