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 tumor crater and the band aid used to cover the lesion. The nodes in the left axilla are pathological.

An unfortunate cases of a neglected left breast carcinoma.

Ultrasound

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

Case Discussion

The breast tumor 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 tumor at the time of diagnosis. And currently the best way to screen is still mammography.

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