Bilateral mastectomy having had bilateral microcalcifications . Biopsy with atypical ductal hyperplasia

A. The pathology report reads as such: L Breast, Simple Mastectomy 1. Benign breast tissue with : a:Mild Fibrocystic change with occasional microcalcifications b: focal ductal epithelial hyperplasia of the usual type 2. Benign nipple and skin with small capillary hemangioma. B. Lymph node sentinel node "a" excision: one benign lymph node with no carcinoma (0/1)see comment C. Lymph node sentinel node "b" excision: one benign lymph node with no carcinoma (0/1) see comment D. Lymph node right axillary excision : one benign lymph node with no carcinoma (0/1) E. Breast Right Modified Radical mastectomy: 1. Breast Tissue with : a. Focal lobular involvement by atypical cells (see comment) b. No residual invasive carcinoma identified c. Prior biopsy site changes d. Fibrocystic change with occasional microcalcifications e. Mild ductal epithelial hyperplasia of the usual type and focal columnar cell change/ hyperplasia 2. Benign skin with scar, capillary hemangioma and intradermal nevus. 3. Benign nipple with capillary hemangioma Lymph nodes right axillary excision two benign lymph nodes with no carcinoma (0/2) Comment: Immunohistochemistry for pan-cytokeratin, KC3, is performed on sections of both sentinel lymph nodes (blocks B and C) with appropriately reactive controls. No mestastic carcinoma is noted by both H and E . Three additional benign lymph nodes are identified with no metastastic carcinoma. Slide E5 a section from outer quadreants shows rare lobular involvement by atypical cells with similar cytology as the carcinoma seen in original tumor. No invasive carcinoma is present.