Tumor Board: Multidisciplinary Approach to Rare Breast Lesions

1
ASBD-SIS 2014 World Congress on Breast Healthcare

• Tumor Board Multidisciplinary Approach to
  Rare Breast Lesions
• Moderator Aysegul A. Sahin, MD
• Panelists
• Bruce Haffty
• Kelly K. Hunt
• Liane Philpotts
• Kalliopi P. Siziopikou
• Debu Tripathy

2

• 48-year old female presents with a palpable
  breast mass.
• She has a strong family history of breast cancer.
• Physical examination reveals a 2.5 cm mass, not
  fixed to overlying skin or underlying chest wall.

3
Courtesy of Dr. W. Yang
4
Courtesy of Dr. W. Yang
5
cytokeratin
CNB reveals spindle cell malignant neoplasm
6

48-year old woman had a stereotactic CNB of
pleomorphic calcifications identified on
screening mammogram.
7
(No Transcript)
8
Dx Pleomorphic Lobular Carcinoma in situ
E-cadherin
9
Case 2
10

• 68-year old woman with history of myocardial
  infarct was found to have punctate calcifications
  associated with 1 cm left breast density on
  annual screening mammogram.
• Stereotactic CNB revealed invasive ductal
  carcinoma grade 2, ER, PR, Her2 -.

11

• Segmental resection and SLN biopsy was performed.
• 1.1 cm IDC, grade 2, no LVI
• Margins free (closest margin 0.5 cm)