Faculty:
Dr. Neerja Gupta (Senior Consultant – Breast Surgical Oncology)

A 31-year-old female presented with a complaint of a lump in the right breast. Upon evaluation, she was diagnosed with Right Breast Carcinoma (Stage cT1N0M0).

Diagnosis:
Right Breast Carcinoma – cT1N0M0

Treatment Performed:

• Right Breast Conserving Surgery (BCS)
• Sentinel Lymph Node Biopsy using Dual Dye (ICG + Methylene Blue)
• Intraoperative Frozen Section (Margins Free)
• Intraoperative Frozen section sentinel node - all nodes free from tumour

Key Highlights of the Case:

• Dual-dye guided sentinel lymph node biopsy using Indocyanine Green (ICG) and Methylene Blue
• Three sentinel nodes sampled – all negative on frozen section (0/3)
• Tumour resection performed with orientation marking; frozen section confirmed negative margins
• Clips are placed at the tumour bed base
• Closure performed in layers with good hemostasis
• No intraoperative complications noted, patient has an uneventful postoperative course.

This case reflects RG Rajouri Garden’s dedication to Breast Conservation and Oncological Safety. Through the use of Modern Dual-Dye Techniques and Intraoperative Frozen Margin Evaluation, the surgical team ensured a precise, oncologically safe, and cosmetically sound outcome for a young patient.