PBL 4 session 3

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PBL 4 session 3 by Mind Map: PBL 4 session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. Goals remove mass to extend patients quality of life absolute cure prevent recurrence pathological staging of disease to privde prognosis

2.1.2. Early until 2b breast conserving surgery

2.1.3. localy advanced 2b and beyond radio nd chemotherapy

2.1.4. Surgery Early stage, first line mastectomy stage 3 stage 4 for relief of symptoms male pts w/ breast cancer are candidates BRCA 1 and 2 POSITIVE Recurrence, wound infection, necrosis are complications ( they should be told to pt) quadrentectomy lumpectomy (BCS) OUR patient + chemo for our pt complete resection of tumor with ideal 1cm margins Contraindication It provides survival equivelant of mastectomy and looks good Needle localization is done to make sure of location (done by radiologist.

2.1.5. Chemotherapy Adjuvent REALLY IMPORTANT stage 2-4 if estrogen recepotors are negative Cycophosphomide CAT Targeted Less SE more expensive HER 2 + Antiangiongenisis Hercipin

2.1.6. Hormonal Tamoxifen Estrogen receptor antagonist Reduce recurrence by 50% Aromatase Inhibitors

2.1.7. Radiotherapy Similar to chemo in regards to given as adjuvent or neoadjuvent usually given as brachytherapy needle inserted to tumor External beam radiation More SEs Opinion of patient important HIGH risk patients or deep tumors Multidescpilinary approach Partial: recommendedage above 45, tumor size less than 3cm Skin irritation

2.1.8. f

2.2. Prevention

2.2.1. Followup Mammography annualy symptoms for recurrence we need to do plan History and Physical exam every 4 months MDT Social worker, psychologist patient should be reassured about survival rate more than 70% survival rate Genetic testing Education of family

2.2.2. Prevent Primary Trial Surgical mastecomy Secondary Early detection Starting at 40 Tertiary For mets and complications and prevent recurrence .00.

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes