| Physical Exam | |
| Left breast: Palpable mass at about the 6:00 area on the left breast.
No nipple retraction noted, no discharge. Right breast: No discrete masses,
no discharge noted. Remainder of physical examination was negative. |
|
| Imaging | |
| July 2004 | Mammogram: Abnormal mass at 6:00 in left breast, right breast normal |
| Laboratory | |
| 10/24/04 | SMA 20: within normal limits |
| Surgical Observations | |
| 10/3/04 | Excisional biopsy |
| Pathological Report | |
| 10/3/04 | Ductal Carcinoma In Situ (DCIS), apocrine type with extensive necrosis with one focus showing microinvasion (measuring less than 1 mm in diameter). The morphology of the DCIS is classified as high-grade. |