Juvenile malignant melanoma

Case contributed by Apfaltrer Georg

Presentation

Self-detected a lump in the right breast.

Patient Data

Age: 14 years
Gender: Female
ultrasound

Breast ultrasound revealed an inhomogeneous lesion with mixed echogenicity.

Ultrasound was followed by whole body MRI.

mri

Bilateral massesĀ of varying size in the brain.

mri

Lesions in skeleton and breast.

Case Discussion

Breast cancer is extremely rare in adolescents and breast lumps should raise the suspicion of metastasis. This patient has a history of malignant melanoma of the occipital scalp, which was removed three years ago and regional lymph node metastasis one year later. Current imaging depicted numerous additional lesions scattered throughout the entire body indicating metastatic disease.

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