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18
AUG
2017

CBL 2 LOCOMOTOR MODULE (FIRST YEAR MBBS)

CBL 2 (LOCOMOTOR MODULE SEMESTER 2, FIRST YEAR M.B.B.S)

THEME: MASS IN BREAST

 

A 55 year old nulliparous female presents to the OPD with complaint of lump in right breast for the last six months that has rapidly increased in size associated with weight loss. Her family history revealed that her mother had suffered from the same complaint.

On general physical examination the findings are:

  1. A firm mass in upper outer quadrant of right breast adherent to the underlying chest wall and fixed to overlying skin.
  2. Axillary lymph nodes are palpable

Mammography revealed a radio dense mass in upper outer quadrant of right breast along with homogeneously dense internal mammary and right axillary lymph nodes.

 

Learning objectives:

Anatomy:

  1. Basic anatomy of breast along with its blood supply and lymphatic drainage
  2. Anatomical boundaries of axilla
  3. Axillary lymph nodes (five groups)

Pathology:

  1. Differential diagnosis of lump in Breast
  2. Clinical presentation of carcinomas of breast
  3. Risk factors and prognostic factors of carcinomas of breast
  4. Staging of breast cancers
  5. Diagnostic Modalities for a mass in breast

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