title: Unusual sonographic findings in a case of atypical medullary inflammatory carcinoma of the breast.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Gregorio Marañón General University Hospital, 48 28009 Madrid, Spain.
authors.forename: Verónica
authors.initials: V
authors.lastname: Sobrino-Mota
authors.forename: Sandra
authors.initials: S
authors.lastname: Lagarejos-Bernardo
authors.forename: Beatriz
authors.initials: B
authors.lastname: Varela-Mezquita
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Castro
authors.forename: Carmen
authors.initials: C
authors.lastname: Segura-González
authors.forename: Federico
authors.initials: F
authors.lastname: Pérez-Milán
mesh_terms: 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*