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Special Feature |

Image of the Month—Quiz Case FREE

Lan T. Vu, MD; Judith Luce, MD; M. Margaret Knudson, MD
[+] Author Affiliations

Section Editor: S Grace, ROZYCKI, MD


Arch Surg. 2006;141(12):1263. doi:10.1001/archsurg.141.12.1263.
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Published online

A 61-year-old Filipino woman had a recent episode of syncope and unintentional weight loss noted over a 6-month period. On physical examination, she was found to be tachycardic and to have a large necrotic mass in her right breast (Figure 1). Laboratory findings were notable for anemia with a hematocrit value of 19%. A fine-needle aspiration biopsy of the mass showed only cellular stromal fragments with no cytological atypia. Chest computed tomography showed a 21 × 18-cm, smooth-contoured, heterogeneous chest wall mass with no obvious chest wall invasion (Figure 2).

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Figure 1.

Necrotic breast mass.

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Figure 2.

Computed tomographic scan of the chest.

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WHAT IS THE DIAGNOSIS?

A. Invasive ductal carcinoma of the breast

B. Phyllodes tumor

C. Leiomyosarcoma

D. Rhabdomyosarcoma

Figures

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Figure 1.

Necrotic breast mass.

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Figure 2.

Computed tomographic scan of the chest.

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