Lymph node ratio can further stratify prognosis in subpopulations of breast cancer patients with axillary nodal metastases.

Breast cancer (BC) is the most common cancer in women worldwide and affects one in eight women in the UK at some point in their lifetime. Advances in treatment have led to greatly improved survival rates. Management of axillary lymph node (LN) metastases has been a controversial but evolving area of BC therapy.

An atypical presentation of breast cancer metastasis.

A 78-year-old woman heard a crack in her left mandible while eating a biscuit and reported to her dentist, who urgently referred her to the oral and maxillofacial surgery department. On examination she had a lesion in the body of her left mandible, which had eroded through the lower border and caused a pathological fracture. Her past medical history included a left mastectomy and level II axillary lymph node dissection for a 27 mm grade III invasive ductal carcinoma of the left breast 9 months prior to her mandibular fracture.

Double gallstone ileus.

Background: Gallstone ileus remains a rare but important cause of intestinal obstruction.

Method: We present a unique case of two gallstones causing intestinal obstruction at the same time.

Results: A 90-year-old lady presented with signs and symptoms of small bowel obstruction.

Pagets disease of uncertain origin: case report.

Background: Pagets disease of the nipple presents as an eczematous lesion, occurs in 1 - 4% of all female breast carcinoma cases and is invariably associated with underlying malignancy either overt or occult. The majority of these cases are invasive disease although 40-45% are associated with DCIS.

Case Presentation: A 39 year old lady presented to our unit with a palpable lump in the right breast.

An unusual cause of chest pain:case report.

Background: Sarcomas form a heterogenous group of relatively uncommon malignant tumours which are derived from connective tissue components. In total they comprise approximately 1% of all new cancers diagnosed per year in the United Kingdom (UK). As subset of this, the 'Unclassified' Sarcoma forms approximately 4% of the total 1.