Fungating breast tumour
55 year-old female presented following bleeding from the breast.
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Huge left breast mass - ulcerated/fungating and invading the pectoralis muscles.
Large collateral vessel supplying the tumour coming off the left internal mammary artery.
Several enlarged left axillary lymph nodes.
Surface image of the breast - see the dilated vessels on the anterior chest wall and how big the tumour is relative to the breast.
2 case question available
This is rather extreme presentation of breast carcinoma.
Fear often delays presentation to hospital as in this case.