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Monday, 20 November 2017

CASE 461: AXILLARY MAMMARY GLAND, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Woman  35 yo detected  at  right axiilary  a soft  and bigger mass. Clinical looked  like a lipoma.
Ultrasound  scan of this mass :  

US 1:  longitudinal scan=  subcutaneous hypoechoic mass,  size  4cm,  well bordered.   


US 2: CDI  hypovascular  pattern.


US 3:  elastoscan of this mass = 4.3 kPa,  like fatty tissue.



MSCT  non CE:

CT 1:  frontal view of  this mass  = subcutaneous, same density of fatty tissue.


CT 2 :  zooming of this mass  showed  structure  looked like a nipple of breast.



CT 3:   crossed-sectional view of  this mass = well bodered, not connected to the right breast.


CT 4:   sagittal view of  this mass=  separation to the right breast.


Radiologist reported  an axillary  mammary gland.
Operation  for removing  this mass     (see foto  specimen),  




surgeon reported it having  fatty  and hard tissue. Microscopic report is tissue of mammary gland.



Summary of  this case:    axiilary mammary gland  mimicking as a lipoma mass.

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