Breast Conserving Surgery (BCS)

Presentation
41-year-old female with a painless progressively enlarging right breast lump (1 month). Firm mobile lump with ipsilateral palpable axillary lymph nodes. No evidence of distant metastasis.

Investigations

• Mammography/Sonomammography: BIRADS IV lesion (3.7 ×3.1 ×2.2 cm)in right breast
• FNAC: Yokohama Category C5 –malignant ductal carcinoma
• PET-CT: FDG-avid breast lesion and right axillary node
• No distant metastatic disease

Surgery & Post-operative Period
Definitive breast-conserving surgery with appropriate axillary management was performed according to standard oncological principles. The postoperative period was uneventful. The patient remained hemodynamically stable, tolerated oral diet, mobilized early, and the surgical wound healed well without bleeding, infection, seroma, or hematoma. The patient recovered satisfactorily and was discharged in stable condition with advice for histopathology review, adjuvant therapy, and regular follow-up.

Clinical Diagnosis
carcinoma of the right breast with ipsilateral axillary lymphadenopathy.

Breast Conserving Surgery (BCS)
Wide local excision with histologically negative margins while preserving breast tissue. Combined with axillary dissection , followed by whole-breast radiotherapy. Provides survival equivalent to mastectomy in selected early-stage breast cancers.