PMC7341038_01
B-MRI shows a single extraxial left frontotemporal lesion of about 52 mm, which determined vasogenic edema and midline 11 mm shift.
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Magnetic Resonance Imaging (B-MRI) described a single extraxial left frontotemporal lesion of about 52 mm, which showed contrast enhancement. Mass effect determined vasogenic edema and left hemicortical 11 mm shift (Fig. 1, Fig. 2).
a) Axial PET-CT shows an intense hypermetabolism in right breast. b) Sagittal PET-CT shows an intense hypermetabolism in right breast and right axilla.
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Computed Tomography (PET-CT) has revealed an intense hypermetabolism in right breast and right axilla (SUV max 20,5, 10.5 respectively) (Fig. 2a and Fig. 2b). Core needle biopsy of the breast revealed a grade 3 invasive ductal carcinoma.
The photo was taken at the end of surgery and shows the brain metastasis of about 52 mm.
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After written informed consent, patient underwent same time metastasectomy surgery (Fig. 3) plus right mastectomy, right axillary dissection and immediate Breast Reconstruction (BR) with sub-pectoral Mentor 450 cc tissue expander.