Breast Microcalcifications as the Only Imaging Manifestation of Metastatic Serous Peritoneal Adenocarcinoma in the Breast

We present a case of a 65 year old female with newly diagnosed primary peritoneal serous carcinoma who was found to have indeterminate segmental microcalcifications in the right upper outer quadrant with a mildly enlarged right axillary node on mammogram. There was no associated breast mass on ultra...

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Bibliographic Details
Published in:Journal of radiology case reports 2019-10, Vol.13 (10), p.1-20
Main Authors: Liang, Mary Moon-Sun, Teo, Sze Yiun, Gudi, Mihir, Lim, Swee Ho, Win, Thida
Format: Article
Language:English
Subjects:
Aged
Breast Diseases - diagnostic imaging
Breast Imaging
Breast Neoplasms - secondary
Calcinosis - diagnostic imaging
Cystadenocarcinoma, Serous - pathology
Cystadenocarcinoma, Serous - secondary
Female
Humans
Lymph Nodes - diagnostic imaging
Lymphatic Metastasis
Mammography
Peritoneal Neoplasms - pathology
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Summary:We present a case of a 65 year old female with newly diagnosed primary peritoneal serous carcinoma who was found to have indeterminate segmental microcalcifications in the right upper outer quadrant with a mildly enlarged right axillary node on mammogram. There was no associated breast mass on ultrasound. Core biopsy of the right axillary lymph node and right upper outer quadrant breast microcalcifications confirmed the presence of breast metastases at both sites from primary peritoneal serous carcinoma. This case highlights the importance of histopathological correlation of any breast and axillary abnormalities in patient with primary extramammary malignancy. Imaging features of metastatic lesions to the breast are also reviewed.
ISSN:1943-0922
1943-0922
DOI:10.3941/jrcr.v13i10.3769