Articles / Clinical Quick Quiz | 59-year-old presents with 2-month history of progressive changes affecting her left breast


writer
Breast Surgeon, Chris O'Brien Lifehouse; Member of Breast Surgeons of Australia and New Zealand
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A 59-year-old woman presents with a 2-month history of progressive changes affecting her left breast. Initially, she noticed increasing breast size, firmness and pain. The pain has since resolved, but over the past few weeks she has developed progressive skin thickening and nipple inversion.
She completed a course of oral flucloxacillin for presumed mastitis, with minimal improvement.
Breast imaging performed prior to the onset of symptoms demonstrated BI-RADS category D breast density with multiple simple cysts. The largest measured 41 mm in the left breast at 10 o’clock, 4 cm from the nipple.
A repeat ultrasound performed one week ago demonstrated:

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writer
Breast Surgeon, Chris O'Brien Lifehouse; Member of Breast Surgeons of Australia and New Zealand


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