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Case report: Poorly differentiated breast carcinoma presenting as a breast abscess
Roya Faghani1, Nazgol Motamed-Gorji2, Sara Khademi3
1Radiology Department, Lewisham and Greenwich NHS Trust, London, United Kingdom.
Radiology Case Reports
|April 10, 2024
Summary
A young woman with no prior medical history was diagnosed with advanced breast cancer presenting as a cystic lesion and skin ulcer. The cancer had already metastasized to her lymph nodes and liver.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- Breast cancer typically presents in older women, with a lower incidence in young adults.
- Early detection and diagnosis are crucial for effective breast cancer treatment outcomes.
Observation:
- A 31-year-old female with no past medical history presented with a sudden onset discharging skin ulcer in the left inframammary fold.
- Initial presentation mimicked a breast abscess, with erythema and swelling, leading to ultrasound-guided aspiration.
- Cytology results (C5) and subsequent core-needle biopsy confirmed poorly differentiated breast carcinoma.
Findings:
- The breast carcinoma exhibited an uncommon cystic necrotizing mass presentation.
- Metastatic disease was identified in the axillary lymph nodes and liver at the time of diagnosis.
- The advanced stage at presentation highlights the aggressive nature of this rare case.
Implications:
- This case underscores the importance of thorough investigation for breast cancer, even in young patients with atypical presentations.
- Highlights the diagnostic challenges posed by rare breast cancer morphologies.
- Emphasizes the need for comprehensive staging in all breast cancer diagnoses, regardless of patient age or initial clinical suspicion.
