Presentation
A 25-year-old woman with a palpable mass in her right breast for three months presented to the presented clinic. On physical examination a mobile, firm mass measuring 2x2 cm was detected in right breast, at a region close to axilla. [ncbi.nlm.nih.gov]
Immune System
- Axillary Lymphadenopathy
Examination showed an ulcerating cutaneous mass over the left anterior chest wall, left axillary lymphadenopathy and tenderness over the spine. [ncbi.nlm.nih.gov]
Needle biopsy Diff quik Images hosted on other servers: Ductal carcinoma, Figure A Poorly differentiated ductal carcinoma Images hosted on Flickr: 47 year old woman with 3 x 2 cm painless retroareolar mass and ipsilateral axillary lymphadenopathy, courtesy [pathologyoutlines.com]
Entire Body System
- Pathologist
For pathologists, the diagnosis of mammary carcinoma arising in ectopic breast tissue can be difficult, especially in the axilla, where carcinoma of adnexal origin must be excluded. [ncbi.nlm.nih.gov]
Some pathologists prefer this terminology as the sub-typing of breast carcinoma essentially involves exclusion of special types, identified by certain characteristic features. [librepathology.org]
- Swelling
Surgeons investigating unilateral breast swellings in young males should not dismiss them simply as gynecomastia, and should be wary of cancer. [ncbi.nlm.nih.gov]
When symptoms are present, they may include: Breast lump Nipple discharge Thickening of the breast skin Rash or redness on the breast Swelling in one breast Dimpling of the nipple or breast skin Rash on the nipple The nipple turning inward Lumps in the [cedars-sinai.edu]
The following are possible signs of breast cancer and should immediately be reported to your physician for further evaluation: Lump in the breast Thickening of the breast skin Rash or redness of the breast Swelling in one breast New pain in one particular [hopkinsmedicine.org]
Invasive Ductal Carcinoma of Breast (NOS) is mostly observed in women after the age of 40 years The signs and symptoms of Invasive Ductal Carcinoma of Breast (NOS) include lump in the breast, swelling or skin thickening around the region of the lump, [dovemed.com]
It’s called inflammatory breast cancer because the main warning signs are swelling (inflammation) and redness of the breast. [ww5.komen.org]
- Inflammation
We hypothesize that the local inflammation associated with her recent bout of cellulitis and operations, in conjunction with the presence of a foreign body, may have predisposed the infusaport site to seeding by metastatic tumor cells. [ncbi.nlm.nih.gov]
It’s called inflammatory breast cancer because the main warning signs are swelling (inflammation) and redness of the breast. [ww5.komen.org]
A tumor mass can be nonneoplastic and be due to something like swelling or inflammation. A tumor mass can also be neoplastic, and includes both benign and malignant tumors. [pathology.jhu.edu]
The prognostic significance of inflammation and medullary histological type in invasive carcinoma of the breast. Eur J Cancer 2009;45:1780-1787. [doi.org]
- Weakness
RESULTS: We found a weak negative correlation between ADC and Ki-67 values (r = -0.279; p = 0.029). [ncbi.nlm.nih.gov]
[…] typically shows strong membranous positivity in invasive ductal/NST carcinoma However, up to 3-5% may be negative, especially higher grade tumours Invasive lobular carcinoma is typically negative, but up to 15% may show some staining (though typically weak [librepathology.org]
- Fatigue
I felt very much the same each time, with week 1 having more fatigue & bone aches, week 2 better, and week feeling good again to go into the next infusion. I was fortunate not to have nausea, loss of appetite, or other things I had heard about. [beyondtheshock.com]
I had a plethora of known side effects, common and rare and I’m out the other side, bald but vibrant, fatigued but empowered with my new expiry date to show for it. warmly, Donna Donna Williams, BA Hons, Dip Ed. [blog.donnawilliams.net]
Psychiatrical
- Aggressive Behavior
RESULTS: AAC patients presented with older ages, more aggressive behaviors, lower ER and PR proportions, higher HER2 amplification rates and less application of breast-conserving therapy and adjuvant chemotherapy compared to IDC patients. [ncbi.nlm.nih.gov]
In general, a higher tumor grade is associated with more aggressive behavior. Tissues in the body that make protein secretions; glands are shaped like small round structures. [pathology.jhu.edu]
Breast
- Breast Mass
Abstract We report a case of a 71-year-old female with a palpable breast mass. [ncbi.nlm.nih.gov]
I'd go with 174.9 due to the comment Left breast mass, retroareolar-invasive ductal carcinoma. DCIS is 233.0. What does the physician document unless you're coding for the lab? Invasive vs DCIS. [aapc.com]
Neurologic
- Confusion
05-26-2015, 06:22 AM #1 Location Orlando Posts 99 Invasive Ductal Carcinoma I have dissected this diagnosis and I am starting to confuse myself on which code to use, the 233.0 or 174._ Pathology states: Left Breast mass, retroareolar- invasive ductal [aapc.com]
Learn more Get support When you or a loved one is diagnosed with breast cancer, it can be a confusing and challenging time. [cancer.ca]
Confusion happened long ago, and we are stuck with it. Both names mean exactly the same thing. This page focuses on understanding the histopathology about invasive ductal carcinoma. [breast-cancer.ca]
We are totally confused as to what we should do... Please share your experiences… read more posted about 1 month ago I also wish I had found out about this prior to starting chemo. [mybcteam.com]
Various leading-edge techniques are used to analyze the exact genetics and biology of these confused cancers to find out if the tumor is more similar to carcinoma or sarcoma, since these two types of cancer have very different treatments. [mskcc.org]
- Irritability
Some have skin irritation some dont. My skin was just a tad red at the end and very dry. The nurses will advise what to do if your skin is affected. I am now 9 months post treatment and still tire very easily. [community.macmillan.org.uk]
[…] or swelling of part of the breast; change in the size or shape of the breast Inversion of the nipple (pulling-in of nipple into the breast) Bloody discharge from the nipple Changes to the skin covering the breast or nipple area, including dimpling, irritation [dovemed.com]
- Stroke
More serious risks include blood clots, stroke, or uterine cancer Aromatase inhibitors, stop the production of estrogen in postmenopausal women. Thus, lower levels of estrogen are available to promote cancer cell growth. [dovemed.com]
Workup
(See Workup.) Increased public awareness and improved screening have led to earlier diagnosis, at stages amenable to complete surgical resection and curative therapies. [emedicine.medscape.com]
Treatment
This literature review was structured to identify and understand both the positive and negative QOL factors throughout breast cancer treatment, as well as post breast cancer treatment. [ncbi.nlm.nih.gov]
There are several treatment options for Stage I ductal carcinoma of the breast. [wtop.com]
Prognosis
Survival curves showed that the prognosis for ILC became worse than IDC over time. [ncbi.nlm.nih.gov]
Tubular breast cancer has an excellent prognosis. [hopkinsmedicine.org]
Etiology
Humans Jaundice/etiology Magnetic Resonance Imaging Male Middle Aged Neoplasms, Second Primary/complications Neoplasms, Second Primary/diagnosis* Neoplasms, Second Primary/pathology Neoplasms, Second Primary/surgery Pancreas/pathology* Pancreatectomy [ncbi.nlm.nih.gov]
(Etiology) The exact cause of development of Invasive Ductal Carcinoma of Breast (NOS) is currently not clearly known. [dovemed.com]
These data support the evidence that some breast cancers share etiologic factors with ovarian cancer. [emedicine.medscape.com]
Epidemiology
MATERIALS AND METHODS: With accession to the Surveillance, Epidemiology and End Result (SEER) database, a total of 260,596 patients met the eligibility criteria. Clinicopathological characteristics were compared between groups using Chi-square test. [ncbi.nlm.nih.gov]
Pathophysiology
Pathophysiology The current understanding of breast cancer etiopathogenesis is that invasive cancers arise through a series of molecular alterations at the cell level. [emedicine.medscape.com]
Prevention
Since this condition is rarely reported, the correlated risk factors are worthy of our attention and the strategy for prevention is highlighted. [ncbi.nlm.nih.gov]
[…] past, as well as continued research into how to better prevent, detect, and treat the disease. [web.archive.org]
Though not considered hormone therapy, Herceptin is another drug that helps prevent cancer recurrence. Called a biologic, Herceptin attaches itself to cancer cells and prevents them from receiving growth signals. [healthcentral.com]
Both drugs have potential side effects; including being at a higher risk for blood clots Preventative mastectomy: Prophylactic mastectomy, a procedure to surgically remove healthy breasts, is another possible preventative option for women, at a high risk [dovemed.com]