case_images: PMC11191430_01
case_images: (a, b) Mediolateral-oblique (MLO) and cranio-caudal (CC) mammographic views of both breasts, with a dense mass in the upper outer quadrant of the left breast (arrows). (c, d) Targeted ultrasound of the left breast showed an irregular cystic lesion with internal debris at the 2 o'clock position, 3 cm from the nipple. Mild peripheral vascularity was noted.
case_images: bd-43-bd240006-g001.jpg
case_images: PMC11191430_01_bd-43-bd240006-g001.jpg
case_images: bd-43-bd240006-g001
case_images: On examination, there was a sizeable palpable mass in the upper outer quadrant of the left breast (Fig. 1).
case_images: (a, b) Recurrence of the lesion two weeks after needle aspiration. Thickened septations with prominent vascularity were clearly demonstrated.
case_images: bd-43-bd240006-g002.jpg
case_images: PMC11191430_01_bd-43-bd240006-g002.jpg
case_images: bd-43-bd240006-g002
case_images: Two weeks after the aspiration, the lesion recurred and now measured 5.4 x 5.2 x 3.4 cm (Fig. 2).
case_images: (a) Pre-biopsy ultrasound demonstrating a focal papillary component with prominent vascularity (arrow). (b) Post-biopsy ultrasound showed significant reduction in size of the lesion.
case_images: bd-43-bd240006-g003.jpg
case_images: PMC11191430_01_bd-43-bd240006-g003.jpg
case_images: bd-43-bd240006-g003
case_images: Staging CT performed 2 weeks after the biopsy demonstrating recurrence of the lesion in the left breast, with thickened, irregular and enhancing walls (arrow).
case_images: bd-43-bd240006-g004.jpg
case_images: PMC11191430_01_bd-43-bd240006-g004.jpg
case_images: bd-43-bd240006-g004
case_images: Staging computed tomography of the chest, abdomen and pelvis showed a complex solid-cystic lesion in the left breast with thick, nodular, enhancing walls (Fig. 4).