Fungating breast tumor

Case contributed by Ian Bickle
Diagnosis certain


Late presentation to hopsital with a large foul smelling right breast mass.

Patient Data

Age: 51
Gender: Female

Large soft tissue mass projected over the right breast.  Normal left breast shadow.

Lungs clear.


Gigantic right sided breast mass which has breeched in the skin anteriorly - fungating.

Posteriorly the mass invades the pectoral muscles of the chest wall.

Large volume right axillary lymphadenopathy.

Hepatic metastases.

Case Discussion

Breast neoplasms are one of the most common malignancies in females - presentation varies from non symptomatic identifed on screening investigations to fungating tumors.

Late presentation occurs even in developing societies with free health care systems largely due to fear.

The usual sites of metastases are locoregional lymph nodes, lungs and liver but the sites are legion.

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