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May 2016

Palpable lesion in the left breast. Do you think it's benign?
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Clinical information

Palpable mass in the left breast.

Ultrasound Images & Clips

Palpable mass in the left breast

Palpable lesion in the left breast. Do you think it is benign
Palpable lesion in the left breast. Do you think it is benign
The lesion is vascularized
The lesion is vascularized
There is another smaller lesion in the left breast
There is another smaller lesion in the left breast
Is this a small benign cyst?
Is this a small benign cyst?
There is another larger lesion in another part of the left breast
There is another larger lesion in another part of the left breast
This lesion is vascularized
This lesion is vascularized
In the right breast is a tiny lesion. Is this a cyst?
In the right breast is a tiny lesion. Is this a cyst?
No this lesion is vascularized
No this lesion is vascularized
Mammography Right MLO
Mammography Right MLO
Mammography left breast MLO
Mammography left breast MLO
Mammography Right breast CC
Mammography Right breast CC
Mammography Left breast CC
Mammography Left breast CC
Patient also feels a lesion in the upper arm
Patient also feels a lesion in the upper arm
The lesion lies in the subcutaneous tissues
The lesion lies in the subcutaneous tissues
And this lesion is vascularized
And this lesion is vascularized

Conclusion

There are multiple lesions mainly in the left breast and at least one lesion in the right breast. Also there is a subcutaneous lesion in the upper arm. Biopsy proved all the lesions to be metastases of a multiple myeloma.
Watch out for oval and round solid breast lesions, because not all of them are benign. Classify the oval lesions at least as BIRADS 3 or 4A and classify round lesions as 4A. When they are multiple biopsy at least the largest or most suspicious looking lesion.

Details

  • Sex: Female
  • Age: 65
  • Body part: Breast

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photo Taco Geertsma
Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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