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
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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

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
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Lesion

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.