PMC6766669_01
Sonogram of the left breast showing hypoechoic lesion.
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Ultrasound (Figure 1) and mammogram (Figure 2) of the left breast reported a 2.5 cm lobulated hypoechoic lesion with well-demarcated borders and posterior acoustic enhancement suggestive of a complicated cyst.
Mammogram of the left breast.
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Ultrasound (Figure 1) and mammogram (Figure 2) of the left breast reported a 2.5 cm lobulated hypoechoic lesion with well-demarcated borders and posterior acoustic enhancement suggestive of a complicated cyst.
MRI left breast.
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The bilateral breast MRI (Figure 3) that was done 3 weeks later revealed a left retroareolar 3.8 x 3.7 x 3.5 cm mass complex, heterogeneous with rim enhancement.
High-grade features with cell atypia.
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The final pathology revealed a 5.5 cm primary invasive metaplastic ductal carcinoma (Figure 4).
Cell atypia with necrosis.
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The histologic grade was 3 with squamous differentiation and was triple negative (Figure 5).
PMC6766669_02
Left breast sonogram showing a cystic mass.
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She promptly underwent a sonogram (Figures 6 and 7) and mammogram that revealed a heterogeneous breast, and corresponding to the palpable abnormality was a large complex cystic mass measuring 2.7 x 2.4 x 2.6 cm with a thick wall with enhanced through transmission and some internal vascularity.
Left breast mammogram.
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She promptly underwent a sonogram (Figures 6 and 7) and mammogram that revealed a heterogeneous breast, and corresponding to the palpable abnormality was a large complex cystic mass measuring 2.7 x 2.4 x 2.6 cm with a thick wall with enhanced through transmission and some internal vascularity.
MRI left breast.
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MRI bilateral breasts showed an enhancing mass of maximal dimension of 1.7 cm and subtle asymmetric left axillary tail lymph node 1.4 x 0.9 cm (Figure 8).
Cells with sarcomatoid differentiation.
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Lymph node biopsy:lymphocyte aggregates and adjacent tumor cells.
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