Locally advanced breast carcinoma

Case contributed by Dr Yangsean Choi

Presentation

The patient knew of her Rt. breast mass but was unable to get evaluation due to poor socio-economic status.

Patient Data

Age: 39
Gender: Female

Chest PA

Modality: X-ray

Irregular shaped hyperdensity mass like lesion in Rt. breast.

CHEST CT

Modality: CT

On chest CT scans, a 8.0cm sized irregular shaped exophytic mass with heterogeneous enhancement in the Rt. breast. Internal calcification and necrotic portion are visible within the mass. There was no evidence of metastatic nodule in the both lung fields.Multiple nelarged LNs suggestive of metastatic LNs in the Rt. axillary region were noted. These findings are suggestive of locally advanced fungating breast cancer.

Modality: Ultrasound

A huge necrotic mass involving most of the Rt. breast tissue is seen.

PET-CT

Modality: Nuclear medicine

A huge mass in the Rt. breast with avid FDG uptake. A few focal FDG uptakes in the Rt. axillary level I region. No other FDG uptakes suspicious of distant metastasis is found.

Case Discussion

Locally advanced breast cancer is not commonly diagnosed in developed counturies as breast cancer screening is widely available. Unfortunately, patients with low socio-economic status as in this case miss appropriate early screening and show up with advanced stage.

Pathologic finding: Invasive ductal carcinoma (grade 3) with metastatic axillary lymph nodes

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Case Information

rID: 37469
Case created: 9th Jun 2015
Last edited: 26th Nov 2015
System: Breast
Inclusion in quiz mode: Included

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