020 3433 2131
breastsurgeoninlondon@gmail.com

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

46 yr old

45 year old with a right breast lump for two months (early Dec 2019)

  • Right breast ultrasound and mammogram shows two breast cancer tumours in the right breast breast:
    • 9 o’clock 4mm tumour –Grade 2 Invasive Lobular Carcinoma ER+ve PR+ve HER2-ve
    • 10 o’clock – 6mm tumour – same as above
  • MRI shows two breast cancers measuring a total area of 57mm in right upper outer quadrant
  • Right 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.