nPapillary Neoplasm

• nLow grade malignancy

• nQs was:

  • nWas it a primary from the breast?

  • nWhy not? You do get Pap Ca of the breast!

  • nIf not, then where was the primary?

  • nQs needed answers as ‘stage’ of the disease & Rx would change

• nPt had no records

• nOn physical examination-scar site noted on Pt’s back