Lactating breast

Case contributed by Dr Mark Holland

Presentation

GP referral 6 weeks post partum with left breast pain and lumpiness

Patient Data

Age: 35 years
Gender: Female
Mammography

The breast is very dense, heterogeneously coarse, nodular, and confluent, with a marked decrease in adipose tissue and a prominent ductal pattern. No obvious mass or collection is noted. Benign appearing small axillary lymph node is noted.

Case Discussion

  • dense breast makes evaluation of a mass difficult
  • 88% of lactating women have dense or heterogeneously dense mammograms
  • pregnancy-associated breast carcinoma (PABC) represents up to 3% of all breast malignancies
  • incidence of PABC is 1 in 3000–10,000 pregnancies. More than 50% of patients present with high-grade tumors that include inflammatory tumors and have lymph node involvement. 
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Case information

rID: 19434
Published: 9th Sep 2012
Last edited: 14th Aug 2019
System: Breast
Inclusion in quiz mode: Excluded

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