Table 1. Summary of cases with clinico-pathological details.
| Case 1 | Case 2 | Case 3 | Case 4 | |
|---|---|---|---|---|
| Age | 50 | 72 | 40 | 36 |
| Co-morbidity | Nil | Hypertension | Hypertension | Nil |
| Smoking | Nil | Nil | Nil | Nil |
| Breast size | 32B | 34C | 36C | 30AA |
| Presentation | Screen detected | Symptomatic (lump) | Symptomatic (lump) | Symptomatic (single duct nipple discharge) |
| Family history | Nil | Nil | Nil | Nil |
| Radiological size | Bifocal 24 and 15 mm (total extent 54*30 mm) | Unifocal (Mammogram and USS occult), MRI 26 mm) | Unifocal 35 mm | Radiologically occult |
| Pre-op. histology | Grade 2 IDC with IG DCIS | Grade 2 ILC with HG DCIS | Grade 3 IDC with HG DCIS | Epithelial cells on nipple discharge cytology |
| IHC | ER8, Her2 negative | ER8, Her2 negative | ER8, Her2 negative | ER8, Her2 negative |
| Post op. histology | Grade 2 IDC 25 and 16 mm with IG DCIS | Grade 2 ILC 26 and 8 mm with HG DCIS | Grade 3 IDC 35 mm with extensive HG DCIS, separate medial shave had more DCIS < 1 mm to final margin | Grade 1 mucinous 6 mm with HG DCIS on duct excision with margins involving DCIS, G2 mucinous 3 mm with HG DCIS on therapeutic surgery |
| Lymphovascular invasion | No | No | Yes | No |
| Sentinel node biopsy | 1/1 (macrometastasis, 6 mm, no ECS) | 1/2 (macrometastasis, 10 mm, no ECS) | 1/1 (micrometastasis, 1 mm, no ECS) | 0/1 |
| TNM classification | pT2N1a(sn) | pT2N1a(sn) | pT2N1mi(sn) | pT1bN0(sn) |
IDC, Invasive ductal carcinoma, no special type; ILC, Invasive lobular carcinoma; DCIS, Ductal carcinoma in-situ; IG, Intermediate grade; HG, High grade; ECS, Extracapsular spread; USS, Ultrasound scan; IHC, Immunohistochemistry