PMC3522500_01
An irregular, immobile, and hard mass, measuring roughly 85 mm x 51 mm, exposed in the left axilla with slight bleeding.
CRIM2012-286210.001.jpg
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fig1
Clinical examination revealed an irregular immobile hard mass, measuring roughly 85 mm x 51 mm in the left axilla (Figure 1).
(a) Computed tomography (CT) showed an exposed and lobulated 77 mm soft tissue density mass with faint calcification in wide contact with the skin, enlarged lymph nodes in the left axilla, and small round lymph nodes less than 10 mm in the mediastinum. (b) After the neoadjuvant chemotherapy, the tumor was reduced to 51 mm in diameter, while the small mediastinum lymph nodes remained about the same in size.
CRIM2012-286210.002.jpg
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fig2
Computed tomography (CT) showed an exposed and lobulated 77 mm soft tissue density mass with faint calcification in wide contact with skin (Figure 2(a)). The tumor was finally reduced to 55 mm in diameter, and the partial response to the neoadjuvant chemotherapy was also confirmed by CT (Figure 2(b)).
The histological examination of the incisional biopsy specimen revealed proliferation of atypical cells of variable size in the subcutis. The cells had enlarged and irregular nuclei and formed a luminal structure unconnected with the epidermis, indicating an adenocarcinoma compatible with breast carcinoma.
CRIM2012-286210.003.jpg
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fig3
The cells had enlarged and irregular nuclei and formed a luminal structure unconnected with the epidermis, indicating an adenocarcinoma compatible with breast carcinoma (Figure 3).