Hello Doctors, a doctor friend of mine just mailed me from Europe to discuss the following case, 43 year old patient, ED a tripple-negative breast NPL with associated DCIS 01/2013, primarily cT2 (27 mm) CN1 M0 G3 L1. First neoadj.
CTx after GEPAR Septo study (4 x paclitaxel, 4 x EC); 07/2013 segmental resection and axillary dissection, two-time repeat resection in again nachweiosbarem microcalcifications, post-therapeutic tumor ypT1a formula (3mm) ypNo (0/8) M0 L0 V0 R0 G3> 3mm after dorrsal, pTis R0> 1 mm posteriorly (here only muscle); then adjuvant radiation to the chest and the Supra pit and the axilla Level III to 52 Gy boost irradiation of the former tumor region 16 Gy; 01/2014 Axillarevision left in axillary Loklrezidiv Rpn1 (1.3), metastatic infiltration of a LK system due to a strong growing, poorly-diff.Carcinoma, additive after CTx with 4 x cisplatin / gemcitabine, last…
