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Wide Local Excision – Case Study 4
Left Wide Local Excision for a patient with a breast implant augmentation

46 year old

  • Left upper inner quadrant breast lump in Dec 2013.
  • Bilateral implant augmentation – 7 years ago. 34C bra cup size.
  • Left wide local excision + Sentinel Node biopsy while preserving left original implant (early Jan 2014)- 24g tissue excised. Histology shows 12mm Grade 3 Invasive Ductal Carcinoma with 18mm of high grade DCIS, margins clear, ER positive, PR negative, HER2-positive, 1 out of 3 lymph nodes contain metastasis.
  • Subsequent axillary clearance showed no further metastasis on remaining 20 lymph nodes.
  • After surgery – chemotherapy and Herceptin and left whole breast radiotherapy.
  • Last mammogram and clinic follow-up in 2018 showed no evidence of recurrence.
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