Suspected cup syndrome. Diagnostic imaging of a misunderstood breast tumor for its uncommon location.
The case of a 41-year-old female patient with axillary lymphadenopathies and negative clinical and mammographic examinations is discussed. In the suspicion of a cup syndrome of breast origin, breast sonography was performed. While the absence of alterations was confirmed, a right parasternal swelling was highly suggestive of malignancy. On histology, a malignant parasternal nodule was diagnosed. Breast MRI was performed and an ipsilateral malignant focal lesion was visualized. Chemotherapy was administered but after a disease-free interval leptomeningeal and cerebral metastases appeared.
Canadè
Adolfo
A
Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Roma, Italy.
Magistrelli
Andrea
A
Lombardi
Roberta
R
Costantini
Melania
M
Franceschini
Gianluca
G
Belli
Paolo
P
D000230:Adenocarcinoma / Q000175:diagnosis*; D000328:Adult; D001940:Breast / Q000473:pathology; D001943:Breast Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D016217:Ultrasonography, Mammary