July/August 2005

Fig.1

Fig.2

History:
80 year-old-male presented to the Veterans Hospital complaining of a painful mass in his left breast for approximately two months. The mass has been gradually enlarging overtime and recently had led to a breakdown in the overlying skin (Figs. 1 &2). Past medical history is significant for coronary artery disease, chronic renal insufficiency, hypertension, hypercholesterolemia, and cerebral vascular accident.

Physical Examination:
On the left breast there is a 5x7cm mobile subareolar mass with skin ulceration and near complete destruction of the overlying nipple-areola complex. The left axilla has multiple large, firm, palpable lymph nodes.

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