Breast Cancer Lymph Node Involvement Nomogram for Metastases

Are you evaluating a breast cancer patient with a metastasis in a sentinel lymph node?

Yes

Is use of a frozen section part of the sentinel lymph node protocol?

Yes

Number of negative sentinel lymph nodes (enter from 0 to 14)

Number of positive sentinel lymph nodes (enter from 1 to 7)

Diameter of the primary tumor

Is the primary tumor multifocal?

Yes

Is the tumor positive for estrogen receptors?

Yes

Does the tumor show lymphovascular invasion (LVI)?

Yes

Select an appropriate answer for each finding.

Nuclear grade

Method of detection

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

Percent of patients with these findings who have additional metastases in nonsentinel lymph nodes

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Pedigree Assessment Tool (PAT) of Hoskins et al for Identifying a Woman at High Risk for Hereditary Breast Cancer
Laboratory Tests
- Elston's Modification for the Criteria of Bloom and Richardson in the Histologic Grading of Infiltrating Ductal Carcinoma
- Allred Score for Reporting Estrogen Receptor Status by Immunohistochemistry for a Woman with Breast Cancer
Other Testing
- Predicting Local Recurrence Risk Following Breast Conserving Therapy for Ductal Carcinoma in Situ (DCIS)
Severity, Prognosis, Stage

Therapy

Selection

Monitoring

Response To Therapy
Disease Progression
- Scoring Breast Cosmesis Following Therapy
- Clinical-Pathologic Scoring System (CPS and CPS+EG) of Jeruss et al for Evaluating a Woman with Breast Cancer After Neoadjuvant Therapy

Patient Concerns

Quality Of Life
- Scoring Breast Cosmesis Following Therapy
Psychological Response
- Scoring Breast Cosmesis Following Therapy

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Nomograms for Predicting Metastases in Breast Cancer Patient with Positive Sentinel Lymph Node: With Frozen Section

Purpose: To evaluate a breast cancer patient with a positive sentinel lymph node using one of the nomograms of Van Zee et al.

Evaluation

Results

Please fill out required fields.

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10