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Case 1
Presented by: Dr. M. Hayes
Clinical History
A 59-year-old woman presented with suspicious calcifications detected on screening mammography. A left partial mastectomy was performed that measured 5,5x3,5x1,5 cm. No localized tumor could be detected on gross exaination. A wider excision was negative for residual tumor.
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Diagnosis & discussion |
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Case 2
Presented by: Dr. T. Oyama
Clinical History
A 69-year-old woman presented with a right breast tumor at a medical screening at our outpatient department. On physical examination , a 2,2 cm tumor was palpated in the upper outer quadrant of her right breast. The tumor was irregularly shaped with defined margins. Skin retraction was observed. Mammography revealed an irregularly shaped, speculated mass without calcification. Ultrasonography revealed an irregular hypoechoic lesion with coarse internal echo and increased boundary echo. These examination suggested breast cancer and aspiration cytology was performed. The diagnosis was ‘’no malignant atypical cells’’ and only abundant histiocytoid cells with granular cytoplasm and round small nuclei were observed. Core needle biopsy was performed to accurately diagnose the tumor.
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Diagnosis & discussion |
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Case 3
Presented by: Dr. J. Kulka
Clinical History
The female patient was 54 when the lung carcinoma was removed by left lower lobectomy. The TNM stage was T2N1M0. The original histology report described a poorly differentiated carcinoma with regional lymph node metastasis. At the age of 57 she developed breast pain. The detailed examinations revealed a tumor in her left breast. Mastectomy and axillary block dissetion were performed.
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Diagnosis & discussion |
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Case 5
Presented by: Dr. C. Riva
Clinical History
M.B., Caucasian female patient, 69 year old, presents with complaint of a palpable mas in the right breast and mammographic features of a rounded dense tumor with coarse calcifications. Right mastecomy with axillary lymhadenectomy is performed.
Macroscopy: A brownished and firm tumor measuring 2,4cm with well delineated and pushing margins was found in the lower outer quadrant.
Immunoprofile: ER, PR, p53 and c-erbB-2: Negative
Proliferative index ( Ki 67): 32%
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Diagnosis & discussion |
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Case 6
Presented by: Dr. A Lee
Clinical History
65-year-old woman with a left chest wall mass. A core biopsy was taken of this mass. Four years before she had a mastectomy for invasive carcinoma of the breast.
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Diagnosis & discussion |
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Case 7
Presented by: Dr. A. Reiner
Clinical History
A 67-year-old male patient presents with a swelling of his right breast and bloody nipple discharge. Surgery is peformed.
Macroscopy: At operation a specimen measuring 4,5x4x2 cm in diameter is resected. No nipple or skin is attached. The cut surface is white and partly fatty and contains multiple small cysts many containing blood. No circumscribed tumor can be identified.
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Diagnosis & discussion |
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Case 8
Presented by: Dr. S. Tuzlalı
Clinical History
60 year old female patient with a retroareolar mass who had previous biopsies from the same location in the breast.
In mastectomy specimen the tumor is 4x3x3 cm. and it is white in color, hard in consistency and has infiltrative borders.
The tumor is located beneath the skin of the retracted nipple.
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Diagnosis & discussion |
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Case 9
Presented by: Dr. J. Dahlstrom
Clinical History
A 57-year-old female was found to have 20 mm firm and painless nodule under the areola of the right breast on routine breast examination. No lymphadenopathy was noted. A surgical excision of the tumor was performed.
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Diagnosis & discussion |
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Case 10
Presented by: Dr. V. Eusebi
Clinical History
A 53–year-old lady with paraareolar lump of the right breast in a lady with known history of Hashimoto’s thyroiditis. Her 35-year-old lady sister has also the same autoimune disease.
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Diagnosis & discussion |
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