Medications

Nil

HPC

It was arranged for Mrs Hansen to have an ultrasound guided core biopsy of the left breast the day following the clinic appointment. She has been quite anxious about the results over the last few days but returned to the clinic for the results.

She was found to have an invasive ductal carcinoma with some lymphatic invasion identified. It was also found to be ER/PR/HER-2 positive. It would be best advised for her to have a full mastectomy with level 2 axillary clearance.

She has had no clinical change over the last few days. 

PSxHx

Tonsillectomy

PMHx

Nil relevant

Allergies

Penicillin – Rash

FHx

Her mother was diagnosed with breast cancer at 50 years of age and required a mastectomy. She has since died of an AMI. Nil other relevant history.    

SHx

Mrs Hansen is a retired primary school teacher who lives in Wallsend with her husband. They have 2 adult children and 5 grandchildren. Mrs Hansen is still very active and loves playing tennis. She is a life-long non-smoker and only socially drinks on rare occasions. 

Last modified: Wednesday, 22 April 2020, 11:27 AM