case_images: PMC7341038_01
case_images: B-MRI shows a single extraxial left frontotemporal lesion of about 52 mm, which determined vasogenic edema and midline 11 mm shift.
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case_images: Magnetic Resonance Imaging (B-MRI) described a single extraxial left frontotemporal lesion of about 52 mm, which showed contrast enhancement. Mass effect determined vasogenic edema and left hemicortical 11 mm shift (Fig. 1, Fig. 2).
case_images: a) Axial PET-CT shows an intense hypermetabolism in right breast. b) Sagittal PET-CT shows an intense hypermetabolism in right breast and right axilla.
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case_images: Computed Tomography (PET-CT) has revealed an intense hypermetabolism in right breast and right axilla (SUV max 20,5, 10.5 respectively) (Fig. 2a and Fig. 2b). Core needle biopsy of the breast revealed a grade 3 invasive ductal carcinoma.
case_images: The photo was taken at the end of surgery and shows the brain metastasis of about 52 mm.
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case_images: After written informed consent, patient underwent same time metastasectomy surgery (Fig. 3) plus right mastectomy, right axillary dissection and immediate Breast Reconstruction (BR) with sub-pectoral Mentor 450 cc tissue expander.