Fungating breast tumour

Case contributed by Dr Ian Bickle

Presentation

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

Patient Data

Age: 51
Gender: Female
Modality: X-ray

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

Lungs clear.

Modality: CT

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 tumours.

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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Case Information

rID: 33341
Case created: 8th Jan 2015
Last edited: 11th Sep 2015
System: Breast
Tag: rdgh
Inclusion in quiz mode: Included

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