Lumpectomy & Sentinel Lymph Node Biopsy – Breast Cancer

Case: 72 year old female, no prior breast history, no family history of breast cancer, no breast complaints. ¬†Screening mammogram done that showed a mass in the 12 o’clock position of the left breast, ultrasound showed an irregular 1.4 cm mass. ¬†Ultrasound guided biopsy showed invasive ductal carcinoma, grade II, no DCIS, no lymphatic invasion, ER (pos), PR (pos), HER2 (FISH) NOT amplified. ¬†Review of findings and options, she requested lumpectomy and sentinel lymph node biopsy (SNLBx) as her treatment with post op breast irradiation.

Exam: Breast exam did not show any palpable masses, no palpable lymph nodes, no skin changes, no rashes, no nipple discharge.

CC View

MLO View

Ultrasound image of needle localization.

Lymphoscintography for left breast SLNBx

 

Needle Localization Wire

Sentinel Lymph node (node is blue)

Partial Mastectomy Specimen

Specimen Mammogram showing clip, mass, and wire in place.

Post Lumpectomy and Sentinel Lymph node biopsy