Thursday, 14 November 2024

CASE 793: INFLAMMATORY BREAST CANCER, Dr PHAN THANH HẢI, Dr TRẦN THÙY TRANG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 31 year-old woman with the right breast appearing bigger fastly than the left one and covered by the red skin its upper part. The right breast felt hard and tumorless in touching.



Breast ultrasound with elastography detected some axillary lymph nodes and the breast tissue being distortion. That is belonged a breast cancer BI-RADS 5 classified.  Maybe it is a breast infiltrated lymphoma or an inflammatory breast cancer.






Breast MRI confirmed an inflammatory breast cancer BI-RADS 5 and metastase axillary lymph nodes.


But results of histopathology of lymph node FNAC was breast carcinoma and nonspecific chronic inflammation.


Histopathological result of the breast specimen by core biopsy was chronic inflammation non specific (N 61) of the breast.



In consultation later, a chemohistoimmunostaining was done and the result was an invasive breast carcinoma of no special type, grade 3.




Inflammatory breast cancer (IBC) is a rare entity among the breast cancer [1-5%]. The cancer cells may obstruct the lymphatic vessels then make the breast being swollen and covered by the red skin as an inflammation breast.


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