Case of the month October 2010: Unusual lesions

Large partly liquefied hematoma that was caused by a small peripheral located carcinoma not detectable in the first examination

Clinical information

Palpable mass in the left breast in a severely physically handicapped patient with bluish discoloration of the skin

Ultrasound Images & Clips

Large partly liquefied hematoma

The hematoma could be aspirated. No remaining mass was palpable or was visible with ultrasound

Needle and hematoma after aspiration
Needle and hematoma after aspiration

Half a year later a hematoma reappeared. There is now a mass next to the hematoma visible

No vascularity in the hematoma
No vascularity in the hematoma
Mass next to the hematoma
Mass next to the hematoma
Mass next to the hematoma
Mass next to the hematoma
Mass next to the hematoma
Mass next to the hematoma

The mass is highly vascularized and proved to be a micropapillary breast carcinoma

Details

  • Sex: Female
  • Age: 51
  • Body part: Breast

Created with

  • Hitachi Ultrasound System