Case 112

Surgical Pathology Case
 

CLINICAL INFORMATION

  47 year-old female. Left breast mass. Bilateral modified radical mastectomy.

GROSS DESCRIPTION

 

The specimen from the left breast consists of a modified radical mastectomy specimen measuring 25.0 x 22.0 x 7.5 cm. The axillary tail measures 11.0 x 10.0 x 3.0 cm.  The skin ellipse bearing the nipple measures 23.0 x 13.0 cm and the nipple measures 1.0 cm in diameter. A large mass is palpable in lower outer quadrant. Upon sectioning after fixation, a large tumor with central necrosis is noted ( 7.0 x 5.0 x 4.0 cm). The tumor abuts the overlying skin and is at least 2 cm from the deep margin (nearest margin). The remaining breast is unremarkable. Upon dissecting the axillary tail several lymph nodes ( 0.4 to 1.2 cm in maximum dimension) are noted.
 

     
 
 

HE, 4

HE, 4

 
 

HE, 20

HE, 20

 
 

HE, 40

HE, 40

     
 

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan