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Assignment:
M.D. 15 a 50-year-old woman whose routine mammogram showed a 2 3- = 4 5-cm lobulated mass at the 3 o clock position in her left breast. M.D. underwent a needle biopsy and was diagnosed with mvasive ductal carcinoma, estrogen and progesterone receptor positive. The staging workup was negative for distant metastasis. Her final staging was stage [IB. She had a modified radical mastectomy with axillary lymph node dissection. The sentinel lymph node and 4 of 16 lvmph nodes were positive for tumor cells. An implanted port was placed during surgery
1. What are the nisk factors for breast cancer?
2. Breast cancer is classified as noninvasive or invasive. Compare these terms.
3. Discuss the implications of a positive sentinel node.
4. What factors affect prognosis and treatment for breast cancer?
5. Is she a candidate for tamoxifen therapy? Explain vour reasoning.
6. Why is she at risk for lymphedema.
7. What actions will you teach M.D. to reduce her risk for developing lymphedema?
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