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Related Experiment Video

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Case 312.

Sanchita Gupta1, Namita Mohindra1, Anurag Mehndiratta1

  • 1From the Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raibareli Road, Lucknow, Uttar Pradesh, India 226014.

Radiology
|February 15, 2024
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Summary
This summary is machine-generated.

This case study highlights a rare genetic disorder causing painful breast lesions in a young woman. Early ultrasound diagnosis is crucial for identifying these benign, non-cancerous growths.

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Area of Science:

  • Medical imaging and diagnostics
  • Genetics and hereditary conditions
  • Dermatology and endocrinology

Background:

  • A 29-year-old woman presented with noncyclical mastalgia and palpable breast lesions.
  • Family history revealed breast cancer in her mother and grandmother, prompting further investigation.
  • Patient was undergoing treatment for generalized anxiety disorder with selective serotonin receptor inhibitors.

Observation:

  • Physical examination revealed multiple small, mobile, painful lesions in bilateral breasts, anterior abdominal wall, and forearm.
  • Ultrasound (US) of bilateral breasts, including Color Doppler and shear-wave elastography, visualized these lesions.
  • Similar subcutaneous lesions were identified on the anterior abdominal wall and right forearm.

Findings:

  • Laboratory investigations, including complete blood count and erythrocyte sedimentation rate, were within normal limits.
  • Imaging findings suggested benign, non-cancerous lesions, despite the family history of breast cancer.
  • The widespread distribution of lesions across multiple body areas was a notable observation.

Implications:

  • This case underscores the importance of comprehensive evaluation for unexplained painful lesions, considering genetic predispositions.
  • Advanced imaging techniques like ultrasound and elastography are vital for characterizing such lesions.
  • Further investigation into the specific genetic etiology of these widespread benign lesions is warranted.