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The Mammary Glands01:12

The Mammary Glands

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The female breast is a hemispheric projection of variable size positioned anterior to the pectoralis major and serratus anterior muscles. A fascia layer composed of dense, irregular connective tissue connects it to these muscles.
Each breast features a pigmented projection known as the nipple, through which milk emerges via closely spaced openings of ducts, referred to as lactiferous ducts. Surrounding the nipple is a circular pigmented area of skin named the areola, which appears rough due to...
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Primary breast lymphoma.

Pooja Voria, Peter R Eby, Kimberly Allison

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    Summary
    This summary is machine-generated.

    A 75-year-old woman developed primary breast lymphoma after trauma. Imaging findings and differential diagnoses for this rare condition are presented.

    Keywords:
    BI-RADS, American College of Radiology Breast Imaging Reporting and Data SystemMRI, magnetic resonance imaging

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    Area of Science:

    • Oncology
    • Radiology
    • Pathology

    Background:

    • Primary breast lymphoma is a rare malignancy, often presenting as a palpable mass.
    • Trauma can sometimes precede the presentation of breast lesions, necessitating careful evaluation.

    Observation:

    • A 75-year-old woman presented with a right breast lump post-trauma.
    • Mammography revealed a solitary, uncalcified mass with indistinct margins and ipsilateral lymphadenopathy.
    • Ultrasound demonstrated a hypoechoic mass with irregular margins and increased vascularity.

    Findings:

    • The imaging characteristics were consistent with primary breast lymphoma.
    • Pathologic correlation confirmed the diagnosis.
    • Differential diagnoses included hematoma, abscess, invasive ductal carcinoma, phyllodes tumor, and metastatic disease.

    Implications:

    • Recognizing the imaging features of primary breast lymphoma is crucial for accurate diagnosis.
    • Distinguishing lymphoma from common breast pathologies like carcinoma is essential for appropriate management.
    • This case highlights the importance of considering rare diagnoses in breast imaging, especially with atypical presentations.