Incidental invasive lobular carcinoma and incidental mature ovarian teratoma

Discussion:

Patient history revealed that she had lost her daughter in a motor vehicle accident 9 months prior to the study. She was still mourning her loss, but stabilized. The significant weight loss was likely caused by situational or reactive depression.

Right lumpectomy was performed and the patient made an uneventful recovery.

Ovarian mass was left alone.

Incidental breast lesions on chest or chest and abdominal CT-studies are not an uncommon finding.  

In larger series 30% of incidental breast lesions proved to be unsuspected breast cancers, particularly irregular spiculated masses. Referral for formal triple assessment of CT-diagnosed breast lesions is worthwhile, and careful examination of the breast should be a routine part of CT examinations 1-3.

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