Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
Special Feature
December 01, 2006

Image of the Month—Quiz Case

Author Affiliations



Copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2006

Arch Surg. 2006;141(12):1263. doi:10.1001/archsurg.141.12.1263

A 61-year-old Filipino woman had a recent episode of syncope and unintentional weight loss noted over a 6-month period. On physical examination, she was found to be tachycardic and to have a large necrotic mass in her right breast (Figure 1). Laboratory findings were notable for anemia with a hematocrit value of 19%. A fine-needle aspiration biopsy of the mass showed only cellular stromal fragments with no cytological atypia. Chest computed tomography showed a 21 × 18-cm, smooth-contoured, heterogeneous chest wall mass with no obvious chest wall invasion (Figure 2).

Figure 1.
Image not available

Necrotic breast mass.

Figure 2.
Image not available

Computed tomographic scan of the chest.

What Is the Diagnosis?

A. Invasive ductal carcinoma of the breast

B. Phyllodes tumor

C. Leiomyosarcoma

D. Rhabdomyosarcoma