CASE 133: SCAR of REMOVED BREAST TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

WOMAN 57 yo WENT THROUGH A LUMPECTOMY AT THE LEFT BREAST BY CANCER FOR 7 YEARS AND RADIOTHERAPY. NOW SHE NOTICES THE SCAR AT THIS SITE GETTING BIGGER AND HARDER.

ULTRASOUND OF LEFT BREAST AT 5h AREA : THE SCAR HAS STRONG SHADOWING NON COMPRESSIBLE, NO AXILLARY NODE (4 IMAGES).

MRI IS DONE WITH GADO CE DYNAMIC (2 IMAGES).

Resection biopsy of the scar was done, and pathological report was fibrosis and inflamation cell infiltration.
Microscopic result of  the biopsy showed that to be a KELOID.

DISCUSSION:  Caution of the scar on one breast post operation is always more difficult. With CDI ultrasound there is no vascular supply for this scar nor mass in the posterior black shadowing area. Biopsy of course is the choice for a clear diagnosis. 

Reference: POSTERIOR ACOUSTIC SHADOWING in BENIGN BREAST LESIONS