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General Surgical Fellowship Examination Revision Course. Case 1. How would you manage this patient?. How would you manage this patient? The patient decides to have a WLE and radiotherapy + SLNB – how will you consent her?. How would you manage this patient?
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How would you manage this patient? • The patient decides to have a WLE and radiotherapy + SLNB – how will you consent her?
How would you manage this patient? • The patient decides to have a WLE and radiotherapy + SLNB – how will you consent her? • What are the important factors on a synoptic histology report for breast cancer?
Give the differential diagnoses • How would you further investigate this woman
Give the differential diagnosis • How would you further investigate this woman? • Discuss the pathophysiology of inflammatory breast cancer
Give the differential diagnosis • How would you further investigate this woman? • Discuss the pathophysiology of inflammatory breast cancer • How would you manage this woman?
Discuss the role of radiotherapy post-mastectomy • How will you consent the patient for post-mastectomy radiotherapy (including complications)?
Discuss the role of radiotherapy post-mastectomy • How will you consent the patient for post-mastectomy radiotherapy (including complications)? • How would you follow up this woman?
How would you investigate this patient? • What treatment would you counsel her towards?
How would you manage this patient? • Patient asks, “What are my chances of getting cancer if I don’t have an operation?”
How would you manage this patient? • Patient asks, “What are my chances of getting cancer if I don’t have an operation?” • Are you aware of prognostication index for DCIS?
How would you manage this patient? • Patient asks, “What are my chances of getting cancer if I don’t have an operation?” • Are you aware of prognostication index for DCIS? • Compare and contrast DCIS vs. LCIS