Secondary lymphoedema of the breast

Case contributed by Dr Chris O'Donnell

Presentation

Swelling in the right axilla

Patient Data

Age: 65
Gender: Female
Ultrasound

Malignant appearing lymph nodes in right axilla.  Biopsy = metastatic adenocarcinoma.

Mammography

Subtle skin thickening only - no suspicious lesion

Gross level I, II and III axilliary lymphadenopathy

MRI

MRI breast performed to detect suspected breast malignancy

Marked assymetrical right skin and breast parenchymal oedema.   

Case Discussion

Biopsies of right breast revealed no malignancy including inflammatory cancer.  Breast changes are due to lymphatic obstruction by metastatic adenocarcinoma (unknown primary).

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Case information

rID: 17173
Case created: 22nd Mar 2012
Last edited: 7th Oct 2015
System: Breast
Inclusion in quiz mode: Included

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