Invasive ductal carcinoma and inflammatory breast carcinoma

Case contributed by Garth Kruger , 12 Jul 2013
Diagnosis certain
Changed by Mostafa Elfeky, 2 Nov 2022
Disclosures - updated 11 May 2022: Nothing to disclose

Updates to Case Attributes

Title was changed:
Skin thickening leftInvasive ductal carcinoma and inflammatory breast: IDC carcinoma
Age changed from 55 to 55 years.
Presentation was changed:
A morbidly obese 55 year old woman complains of a " heavy" feeling in her left breast.
Body was changed:

The large IDCinvasive ductal carcinoma of the right breast was not clinically palpable due to the size of the patient's breasts. The skin biopsy of the left breast confirmed an inflammatory carcinoma left breast.

The nodes in the left axilla were pathological and confirmed metastatic malignant cells. 

The increased isotope uptake in the left breast is a coincidental finding related to the diagnosis of an inflammatory carcinoma. 

The microcalcifications in the left breast were highly suggestive of DCIS but histology is not yet available.

  • -<p>The large IDC right breast was not clinically palpable due to the size of the patient's breasts. The skin biopsy of the left breast confirmed an inflammatory carcinoma left breast.</p><p>The nodes in the left axilla were pathological and confirmed metastatic malignant cells. </p><p>The increased isotope uptake in the left breast is a coincidental finding related to the diagnosis of an inflammatory carcinoma. </p><p>The microcalcifications in the left breast were highly suggestive of DCIS but histology is not yet available.</p>
  • +<p>The large <a href="/articles/invasive-ductal-carcinoma">invasive ductal carcinoma</a> of the right breast was not clinically palpable due to the size of the patient's breasts. The skin biopsy of the left breast confirmed an <a href="/articles/inflammatory-carcinoma-of-the-breast" title="Inflammatory carcinoma of the breast">inflammatory carcinoma</a> left breast.</p><p>The nodes in the left axilla were pathological and confirmed metastatic malignant cells. </p><p>The increased isotope uptake in the left breast is a coincidental finding related to the diagnosis of an inflammatory carcinoma. </p><p>The <a href="/articles/grouped-calcifications" title="Clustered microcalcifications">microcalcifications</a> in the left breast were highly suggestive of DCIS but histology is not yet available.</p>

Systems changed:

  • Oncology

Updates to Link Attributes

Title was removed:
Skin thickening left breast: IDC
Type was removed.
Visible was set to .

Updates to Link Attributes

Title was removed:
Breast skin thickening - invasive ductal carcinoma
Type was removed.
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Updates to Link Attributes

Title was removed:
Skin thickening left breast: IDC
Type was removed.
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Updates to Link Attributes

Title was removed:
Skin thickening - inflammatory breast carcinoma
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Updates to Primarylink Attributes

Updates to Quizquestion Attributes

Answer was changed:
ItsIt's there among the mammogram images, the 5th4th image along. ItsIt's a view to show the cleavage in clients who have large breasts. The view in the case very nicely shows the skin thickening associated with an inflammatory carcinoma compared witwith the normal skin of the contralateral breast.

Updates to Quizquestion Attributes

Question was added:
A morbidly obese woman is sent by her family physician for breast imaging with a diagnosis of skin thickening left breast. The patient undergoes a bone scintigram after the diagnosis is made. What do you think of the isotope uptake in the left breast?
Answer was added:
Inflammatory breast cancer.

Updates to Study Attributes

Modality changed from to Ultrasound.
Caption was added:
Left axilla
Findings was changed:

Ultrasound of the left axilla shows multiple enlarged nodes the largest of which is 3 cm. in length.

Updates to Study Attributes

Findings was changed:

A morbidly obese woman is sent by her family physician for breast imaging with a diagnosis of skin thickening left breast

The patient undergoes a bone scintigram after the diagnosis is made. What do you think of the isotopeDiffuse increased uptake inat the left breast ?.

Modality changed from to Nuclear medicine.
Caption was added:
Bone scan

Updates to Study Attributes

Findings was changed:

Patchwork mammography of both breasts shows a suspicious lesion centrally in the right breast and diffuse.

Diffuse skin thickening left breast.

There areand subtle suspicious microcalcifications in the left breast.

Images Changes:

Image Mammography (Cleavage view) ( update )

Perspective was set to Cleavage view.

Image Mammography (MLO) ( update )

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Image Mammography (CC) ( update )

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Image Mammography (CC) ( update )

Perspective was set to CC.

Image Mammography (MLO) ( update )

Perspective was set to MLO.

Image Mammography (CC) ( update )

Perspective was set to CC.

Image Mammography (Left axilla) ( update )

Perspective was set to Left axilla.

Image 1 Mammography (CC) ( update )

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Image 2 Mammography (CC) ( update )

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Image 3 Mammography (MLO) ( update )

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Image 4 Mammography (Cleavage view) ( update )

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Image 5 Mammography (CC) ( update )

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Image 6 Mammography (MLO) ( update )

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Image 7 Mammography (Left axilla) ( update )

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