Endocrine System Case Study Joan Barker, age fifty—six years. comes for a routine physical examination. She
states that she has been in perfect health and has no complaints. She has a history
of asthma but cunently requires no medications of any kind. Her physical
examination is completely normal, except for a 2—cm firm, nontender, nonmobile
mass in the upper outer quadrant of her left breast. She indicates that she does not
perform regular breast selfekamination and that she did not know the mass was
there. She has no family history of breast cancer and has neyer been pregnant. Answer the following questions about Ms. Barker's condition: - What term is used to describe the benign condition that may have caused
Ms. Barker's breast mass? - What iS inside the E'y'StS [if flbl‘DcyStit: breast disease? - Mammography and ullrasonography reveal a solid lesion {not cystic]. What
is the most common type of breast cancer? - Biopsy determines that Ms. Barker has invasive carcinoma of the breast.
What is the difference between ductal carcinoma in situ and invasive
carcinoma of the breast? - Ms. Barker's breast cancer has metastasized to her lungs. What is the
difference between metastatic lung cancer and primary lung cancer?

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