Carcinoma left breast

Case contributed by Dr Garth Kruger

Presentation

A 63 yr old neglected patient presents with a huge fungating mass left breast

Patient Data

Age: 63 years
Gender: Female
Mammography

A huge fungating cancer with extension out of the skin surface left breast. Secondarily infected wit visible necrotic tissue. On the mammogram you can see the gas in the tumour crater and the band aid used to cover the lesion. The nodes in the left axilla are pathological.

Ultrasound

An unfortunate cases of a neglected left breast carcinoma.

The node that was aspirated at the time of the biopsy and the ultrasound appearance of the intra mammary part of the tumour.

Case Discussion

The breast tumour showed necrotic tissue and open biopsy had to be performed to confirm an IDC. The node aspirate was positive for metastatic adenocarcinoma.

Fortunately cases like this are scarce these days.

 

 Ultimately, all factors being equal, the outcome of breast cancer is related to the size of the tumour at the time of diagnosis. And currently the best way to screen is still mammography.

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Case information

rID: 30041
Case created: 14th Jul 2014
Last edited: 8th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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