scholarly journals The Efficacy of Physical Therapy Rehabilitation Program for Women Following a Modified Radical Mastectomy: A Case Report

2021 ◽  
pp. 58-65
Author(s):  
Vibhuti Gaur ◽  
Shruti Deshpande ◽  
Tasneem Burhani
Keyword(s):  
Lymph Node ◽  
Physical Therapy ◽  
Ductal Carcinoma ◽  
Radical Mastectomy ◽  
Left Breast ◽  
Modified Radical Mastectomy ◽  
Shoulder Stiffness ◽  
Outer Quadrant ◽  
Breathing Exercises ◽  
Infiltrating Ductal Carcinoma

Background: The most commonly identified cancer is breast cancer. In either the lobules or the breast ducts, the cancer normally grows. Infiltrating ductal carcinoma is the most common subtype. It may appear as a lump or mass; changes in the skin or nipple; breast rash or redness; or lymphadenopathy. Presenting Complains and Investigations: the patient presented with the complains of  swelling and pain in the left breast in lower outer quadrant since 6 months, which was initially small in size and gradually increased and reached up this level 2x2 cm which placed in infra areolar region covering lower inner and outer quadrant. USG and cytology reports showed bilateral breast with axilla. Right breast was normal, enlarged lymph node in the right axilla measuring 15.2 x 4.6 mm with maintained hilum S/O reactive lymphadenopathy. In left breast there is E/O ill-defined taller than wider irregular hypoechoic lesion with spiculated margins, measuring approximately 15.9 x 12.4 mm in lower inner quadrant containing multiple foci of calcification within showing central vascularity OB doppler on elastography lesion is stiff, in left axilla there is E/O on enlarged USG lymph node present measuring 10.2 x 6.7 mm with maintained hilum S/O reactive lymphadenopathy. Impression of F/S/O malignant lesion in the left breast lymphadenopathy. Diagnosis: Left sided infiltrating ductal carcinoma. Therapeutic Intervention and Outcomes: Physical therapy intervention involved a variety of range of motion exercises, strengthening exercises, resistance conditioning, breathing exercises, lymphoedema treatment and scar management. This intensive outpatient program is a successful way to enhance the mobility of the shoulder and ROM during the initial 6-week treatment cycle after surgery. Shoulder range of motion was increased, patient was able to do basic activities of daily living like dressing, bathing, combing, etc. Edema was reduced. Conclusion: Shoulder stiffness after modified radical mastectomy is the commonest complication. Upper limb mobility exercises reduced the shoulder stiffness. Breathing exercises improved the respiration. Strengthening and general aerobic exercises helped the patient to get back on her normal routine.

CASE REPORT OF RARE PRESENTATION OF DOUBLE AXILLARY VEIN IN MODIFIED RADICAL MASTECTOMY

2021 ◽  
pp. 38-38
Author(s):  
Imran Thariq Ajmal ◽  
Aravind Kumar. KR ◽  
Pragadeshwaran. C
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Ductal Carcinoma ◽  
Radical Mastectomy ◽  
Axillary Lymph ◽  
Axillary Vein ◽  
Modified Radical Mastectomy ◽  
Rare Presentation ◽  
Outer Quadrant ◽  
Lymph Node Enlargement

62yr old female, known diabetic and hypertension, Post CABG presented with hard, mobile, swelling of size 2×3 cm in upper outer quadrant with Right axillary lymph node enlargement size 1×1 cm diagnosed as Right breast cancer with lymph node enlargement. FNAC of Swelling over right breast shows smear positive for malignancy, Ductal carcinoma of Right breast

scholarly journals Diagnosis and treatment of chylous leakage after modified radical mastectomy for breast cancer: a case report

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110213
Author(s):  
Yingcheng Bai ◽  
Xuemei Tao ◽  
Chunhong Xu ◽  
Yanpeng Zhu
Keyword(s):  
Breast Cancer ◽  
Chest Wall ◽  
Ductal Carcinoma ◽  
Rare Complication ◽  
Radical Mastectomy ◽  
Left Breast ◽  
Modified Radical Mastectomy ◽  
Breast Invasive Ductal Carcinoma ◽  
Chylous Leakage ◽  
Meglumine Diatrizoate

The post-operative complication of chylous leakage after breast cancer is relatively rare, and few clinical studies have been published. We report a 64-year-old woman with chylous leakage following modified radical mastectomy. We describe the patient’s diagnostic and treatment process in detail. The patient was diagnosed with grade II (left) breast invasive ductal carcinoma. Post-operatively, the patient's chest wall and axilla were pressurized, and negative pressure drainage was initiated. On the fifth post-operative day, the drainage from the chest wall and axilla increased significantly, and the patient developed chylous leakage on the eighth postoperative day. We injected meglumine diatrizoate (100 mL) and elemene (10 mL) into the patient's axilla, and the chylous leakage gradually resolved 18 days post-operatively. In this report, we focus on managing a case of chylous leakage after modified radical mastectomy for breast cancer. Meglumine diatrizoate combined with elemene is a possible treatment for the management of this rare complication.

scholarly journals Impact of Physical Therapy in Patients Undergoing Modified Radical Mastectomy: A Case Report

2021 ◽  
pp. 302-310
Author(s):  
Shivani Lalwani ◽  
Shruti Deshpande ◽  
Tasneem Burhani
Keyword(s):  
Physical Therapy ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Ductal Carcinoma ◽  
Radical Mastectomy ◽  
Clinical Results ◽  
Exercise Interventions ◽  
Presenting Symptoms ◽  
Breathing Exercises ◽  
Family Medical History

Introduction: Breast Cancer is responsible for 2.09 million cases and 6,27,000 deaths worldwide, as per WHO. In India, women have one of the most common cancer, accounting for 14 per cent of all women's cancers.  Numerous risk factors are present, such as ethnicity, aging, hormones,  family medical history, genetic abnormalities, and unhygienic lifestyles. Side effects of cancer treatment may be alleviated by exercise interventions. Physical- therapy has been shown  to be effective in post-operative situations. It improves the functioning of the patient and the quality of life. Presenting Symptoms and Diagnosis: Main symptoms from the patient were pain in the upper extremity, lack of control, power and range of motion. The main clinical results in this case have been a severe decrease in the range of shoulder joint motion. Reduced strength in the  upper extremity muscles and swelling (lymphoedema) in the upper extremity. Diagnosis of the case was Infiltrative Ductal Carcinoma that was confirmed by Ultrasonography and Fine Needle Aspiration Cytology. In such cases, behavioural approaches have been shown to be effective. Therapeutic Intervention and Outcomes: Physical therapy intervention involves a variety of range of motion exercises, strengthening exercises, resistance conditioning, breathing exercises, lymphoedema treatment and scar management. Conclusion: This intensive outpatient program is a successful way to enhance the mobility of the shoulder and ROM during the initial 6-week treatment cycle after surgery.

scholarly journals Stewart–Treves syndrome: a case report

2013 ◽  
Vol 95 (5) ◽  
pp. e6-e8 ◽  
Author(s):  
DG McKeown ◽  
PJ Boland
Keyword(s):  
Case Report ◽  
Lymph Node ◽  
Early Treatment ◽  
Radical Mastectomy ◽  
Node Dissection ◽  
Modified Radical Mastectomy ◽  
Patient Death ◽  
Cutaneous Lesions ◽  
Chemotherapeutic Treatment

We present a case of chronic lymphoedema that progressed to Stewart–Treves syndrome in a 63-year-old woman with a previous modified radical mastectomy, associated lymph node dissection, chemotherapy and radiotherapy. While producing stabilisation of most cutaneous lesions initially, chemotherapeutic treatment of the angiosarcoma did not prevent subsequent metastasis and patient death. We urge vigilance and regular follow-up appointments for patients following a mastectomy with chronic lymphoedema to facilitate prevention or early treatment of this devastating syndrome.

scholarly journals A Case Report: First Report of a Primary Breast Leiomyosarcoma with Lymph Node Metastasis in Lebanon

2020 ◽  
Vol 1 (1) ◽  
pp. 34-38
Author(s):  
Hussein Hmadeh ◽  
Mohammad Rakka ◽  
Layan Abbas ◽  
Nizar Bitar ◽  
Raed Chehab El Dine ◽  
...  
Keyword(s):  
Case Report ◽  
Lymph Node ◽  
Lymph Node Metastasis ◽  
Radical Mastectomy ◽  
Left Breast ◽  
Breast Mass ◽  
Histologic Subtype ◽  
Node Metastasis ◽  
First Case ◽  
Primary Leiomyosarcoma

Background: Primary leiomyosarcoma (LMS) of the breast is an extremely rare histologic subtype of malignant breast tumors. While breast sarcomas account for 0.0006% of all breast malignancies, primary leiomyosarcoma constitutes only 5-10% of breast sarcomas themselves. To date, the total number of reported cases in the literature is less than 70 cases with the first case reported in 1968. This is, to the best of our knowledge, the first case reported from Lebanon, with only 2 cases previously reported in the Middle East, specifically in Morocco. Case Report: We report the case of a 48-year-old, white, previously healthy female patient, presenting for a breast mass. She first noticed it three months prior to presentation in her left breast and reports that since then, the lump has been growing and her breast has become more painful and erythematous over time. Physical examination revealed an immobile and tender mass of around 12 cm in diameter. A core biopsy was done followed by a left modified radical mastectomy with lymph node dissection. Pathology of the specimen showed a tumor composed of spindle cells arranged in fascicles invading the dermis, with irregular nuclei and prominent nucleoli. Immunohistochemical staining confirmed the diagnosis of high-grade leiomyosarcoma. Conclusion: We presented this case of leiomyosarcoma with lymph node metastasis to contribute to the scarce literature regarding this disease. Due to the rarity of this diagnosis, not enough data exists regarding treatment and prognosis. Physicians need to review the literature for relevant cases to achieve the best outcome for their patients. Keywords: breast mass, leiomyosarcoma, rare, case report, breast sarcomas, lymph node

scholarly journals Trastuzumab induced radiation recall dermatitis: an interesting case

2018 ◽  
Vol 7 (12) ◽  
pp. 2465
Author(s):  
Anupama C. ◽  
Anuradha H. V. ◽  
Vinayak V. Maka
Keyword(s):  
Ductal Carcinoma ◽  
Growth Factor Receptor ◽  
Radical Mastectomy ◽  
Left Breast ◽  
Interesting Case ◽  
Axillary Lymph ◽  
Radiation Recall ◽  
Skin Reactions ◽  
Radiation Recall Dermatitis ◽  
Recall Dermatitis

Radiation recall dermatitis (RRD) is the appearance of skin reactions in previously irradiated skin which is triggered by the administration of certain drugs. Surgery, chemotherapy, and radiotherapy are the mainstay of treatment in breast cancer. RRD induced by trastuzumab has been rarely reported in India. This is a case report of a 56-year-old woman presented to the medical oncology outpatient department of our hospital with breast lump, and she was diagnosed to have human epidermal growth factor receptor 2 (HER-2/neu) positive invasive ductal carcinoma of left breast of stage T2N3cM0. She was treated with neoadjuvant chemotherapy, and she underwent modified radical mastectomy with axillary lymph node dissection. The treating oncologist was planned to start on adjuvant chemotherapy with injection trastuzumab for every four weeks, for 15 cycles. Patient received first dose of injection trastuzumab (450 mg) intravenously in the right (contralateral) arm and developed painful, swollen, erythematous blisters, and maculopapular rashes following the sharp linear borders of her previous radiation fields. She was reviewed by the medical oncologist and diagnosed as a rare case of RRD and treated with topical betamethasone cream. Causality assessment for RRD to trastuzumab was done using Naranjo and WHO-UMC scale and found to be in the category of probable and probable/ likely respectively.

HER2 Protein Overexpression in Infiltrating Ductal Carcinoma of the Breast Associated with Lymph Node Involvement

2009 ◽  
Vol 6 (3) ◽  
pp. 445-448
Author(s):  
Adrienne Pratti Lucarelli ◽  
Maria Marta Martins ◽  
Vilmar Marques Oliveira ◽  
Maria Antonieta Longo Galv ◽  
Joao Marcelo Guedes ◽  
...  
Keyword(s):  
Lymph Node ◽  
Ductal Carcinoma ◽  
Lymph Node Involvement ◽  
Protein Overexpression ◽  
Carcinoma Of The Breast ◽  
Her2 Protein ◽  
Infiltrating Ductal Carcinoma ◽  
Node Involvement

Case 15.12

2014 ◽  
pp. 748-749
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Local Excision ◽  
Wide Local Excision ◽  
Ductal Carcinoma ◽  
Residual Disease ◽  
Left Breast ◽  
Infiltrating Ductal Carcinoma ◽  
Peak Enhancement ◽  
Rule Out

43-year-old woman status post wide local excision of infiltrating ductal carcinoma in the left breast 7 weeks before this MRI, which was performed to rule out residual disease The MIP images of the left breast at peak enhancement with (Figure 15.12.1A) and without (...

Sign in / Sign up

Export Citation Format

Share Document