Carcinoma left breast

Case contributed by Garth Kruger

Presentation

A 39 year old lactating patient presents with a palpable mass 2 o'clock left breast March 2014.

Patient Data

Age: 39 years
Gender: Female
ultrasound

Initial imaging shows a solid, poorly defined lesion 2 0' clock left breast.

ultrasound

The lesion has flow in Doppler imaging. On real time imaging the lesion is not compressible.

mammography

As a result of the ultrasound images, a mammogram was obtained. The patient has a poorly defined spiculated lesion upper outer quadrant left breast.

After 4 months of neoadjuvant therapy the lesion has decreased in size by a significant volume. In transverse diameter the dimension is a third of the March measurement.

mammography

Needle localization just before surery after 4 months of neoadjuvant therapy. Positive response clinically and on imaging. The lesion has decreased in size quite spectacularly.

Case Discussion

A spectacular response to neoadjuvant therapy in a young patient with a large left breast carcinoma. The lesion is now amenable to surgery with acceptable cosmetic results.

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