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Surgery Breast 0d1ed174

A 45 year old female with history of painless breast lump measuring 6.2x4.5 cm. Trucut biopsy showed carcinoma breast. She underwent surgical removal of and post operative biopsy showed with carcinoma breast with high grade necrosis with margin 4 mm. Which of the following is needed?

A
Adjuvant chemotherapy
B
Adjuvant radiotherapy
C
Adjuvant chemoradiotherapy
D
No additional treatment
High-Yield Explanation
Ans. (c) Adjuvant Chemo RT(Ref Page 854/Sabiston 20th Edition)* Indications of RT:# Extracapsular nodal extension# Lymphovascular invasion# Close surgical margins# High grade necrosis# Age < 40 years

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