ACTA ENDOCRINOLOGICA (BUC)

Unilateral breast edema is an uncommon semiologic finding. Lots of etiologies could occur: acute mastitis, acute inflammatory breast cancer, after radiotherapy for breast cancer, lymphatic metastasis and malignant lymphoma. Rarely congestive heart failure could lead to breast edema, since the phenomenon is usually bilateral. In contrast unilateral breast edema from cardiologic etiology is exceptional. We report a case of an 86 year-old woman suffering from congestive heart failure who presented with unilateral breast edema and an imaging appearance of inflammatory breast carcinoma on mammography. The clinical and mammography appearance is described, the differential diagnosis discussed. After the cardiologic treatment, the unilateral breast edema disappeared, and the patient recovered.

Background: Similarities between benign and malignant characteristics of enlarged\r\nLN,s are observed on radiological studies.\r\nCase report: We present a case of an inflammatory intramammary lymph node, which\r\non dynamic MRI presented enhancement features suspicious of malignancy. A 45-year-old\r\nfemale presented with a painful palpable lump in the upper outer quadrant of the right breast.\r\nPhysical examination revealed a firm, movable 2 x 1-cm mass in the upper outer quadrant\r\nand erythema of the skin of the right breast. The mammogram showed a well circumscribed\r\ndensity, whith incraesed echogenity on ultrasound and increased Doppler signal. Breast, on\r\ndynamic MRI presented enhancement features suspicious of malignancy and contrast media\r\nwas washed out on delayed phase images. Pathological diagnosis was reactive lymphoid\r\nhyperplasia of intramammary lymph node.