A CASE OF MASSIVE BREAST CANCER TREATED WITH RADICAL SURGERY

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Article Title:	A CASE OF MASSIVE BREAST CANCER TREATED WITH RADICAL SURGERY
Authors:	Nicolae BACALBASA 1, Ion BARBU 2, Cristina HUIAN 3, Andrei TOMESCU 4, Horatiu PAPIU 4, Andrei KORODI * 4
Affiliation:	1 “Carol Davila” University of Medicine and Pharmacy Bucharest,Department of Gynecology,Bucharest Romania 2 Fundeni Clinical Institute Department of General Surgery and Liver Transplantation,Bucharest,Romania 3 Spitalul de Arsi,Department of plastic surgery ,Bucharest,Romania 4 “Vasile Goldiş” Western University of Arad, Department of Surgery,Arad ,Romania
Abstract:	Invasive ductal carcinoma (IDC) is the most common invasive breast cancer. The patient was a 58 years old woman with a massive left breast tumor developed on a large left mammary gland with a parceled invasion of pectoralis major muscle, skin dimpling and nipple retraction accompanied by large left axillary lymphadenophaties . We performed a radical surgical intervention including left radical modified mastectomy (Madden 1965) with left supraclavian and axillary lymph nodes dissection. We expected to have difficulties closing the skin defect so we had in the surgical team from the beginning of the operation a plastic surgeon to help with it. The wound finally was closed without skin grafting ,sliding, after a minimal dissection ,the upper ,lower and lateral left skin flaps. The pathological exam of the resected specimens revealed invasive ductal carcinoma IDC NOS, moderately differentiated (intermediate grade),with tumoral infiltration of 15 axillary lymph nodes and their surrounding fatty tissue. Her postoperative course was uneventful being discharged in the tenth day following to start the oncological treatment.
Keywords:	massive , breast cancer,IDC,radical intervention.
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*Correspondence:	Korodi Dan Andrei, resident 6th year general surgery “Vasile Goldiş” Western University of Arad, Department of Surgery Facultatea de Medicină, Farmacie si Medicină Dentară Adress: Str.Clujului nr.79 310047 Arad Romania Phone : 0040723226580 E-mail:andreikorodi@yahoo.com