Queens Memorial Medical Center
New York, New York
This 68-year-old woman presented for evaluation of painful lesions under the skin that have been present for 3-4 months. She has a history of psoriasis, which is in remission, fibromyalgia, hypertension. There is no personal history of malignancy. No exotic travel. She had smoked over two ppd for decades.
These darkly beautiful photomicrographs were taken by Dr. Lynne Goldberg at the Boston University School of Medicine's Department of Dermatopathology.
Plan: Mammography and breast ultrasound. Referral to oncologist.
Mammography shows masses in r. breast. Ultrasound guided biopsy planned and specimen will be sent for Estrogen receptor, progesterone receptor and Her-2 (human epidermal growth factor receptor).
Note: In this age of "Social Distancing" it is unlikely that this disgnosis would have been make expeditiously in a woman with no history of an underlying malignancy. We will add more as her case progresses.
Your thoughts will be appreciated.