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Breast » Breast

Breast carcinoma with metastases to axilla

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Author(s) :

Ravi Kadasne, MD

Presentation A 40-year-old woman presents with a hard lump in the right breast. There was palpable right axillary lymphadenopathy. The following are the ultrasound images of the mass and the axillary node.

Caption: Views of the breast mass

Description: A solid well-defined hypoechoic mass with minimal acoustic shadwoing is seen in the right breast. Intrinsic vascularity is exhibited by color Doppler.

Caption: Grey-scale image of the right axillary node

Description: A solid appearing enlarged node is seen in the right axilla. The echogenic fatty hilum of a normal lymph node is not visible.

Caption: Color Doppler view of the node

Description: The node displays irregular internal vascularity. The grey-scale and the color Doppler features are suggestive of metastatic involvement of the node.

Differential Diagnosis Malignant mass in the right breast with axillary node metastases

Final Diagnosis Malignant mass in the right breast with axillary node metastases

Follow Up A biopsy was performed which proved the malignant nature of the mass - ductal malignancy.

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