41yr F. Known #Breast-cancer stage 3 diagnosed 1year ago. Re | Figure 1

41yr F. Known #Breast-cancer stage 3 diagnosed 1year ago. Received recent neoadjuvant chemotherapy this month. Pc increase in size and tender axillary mass on a previously biopsied mass. We aspirated that fluid. What are your thoughts? Also, the entire right breast is a tumor.

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A 35 year old female had her #Mastectomysurgery huge mass of malignant mass what is found in her right breast got it removed successfully](https://app.figure1.com/case-detail/0f904914-8aab-4904-b5d7-d47a5d2b764c)

Right Brest Mass removed by Modified Radical Mastectomy. This is the second time the patient got MRM following the removal of her Left Breast half-a-year ago. Just sharing this image to you.](https://app.figure1.com/case-detail/207baee5-e9bb-4718-8eef-ac08d1947b49)

Multicentric infiltrating ductal cancer in fatty breast tissue better seen with tomosynthesis.
(A) 2D mammogram in a 79-year-old woman shows three distinct masses in the right breast (numbered). Mass 3 is associated with a biopsy marker clip and is benign.
(B) Comparison of close-up 2D and tomosynthesis MLO views shows the subtle spiculated margins associated with masses 1 and 2 are much more obvious on tomosynthesis. In this case additional spot compression views were unnecessary.
(C) Targeted ultrasound reveals corresponding suspicious solid hypoechoic masses. Mass 1 is oval with angular and indistinct margins, whereas mass 2 is irregularly shaped with indistinct margins. Ultrasound-guided core needle biopsy at both sites yielded infiltrating ductal carcinoma, grade 2, ER/PR+, Her2−, Ki67 = 5%. The patient underwent right partial mastectomy.
Source: Breast Tomosynthesis, 1st edition, by Liane E. Philpotts. ISBN: 9780323358279. Copyright ©2018 Elsevier, Inc.

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