Unusual sonographic findings in a case of atypical medullary inflammatory carcinoma of the breast.
We report the case of a 35-year-old woman who complained of a rapid enlargement of a pre-existing breast mass and yellowish nipple discharge. Clinical examination revealed a firm mass measuring 15 x 10 cm and "peau d'orange" phenomenon. Sonography revealed a well-defined mass with heterogeneous echotexture and hyperechoic trabecular structures that delineated hypoechoic areas, resulting in a honeycomb pattern. The patient underwent a surgical exploration and a biopsy of the mass and of the skin. The histopathologic examination revealed an atypical medullary carcinoma with high mitotic activity.
Sobrino-Mota
Verónica
V
Department of Obstetrics and Gynecology, Gregorio Marañón General University Hospital, 48 28009 Madrid, Spain.
Lagarejos-Bernardo
Sandra
S
Varela-Mezquita
Beatriz
B
Castro
Yolanda
Y
Segura-González
Carmen
C
Pérez-Milán
Federico
F
D000328:Adult; D001707:Biopsy, Needle; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D018276:Carcinoma, Medullary / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008413:Mastitis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D016217:Ultrasonography, Mammary / Q000379:methods*