#426 Breast Cancer for the PCP With Dr Sandhya Pruthi

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 12 February 2024

⏱️ 59 minutes

🔗️ Recording | iTunes | RSS

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Summary

Join us as Sandhya Pruthi, MD talks us through basics of breast cancer, specifically how to share a new diagnosis with a patient, the spectrum of disease from favorable to more aggressive, and the basics of what to expect with initial treatment. Feel more confident sharing a new diagnosis of breast cancer and supporting your patients through this journey.

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Show Segments

00:00 Introduction
02:18 Getting to Know Dr Sandhya Pruthi
09:49 Picks of the Week
12:35 Case 1: Diagnosis and Treatment of ductal carcinoma in situ (DCIS)
21:24 Risk Stratification and Active Surveillance for DCIS
23:43 Genetic Testing Recommendations
28:08 Case 2: Evaluation and Diagnosis of a Breast Lump
39:14 Invasive Ductal Carcinoma
47:49 Initial Management of invasive ductal carcinoma (IDC)
48:19 Preoperative Discussion and MRI
49:19 Lumpectomy and Sentinel Lymph Node Biopsy
50:16 Radiation and Hormonal Adjuvant Therapy
51:46 Considerations for Chemotherapy
55:51 Signs of Late Recurrence or Metastasis
58:20 Screening Guidelines and Age
01:02:25 Importance of Breast Self-Awareness

Credits

Written and produced, Show Notes: Molly Heublein MD
Infographic and Cover Art: Edison Jyang
Hosts: Molly Heublein MD, Era Kryzhanovskaya MD
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Sandhya Pruthi MD

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Transcript

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0:00.0	Hey listeners it's 2024 and we are so excited for everything ahead this year.
0:05.6	If you haven't done so already make sure to check out our Patreon at
0:09.0	Patreon dot com slash curbsideers where you can get access to bonus episodes we've already
0:13.9	released 18 of them and they come out twice a month plus you can get access to
0:18.0	add free episodes and our private discord server to hang out with other members of
0:22.4	the cashlack community.
0:23.7	That's Patreon.com slash curbsiders.
0:27.0	All right Molly this is a attempt to be
0:31.8	Matt and Paul right now but okay will you get you cross a robot and a tractor.
0:39.7	Hmm. A Tesla truck?
0:44.0	Oh, so good, the cyber trucks are so ugo.
0:47.0	No, you get a transformer.
0:50.0	Get it?
0:52.0	Like a transformer, but a farmer.
0:55.0	Mm-hmm. Yeah it's always really good when you carefully explain the details of the puns.
1:00.0	So.
1:01.0	The Curbsideers podcast is for Entertainment, Education, and Information
1:04.4	Purposes only and the topics discussed should not be used solely
1:06.2	a diet of cure or prevent any diseases or conditions. For the more of the use is
1:08.8	statements expressed on this podcast are solely those of the hosts and
1:10.4	should not be interpreted for official policy policy or position of any aside from
1:12.7	cash like moral hostile and affiliate outreach programs if indeed there are any in fact there are none
	...

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