Secondary lymphedema of the breast

Case contributed by Dr Chris O'Donnell

Presentation

Swelling in the right axilla

Patient Data

Age: 65 years
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 breast performed to detect suspected breast malignancy

MRI

Marked asymmetrical right skin and breast parenchymal edema. Gross enhancing right axillary lymphadenopathy

Case Discussion

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

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.