Nodulo Solido Mama
Femenina 28 años de edad que se presenta a Emergencias por dolor intenso con sensibilidad y sensación de calor local en la parte externa de la mama izquierda. Ningún antecedente personal de interés. Tuvo una tía materna que falleció por cancer de mama.En el examen físico muestra sensación de dolor a la palpación superficial del area. La sonografia muestra heterogeneidad focal a expensas de nódulo sólido heterogeneo, hipoecogenico,de límites irregulares,que se localiza en la base del ligamento de Cooper del radial 03 de la mama izquierda.Produce sombra ecogenica posterior a pesar de no estar calcificado.Muestra mayor altura que anchura, mide aprox: 1,22 X 1.43 cm. El Doppler Color muestra aumento del flujo en la parte anterior mas superficial de la lesión . La Elastografia demuestra patrón de color con score 3-4 de Ueno lo cual califica como lesión altamente sospechosa.
En el radial 06 se visualiza otra pequeña imagen nodular sólida, redondeada, de límites precisos, mide aprox: 6.0 X 4.5 mm.
Se concluye con los diagnósticos de nódulos sólidos de mama izquierda, siendo el nódulo del radial 03 altamente sospechoso de malignidad.La paciente fué intervenida y el examen histologico de la pieza confirmó el caracter maligno de la lesión.
Solid Breast Nodule
A 28-year-old female presented to the emergency room for intense pain with local sensation and tenderness in the external part of the left breast. No personal history of interest. She had a maternal aunt who died of breast cancer. The physical examination shows a sensation of pain on superficial palpation of the area. Sonography shows focal heterogeneity at the expense of a heterogeneous, hypoechoic solid nodule, with irregular boundaries, located at the base of Cooper's ligament of the 03 radial of the left breast, producing posterior echogenic shadow despite not being calcified, showing greater height than width, it measures approx: 1.22 X 1.43 cm. Color Doppler shows the increased flow in the most superficial anterior part of the lesion. Elastography shows a color pattern with an Ueno score of 3-4, which qualifies as a highly suspicious lesion.
On radial 06 another small solid nodular image is visualized, rounded, with precise limits, measuring approx: 6.0 X 4.5 mm.
It concludes with the diagnosis of solid nodules of the left breast, being the node of the radial 03 highly suspicious of malignancy. The patient was operated on and the histological examination of the specimen confirmed the malignant character of the lesion.
On radial 06 another small solid nodular image is visualized, rounded, with precise limits, measuring approx: 6.0 X 4.5 mm.
It concludes with the diagnosis of solid nodules of the left breast, being the node of the radial 03 highly suspicious of malignancy. The patient was operated on and the histological examination of the specimen confirmed the malignant character of the lesion.
