Presentation
Lactating patient presents with an enlarging mass at 6 o'clock right breast.
Patient Data
Age: 35 years
Gender: Female
From the case:
Carcinoma right breast with metastatic lymphadenopathy
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/31242/annotated_viewer_json?lang=us"}
On ultrasound, the patient had a 5.5 cm solid lobulated lesion. The lymph nodes in the right axilla were enlarged.
Biopsy confirmed IDC and FNA confirmed metastatic lymphadenopathy.
From the case:
Carcinoma right breast with metastatic lymphadenopathy
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/31241/annotated_viewer_json?lang=us"}
After 2 months of neo adjuvant therapy the lesion has shrunk to juts more than 3 cm in diameter.
From the case:
Carcinoma right breast with metastatic lymphadenopathy
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/31240/annotated_viewer_json?lang=us"}
After almost 4 months of therapy the lesion measures 8 mm and the lymph nodes in the axilla are morphologically normal.
Case Discussion
A spectacular response to neoadjuvant therapy in a young patient with a very large breast carcinoma.