PMC8131091_01
A large tumor in patient's right breast upon first clinical examination. The tumor had an exogenous growth with an ulcer measuring 5x5 cm in the center, covered with white and yellow exudate.
OTT-14-3193-g0001.jpg
PMC8131091_01_OTT-14-3193-g0001.jpg
f0001
Physical examination revealed a large tumor (approximately 10x10 cm) in her right breast, and the tumor had an exogenous growth with an ulcer in the center measuring 5x5 cm and covered by a white and yellow exudate (Figure 1).
The outcome of breast and axillary B ultrasonography. (A) B ultrasonography showed a 12.5-cm diameter mass in the lateral quadrant of the right breast. (B) B ultrasonography showed enlarged axillary lymph nodes. The larger node had a diameter of 1.2 cm.
OTT-14-3193-g0002.jpg
PMC8131091_01_OTT-14-3193-g0002.jpg
f0002
B ultrasonography uncovered a mass measuring 12.6 cm in diameter in the lateral quadrant of the right breast with enlarged axillary lymph nodes and was staged as BI-RADS 5 (Figure 2).
Results of chest computed tomography (CT). (A) The red arrow shows a large breast tumor with thickened skin. (B) The red arrow shows a nodule in the upper lobe of the right lung, indicating lung metastasis. (C) The red arrow shows another nodule in the upper lobe of the right lung, suggesting lung metastasis. (D) The red arrow shows abnormal bone density on the thoracic third vertebral body (T3), indicating bone metastasis.
OTT-14-3193-g0003.jpg
PMC8131091_01_OTT-14-3193-g0003.jpg
f0003
Chest computed tomography (CT) showed two nodules in the upper lobe of the right lung; a large breast tumor with thickened skin; multiple enlarged lymph nodes in the right axillary region; and abnormal bone density on the left third posterior rib, thoracic 2,3 vertebral body (T2, T3), suggesting lung and bone metastasis (Figure 3).
Results of pathological examination. (A) Blue arrow shows invasive ductal carcinoma, while the red arrow shows squamous cell carcinoma. (B) High-grade sarcoma.
OTT-14-3193-g0004.jpg
PMC8131091_01_OTT-14-3193-g0004.jpg
f0004
The mesenchymal component comprised high-grade sarcoma with infarction (Figure 4).