185

Case 185

Case History

A 57-year-old woman presents with left nipple inversion. She had a left lumpectomy for infiltrating ductal carcinoma 3 years ago. She refused posterative radiation and chemotherapy after surgery.

Physical Examination

• left breast: healed incision in upper outer quadrant; no masses; inverted nipple; mild periareolar erythema and and peau d’orange.

• right breast: normal exam

Mammogram

Mass (Figs. 185–1 through 185–3)

• margin: spiculated

Figure 185–1. Screening mammogram prior to lumpectomy demonstrated a dense spiculated mass in the upper inner left breast. (A). Left MLO mammogram. (B). Left CC mammogram.

Figure 185–2. Two years after lumpectomy, there is mild ill-defined increased density and skin thickening and retraction associated with the lumpectomy site. This appearance had been stable for 1 year. (A). Left MLO mammogram. (B). Left CC mammogram.

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