Atypical breast cyst: adenocarcinoma

Case contributed by Dr Garth Kruger

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
Modality: Ultrasound

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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Case Information

rID: 18519
Case created: 10th Jul 2012
Last edited: 9th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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