Right nipple sparing mastectomy + sentinel node biopsy + immediate Beckers implant + Braxon mesh Reconstruction for invasive cancer

46 yr old

• Presents with a two month history of a right breast lump in early Dec 2019
• Right breast ultrasound and mammogram shows two breast cancer tumours in the left breast:
  • 9 o’clock 4mm tumour –Grade 2 Invasive Lobular Carcinoma ER 8 PR8 HER2-negative
  • 10 o’clock – 6mm tumour – same as above
• MRI shows multifocal breast cancer in an area measuring 57 mm in left upper outer quadrant
• Left nipple sparing mastectomy a + Sentinel Node Biopsy + immediate implant and Braxon mesh reconstruction (late Dec 2019) – final histology: 75 mm multifocal Grade 2 Invasive Lobular Carcinoma, tumour 8mm clear or nipple bed margin, rest of margins clear, 1 micrometastasis ( < 2mm) in one sentinel node out of four sentinel nodes.
• Oncotype Dx test – 17 – Chemotherapy not required.
• Chest wall Radiotherapy and Tamoxifen for 10 years.