An 86-year old female patient is admitted with a diagnosis of right breast mass

An 86-year old female patient is admitted with a diagnosis of right breast mass. An outpatient biopsy two weeks prior to the admission demonstrated fibrocystic breast disease. The patient has a strong paternal and maternal family history for breast cancer. The patient has requested a right mastectomy and plastic repair. A mastectomy was performed with removal of regional lymph nodes. The pathology report indicates fibrocystic breast disease, infiltrative ductal carcinoma with one positive regional lymph node. There is no physician documentation that addresses the pathological findings of carcinoma with positive regional lymph nodes.