{"id":66,"date":"2021-03-16T05:10:40","date_gmt":"2021-03-16T05:10:40","guid":{"rendered":"http:\/\/drambarishpadhee.com\/blog\/?p=66"},"modified":"2021-04-02T06:27:40","modified_gmt":"2021-04-02T06:27:40","slug":"t2n0m0-triple-negative-breast-cancer","status":"publish","type":"post","link":"https:\/\/drambarishpadhee.com\/blog\/t2n0m0-triple-negative-breast-cancer\/","title":{"rendered":"T2N0M0 triple negative breast cancer"},"content":{"rendered":"\n<p>51 year old lady presents with a right breast mass Family history of mother succumbing to Carcinoma breast at the age of 61 <\/p>\n\n\n\n<p><strong>Mammogram<\/strong> BIRAD 5 <\/p>\n\n\n\n<p><strong>Needle biopsy <\/strong>IDH : SCORE 7 : Grade 2 : No peri neural lymphatic invasion : suspicious lymphatic invasion : ER Negative PR Negative Her2 Suspicious FISH Negative <\/p>\n\n\n\n<p><strong>PET CT <\/strong>Organ limited  No evidence of distant or lymphnodes hot spots<\/p>\n\n\n\n<div style=\"height:31px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-gallery columns-3 is-cropped\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" width=\"758\" height=\"1024\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-1-758x1024.jpg\" alt=\"\" data-id=\"128\" data-full-url=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-1.jpg\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/sunita-behera-1\/\" class=\"wp-image-128\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-1-758x1024.jpg 758w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-1-222x300.jpg 222w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-1-768x1037.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-1.jpg 945w\" sizes=\"(max-width: 706px) 89vw, (max-width: 767px) 82vw, 740px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" width=\"772\" height=\"1024\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-2-772x1024.jpg\" alt=\"\" data-id=\"129\" data-full-url=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-2.jpg\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/sunita-behera-2\/\" class=\"wp-image-129\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-2-772x1024.jpg 772w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-2-226x300.jpg 226w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-2-768x1018.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-2.jpg 1000w\" sizes=\"(max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" width=\"747\" height=\"1024\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-3-747x1024.jpg\" alt=\"\" data-id=\"130\" data-full-url=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-3.jpg\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/sunita-behera-3\/\" class=\"wp-image-130\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-3-747x1024.jpg 747w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-3-219x300.jpg 219w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-3-768x1052.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-3.jpg 1000w\" sizes=\"(max-width: 706px) 89vw, (max-width: 767px) 82vw, 740px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" width=\"768\" height=\"1024\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-4-768x1024.jpg\" alt=\"\" data-id=\"132\" data-full-url=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-4.jpg\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/sunita-behera-4\/\" class=\"wp-image-132\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-4-768x1025.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-4-225x300.jpg 225w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-4.jpg 967w\" sizes=\"(max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" width=\"796\" height=\"1024\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-5-796x1024.jpg\" alt=\"\" data-id=\"133\" data-full-url=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-5.jpg\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/sunita-behera-5\/\" class=\"wp-image-133\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-5-796x1024.jpg 796w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-5-233x300.jpg 233w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-5-768x988.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-5.jpg 1000w\" sizes=\"(max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" width=\"791\" height=\"1024\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-6-791x1024.jpg\" alt=\"\" data-id=\"134\" data-full-url=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-6.jpg\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/sunita-behera-6\/\" class=\"wp-image-134\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-6-791x1024.jpg 791w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-6-232x300.jpg 232w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-6-768x995.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/04\/sunita-behera-6.jpg 1000w\" sizes=\"(max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure><\/li><\/ul><\/figure>\n\n\n\n<div style=\"height:32px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Therapeutic suggestion<\/strong> : NACT with clip localisation and chaemoport : sentinel node identification with dual tracer : peroperative margin clearance along with sentinel node clearance : wide excision of mass along with cosmetic flap <\/p>\n\n\n\n<p>Post surgical followup with CTRT<\/p>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns\">\n<div class=\"wp-block-column\" style=\"flex-basis:100%\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"788\" height=\"525\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7FEB9EB3-B743-477E-814F-9443F1591FBA.jpeg\" alt=\"\" class=\"wp-image-122\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7FEB9EB3-B743-477E-814F-9443F1591FBA.jpeg 788w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7FEB9EB3-B743-477E-814F-9443F1591FBA-300x200.jpeg 300w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7FEB9EB3-B743-477E-814F-9443F1591FBA-768x512.jpeg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7FEB9EB3-B743-477E-814F-9443F1591FBA-720x480.jpeg 720w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7FEB9EB3-B743-477E-814F-9443F1591FBA-360x240.jpeg 360w\" sizes=\"(max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><figcaption><strong>Excised involved lesion <\/strong><\/figcaption><\/figure>\n\n\n\n<p>The elevent microphotographs , the reports of FISH for Her2 , the mammogram and are in the trail <\/p>\n<\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-gallery columns-4 is-cropped\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><a href=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7d7d563b-a7d5-40d7-b84b-561028d7dc0a-300x225.jpg\"><img loading=\"lazy\" width=\"300\" height=\"225\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7d7d563b-a7d5-40d7-b84b-561028d7dc0a-300x225.jpg\" alt=\"\" data-id=\"77\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/7d7d563b-a7d5-40d7-b84b-561028d7dc0a\/\" class=\"wp-image-77\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7d7d563b-a7d5-40d7-b84b-561028d7dc0a-300x225.jpg 300w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7d7d563b-a7d5-40d7-b84b-561028d7dc0a-768x576.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7d7d563b-a7d5-40d7-b84b-561028d7dc0a-320x240.jpg 320w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7d7d563b-a7d5-40d7-b84b-561028d7dc0a-100x75.jpg 100w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/7d7d563b-a7d5-40d7-b84b-561028d7dc0a.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><a href=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/e9bf2e89-5101-4411-9f98-4df270684283-300x225.jpg\"><img loading=\"lazy\" width=\"300\" height=\"225\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/e9bf2e89-5101-4411-9f98-4df270684283-300x225.jpg\" alt=\"\" data-id=\"78\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/e9bf2e89-5101-4411-9f98-4df270684283\/\" class=\"wp-image-78\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/e9bf2e89-5101-4411-9f98-4df270684283-300x225.jpg 300w, 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data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/da69a293-f19f-464a-93d3-d827bb30d364\/\" class=\"wp-image-79\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/da69a293-f19f-464a-93d3-d827bb30d364-300x225.jpg 300w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/da69a293-f19f-464a-93d3-d827bb30d364-768x576.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/da69a293-f19f-464a-93d3-d827bb30d364-320x240.jpg 320w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/da69a293-f19f-464a-93d3-d827bb30d364-100x75.jpg 100w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/da69a293-f19f-464a-93d3-d827bb30d364.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><a href=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/6359a1a5-6555-459f-a889-958b6ac80ff7-300x225.jpg\"><img loading=\"lazy\" width=\"300\" height=\"225\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/6359a1a5-6555-459f-a889-958b6ac80ff7-300x225.jpg\" alt=\"\" data-id=\"80\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/6359a1a5-6555-459f-a889-958b6ac80ff7\/\" class=\"wp-image-80\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/6359a1a5-6555-459f-a889-958b6ac80ff7-300x225.jpg 300w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/6359a1a5-6555-459f-a889-958b6ac80ff7-768x576.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/6359a1a5-6555-459f-a889-958b6ac80ff7-320x240.jpg 320w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/6359a1a5-6555-459f-a889-958b6ac80ff7-100x75.jpg 100w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/6359a1a5-6555-459f-a889-958b6ac80ff7.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><a href=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/28152215-b697-4eb7-97d4-e700069aaa2d-300x225.jpg\"><img loading=\"lazy\" width=\"300\" height=\"225\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/28152215-b697-4eb7-97d4-e700069aaa2d-300x225.jpg\" alt=\"\" data-id=\"81\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/28152215-b697-4eb7-97d4-e700069aaa2d\/\" class=\"wp-image-81\" srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/28152215-b697-4eb7-97d4-e700069aaa2d-300x225.jpg 300w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/28152215-b697-4eb7-97d4-e700069aaa2d-768x576.jpg 768w, 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srcset=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/67da89b4-5744-479c-ace0-4fdfca35ffa1-300x219.jpg 300w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/67da89b4-5744-479c-ace0-4fdfca35ffa1-768x562.jpg 768w, https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/67da89b4-5744-479c-ace0-4fdfca35ffa1.jpg 954w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><a href=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/70d96596-3edf-47cd-8ac6-99a720d1d3c2-1-189x300.jpg\"><img loading=\"lazy\" width=\"189\" height=\"300\" src=\"https:\/\/drambarishpadhee.com\/blog\/wp-content\/uploads\/2021\/03\/70d96596-3edf-47cd-8ac6-99a720d1d3c2-1-189x300.jpg\" alt=\"\" data-id=\"83\" data-link=\"https:\/\/drambarishpadhee.com\/blog\/2021\/03\/16\/t2n0m0-triple-negative-breast-cancer\/70d96596-3edf-47cd-8ac6-99a720d1d3c2-1\/\" class=\"wp-image-83\" 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mother succumbing to Carcinoma breast at the age of 61 Mammogram BIRAD 5 Needle biopsy IDH : SCORE 7 : Grade 2 : No peri neural lymphatic invasion : suspicious lymphatic invasion : ER Negative PR Negative Her2 Suspicious FISH Negative 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