Male breast cancer
Right shoulder abduction weakness. Consulted an orthopedic surgeon. O/E - Nodules in axilla. Referred for shoulder radiograph and ultrasound. ultrasound of axillary nodules.
Shoulder radiograph and ultrasound were normal. Axillary nodules ultrasound images are attached below.
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Multiple axillary nodes with necrosis. Loss of fatty hilum and loss of hilar type - central vascularity is noted in nodes.
A solid hypoechoic subareolar mass is noted in breast. A tiny suspicious calcification focus is noted.
Main complaint by patient was shoulder abduction weakness for 6 wks or so.
He noticed an axillary swelling about 3 weeks prior.
At the end of ultrasound for nodes, he mentioned about a smaller nodule in breast for 1 week.
FNAC - breast lesion - ductal carcinoma.
FNAC - nodes - metastasis.