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Metastatic ductal carcinoma (breast)

Johnson LJ - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Metastatic ductal carcinoma (breast)

History: 60 year old woman with PMH of T1bN0M0 breast CA and melanoma, both 9 years ago. S/P lumpectomy, XRT, Tamoxifen, local excision. Presents with 3 months of early satiety and nausea. Additional complaint of blurred vision when looking to her left while driving for 1 week.

Findings: Multiple liver lesions replacing approximately 80% of liver volume. Multiple lesions of brain parenchyma in bilateral parietooccipital regions with diffuse enhancement of overlying skull and dura.

Ddx: Metastatic disease - Melanoma Metastatic disease - Ductal Breast CA

Dxhow: Pathology on US guided liver biopsy consistent with Ductal carcinoma. 100% of nuclei stained positive for Estrogen Receptor and 95% positive for Progesterone Receptor.

Exam: Liver edge palpable to 4 cm below ribcage on exam.

No MeSH data available.


Axial Abdominal CT demonstrating diffuse lesions occupying approximately 70-80% of the liver. Nearby lymphatic chains are also involved.
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MPX2328_synpic34918: Axial Abdominal CT demonstrating diffuse lesions occupying approximately 70-80% of the liver. Nearby lymphatic chains are also involved.


Metastatic ductal carcinoma (breast)

Johnson LJ - MedPix (2007)

Axial Abdominal CT demonstrating diffuse lesions occupying approximately 70-80% of the liver. Nearby lymphatic chains are also involved.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2328&req=5

MPX2328_synpic34918: Axial Abdominal CT demonstrating diffuse lesions occupying approximately 70-80% of the liver. Nearby lymphatic chains are also involved.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Metastatic ductal carcinoma (breast)

History: 60 year old woman with PMH of T1bN0M0 breast CA and melanoma, both 9 years ago. S/P lumpectomy, XRT, Tamoxifen, local excision. Presents with 3 months of early satiety and nausea. Additional complaint of blurred vision when looking to her left while driving for 1 week.

Findings: Multiple liver lesions replacing approximately 80% of liver volume. Multiple lesions of brain parenchyma in bilateral parietooccipital regions with diffuse enhancement of overlying skull and dura.

Ddx: Metastatic disease - Melanoma Metastatic disease - Ductal Breast CA

Dxhow: Pathology on US guided liver biopsy consistent with Ductal carcinoma. 100% of nuclei stained positive for Estrogen Receptor and 95% positive for Progesterone Receptor.

Exam: Liver edge palpable to 4 cm below ribcage on exam.

No MeSH data available.