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Virtual Patient Case: Breast Cancer

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Accessing the Course

Online Course Delivery: All courses are delivered through the General Surgery Learning and Resource Centre (LRC). If you do not already have an account associated with this email, we will contact you to set up your LRC account.

CAGS Members: All levels of CAGS membership have complimentary course access for 2023. Please create an account and enter in your code, no purchase necessary. If you do not have a code, email learn@cags-accg.ca.

Non-Members: Purchase access to the course here. Granting access to this eLearning course in the General Surgery Learning and Resource Centre can take up to 2 business days.

Credit Info: 1.0 Learning Hours — 3.0 Section 3 MOC Credits


Case Description

This case was designed for practicing surgeons as a review of some of the up-to-date management issues in breast disease.


Learning Objectives

By the end of this case, you should be able to:

  • Explain what further imaging should be done when the initial screening mammogram proves suspicious
  • Interpret and utilize BIRADS
  • Choose an operation to do with high grade Ductal Carcinoma in Situ (DCIS)
  • Discuss managing the axilla with high grade DCIS
  • Explain the use of Technesium (Tc) and blue dye / peritumoral vs subareolar
  • Respond to the presence of Isolated Tumor Cells (ITCs) and micrometastases
  • Assess the role of radiotherapy in managing the axilla with DCIS
  • Demonstrate the risk of further node involvement if sentinel lymph node positive
  • Discuss the role of immediate reconstruction

Course Team

Case Authors: Dr. David Fleiszer MDCM FRCSC FACS, Stephanie M Wong MD MPH FRCSC

Virtual Patient Case Developers: Nancy Posel PhD

Case Audience: General Surgeons, General Surgery Residents and Fellows


Accreditation Statement

This event is an Accredited Self-Assessment Activity (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by Canadian Association of General Surgeons.

Disclaimer

The user acknowledges that the workshops, handouts, and related course materials contained therein are intended for educational purposes only, and should not be considered to be legal advice or a substitute for legal or clinical consultation. These presentations address issues that are multi-faceted, and the user should not assume that the courses discuss every law, regulation, or ethical code that may be relevant to the subject matter. Legal and ethical standards are subject to change and it is always prudent to check to see whether a particular law, regulation, or ethical standard may have changed.


Refunds/Cancellations: CAGS does not offer refunds for On-Demand Library purchases.