Home / Training / Manuals / Atlas of breast cancer early detection / Cases

Atlas of breast cancer early detection

Filter by language: English / Русский
                                                                                                                         Go back to the list of case studies
                                                                                                                         Click on the pictures to magnify and display the legends
Case number:090
Age:27
Clinical presentation:Premenopausal woman with average risk of developing breast cancer presented with pain in the right breast. Examination revealed a lump measuring 1.5 cm in diameter in the right upper outer quadrant.


Ultrasound:


Ultrasound features: Right breast, upper outer quadrant, 10 o’clock in axillary tail

 ‣ Mass
   • Location:Right breast, upper outer quadrant, 10 o’clock in axillary tail
   • Number:1
   • Size:1.7 × 1.0 cm
   • Shape:Irregular
   • Orientation:Not parallel
   • Margins:Angular
   • Echo pattern:Hypoechoic
   • Posterior features:No posterior features
 ‣ Calcifications:None
 ‣ Associated features:Peripheral vascularity and vessels in rim
 ‣ Special cases:None

BI-RADS:

BI-RADS Category: 2 (benign)

Further assessment:

Further assessment advised: Referral for cytology

Cytology:

Cytology features:

 ‣ Type of sample:FNAC (solid lesion)
 ‣ Site of biopsy:
   • Laterality:Right
   • Quadrant:Upper outer
   • Localization technique:Palpation
   • Nature of aspirate:2 mL of purulent yellowish white material
 ‣ Cytological description:Smears show plenty of neutrophils admixed with a few lymphocytes on a necrotic background
 ‣ Reporting category:Benign
 ‣ Diagnosis:Acute inflammation and breast abscess
 ‣ Comments:None


Case summary:

Premenopausal woman presented with right breast pain. Diagnosed as inflammatory lesion in right breast, BI-RADS 2 on imaging and as acute inflammation, breast abscess on cytology.

Learning points:


  • Inflammatory lesions can mimic the morphological features of malignancy, such as an irregular mass with spiculated margins. Triple assessment will confirm the diagnosis and follow-up reveals complete resolution of the inflammatory lesion.

25 avenue Tony Garnier CS 90627 69366, LYON CEDEX 07 France - Tel: +33 (0)4 72 73 84 85
© IARC 2024 - Terms of use  -  Privacy Policy.