case_images: PMC10879729_01
case_images: Clinical presentation of ulceroproliferative growth on the right breast
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case_images: PMC10879729_01_cureus-0016-00000052696-i01.jpg
case_images: FIG1
case_images: Initially insidious in onset with a 4 x 5 cm dimension, it rapidly started progressing in the last three months and reached its current dimensions of 10 x 15 cm with skin ulceration and discharge from the lump containing pus and blood (Figure 1).
case_images: Chest radiograph depicting the growth over the right breast
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case_images: PMC10879729_01_cureus-0016-00000052696-i02.jpg
case_images: FIG2
case_images: Sonography report of the breast with axilla was suggestive of a large heterogeneous echogenic mass with all quadrants involved in the right breast having increased vascularity and the presence of enlarged axillary lymph nodes, likely metastatic etiology (Figure 2).
case_images: Computed tomography scan showing fungating growth invading the chest wall
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case_images: PMC10879729_01_cureus-0016-00000052696-i03.jpg
case_images: FIG3
case_images: The lesion measured approximately 12.8 x 4.8 x 15.6 (AP x TR x CC) cm in size (Figure 3).
case_images: Intra-operative images of mastectomy. A - after induction; B - starting with Stewart incision over the right breast; C - raising the flap; D - ipsilateral axillary clearance; E - post excision of the mass; F - initiating skin closure; G - post-op skin closure.
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case_images: FIG4
case_images: Palliative mastectomy, along with ipsilateral axillary dissection, was performed due to fungation and bleeding, and a section of the pectoralis major resected due to muscle infiltration by the tumor (Figure 4).
case_images: Excised specimen of the sarcomatoid carcinoma of the right breast
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case_images: PMC10879729_01_cureus-0016-00000052696-i05.jpg
case_images: FIG5
case_images: Histopathology slides showing the sarcomatoid breast carcinoma (10x magnification)
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case_images: FIG6
case_images: The final histopathology report of the excised specimen of the breast was suggestive of metastatic carcinoma - sarcomatoid carcinoma (Figures 6, 7).
case_images: Histopathology slides showing the sarcomatoid breast carcinoma (40x magnification)
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case_images: PMC10879729_01_cureus-0016-00000052696-i07.jpg
case_images: FIG7
case_images: The final histopathology report of the excised specimen of the breast was suggestive of metastatic carcinoma - sarcomatoid carcinoma (Figures 6, 7).