Presentation
A 25 year old breastfeeding woman has a first line family history of breast carcinoma. She presents with a palpable mass lesion in the left breast. This is the ultrasound appearance of the lesion.
Patient Data
Age: 25
Gender: Female
From the case:
Atypical breast cyst: adenocarcinoma
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Ultrasound shows a mixed echogenicity palpable lesion with a diameter of 4.5 cm. No increased flow on Doppler and the lesion is non tender. The skin is not red and inflamed.
Case Discussion
This is a complex lesion with a significant solid mural component.
Biopsy showed a poorly differentiated adenocarcinoma. There were no pathological nodes on imaging.
Your diffrential diagnosis should include a galactocoele and a breast abscess.
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