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Cas 1 Mme JA

Cas 1 Mme JA. 61 ans, G1P1, antécédents séno: -, TSH EP: rétraction cutanée + nodule irrégulier 1.5 cm sous jacent SEG MX: désorganisation architecturale + micro IV 2 cm SEG bifocales US: zone hypoéchog irrégulière absorbante de 19 mm et hypervascularisée en doppler énergie. Cas 1.

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Cas 1 Mme JA

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  1. Cas 1 Mme JA • 61 ans, G1P1, antécédents séno: -, TSH • EP:rétraction cutanée + nodule irrégulier 1.5 cm sous jacent SEG • MX:désorganisation architecturale + micro IV 2 cm SEG bifocales • US: zone hypoéchog irrégulière absorbante de 19 mm et hypervascularisée en doppler énergie

  2. Cas 1 Désorganisation + micro IV SEG

  3. Cas 1 Désorganisation

  4. Cas 1 Micro IV SEG

  5. Cas 1 SEG  Microbiopsie sous US

  6. Cas 1 • Microbiopsies et FNACsous US zone de désorganisation • Lames 1A

  7. Cas 1 Résultat Pré-op • Microbiopsies TC (lame 1A): DCIS Gr II-III selon Van Nuys Classe B5 EGBP • FNAC: Présence de cellules glandulaires malignes Classe C5 EGBC.

  8. Cas 1 FNAC

  9. Cas 1 Microbiopsies TC

  10. Cas 1 Microbiopsies TC

  11. Cas 1 Microbiopsies TC

  12. Cas 1 • Mammectomie Patey + curage 1er niveau • Lames 1C

  13. Cas 1 Conclusion • Mammectomie Patey + curage 1er niveau • Epithélioma canalaire in situ Gr I, II, III selon Van Nuys (taille +/- 4 cm); foyer d’épithélioma lobulaire in situ et de carcinome canalaire invasif de grade II (+/- 1.5 cm). 1 ggl métastatique / 5.

  14. Cas 1 Conclusion DCIS Gr I selon Van Nuys

  15. Cas 1 Conclusion LCIS

  16. Cas 1 Conclusion Carcinome canalaire invasif

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