Abstract
Introduction: Breast carcinoma is a systemic disease in which micro metastasis of abnormal cells which can form the secondary malignant cells. Breast carcinoma is the rapid and uncontrolled growth of abnormal cells. Breast cancer is cancer of breast that develop from breast tissue.
 Case History: Clinical findings – patient 49 years old female, having pain in right upper quadrant of right breast, irritation and discomfort in breast, swelling in lower area of breast. Biochemical, Hematological and rediological investigation are decrease.
 Investigation: Physical examination -lump is found on right breast which is non tender and slightly movable. USG and Mammography shows A suspicious retroareolar lump in the right breast and two foci pleomorphic macro calcification in right breast, Histopathology – shows both the masses are malignant but in biopsy metastasis not detected.
 Therapeutic Intervention: Symptomatic treatment -tab acetaminophen -tab – hydrocortisone. Lumpectomy On the left breast and mastectomy done on right breast. Radiation therapy and Chemotherapy is given before and after surgery and Chemotherapy was continue after the surgery. Hormonal therapy also given for HER2 + receptor .all the complications of chemotherapy is managed by quality nursing care.
 Outcome: After all pharmacological, surgical and medical intervention and quality nursing care, patient is now in stable condition. During treatment her treatment response is good and she can very effectively cope up with her disease condition and she is able to do her daily activities effectively.
Highlights
Breast carcinoma is a systemic disease in which micro metastasis of abnormal cells which can form the secondary malignant cells
Hormonal therapy given for HER2 + receptor .all the complications of chemotherapy is managed by quality nursing care
Breast carcinoma is a systemic disease in which micrometastatis of abnormal cells which can form the secondary malignant cells There are various etiology for the breast cancer such as hormones, genetic factors [1-3]
Summary
Breast carcinoma is a systemic disease in which micro metastasis of abnormal cells which can form the secondary malignant cells. Mammography, ultrasound sound, biopsy patient diagnosis as 2 invasive ductal carcinomas of the right upper quadrant of the breast and ductal carcinoma in situ of the left breast with DCIS was HER2 positive receptor. She is in post menopausal age she started menarche at early age of 11 and menopause at 45 year, before menopause she had 48 kg weight but after menopause she gain weight almost 60 kg, she is married women and have first pregnancy at age 23 years and second pregnancy at age of 26 of years.
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