Presentation
Swelling in the right axilla
Patient Data
Age: 65 years
Gender: Female
From the case:
Secondary lymphedema of the breast
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Malignant appearing lymph nodes in right axilla. Biopsy = metastatic adenocarcinoma.
From the case:
Secondary lymphedema of the breast
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Subtle skin thickening only - no suspicious lesion
From the case:
Secondary lymphedema of the breast
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Gross level I, II and III axilliary lymphadenopathy
MRI breast performed to detect suspected breast malignancy
From the case:
Secondary lymphedema of the breast
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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).