Soft tissue metastasis of breast carcinoma

Incidental finding of a scapular nodule

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Clinical information

42-year-old female patient who came from the rehabilitation clinic to our office because of an incidental finding of a scapular nodule. Known oncologic history of breast cancer. Currently shows pulmonary nodules too.

Brief description

The ultrasound showed a rounded nodule, with irregular contour, hypoechogenic, with irregular margins and infiltrative appearance, heterogeneous, with dimensions: 1.47 x 1.63 x 2.15cm (AP x T x L), without color Doppler enhancement and no other artifacts.
We decided to perform FNA and CNB with 4 cores and ancillary testing.

Ultrasound Images & Clips

Conclusion

The morphology and immunophenotype show features suggestive of a breast origin of the lesion.
Final diagnosis: Soft tissue metastasis of breast carcinoma.

Details

Sex: Female
Age: 42

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Author

Dr. Karen Villar Zarra

Interventional Pathologist, Hospital Universitario del Henares

Pathologist with Ultrasound-Guided Fine-Needle Aspiration Certificate Recognition awarded by The College of American Pathologists since 2015 to current (USFNA CAP Certificate) after completing the Advanced Practical Pathology Program (AP3) in Englewood Hospital. NJ, USA.
Founder and Medical Director of the Interventional Ultrasound for Pathologists Course (since 2017 in Madrid. Spain.)

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