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
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/18382/annotated_viewer_json?iframe=true\u0026lang=us"}
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.