BMJ Case Reports 2017; doi:10.1136/bcr-2017-223106
  • Images in…

Pleomorphic sarcoma of the breast

  1. Edwin B Marinas2
  1. 1Internal Medicine, Michigan State University / Sparrow Hospital, Lansing, Michigan, USA
  2. 2Department of Pathology, Sparrow Hospital, Lansing, Michigan, USA
  1. Correspondence to Dr Manoj P Rai, manoj.rai{at}
  1. ↵VKM contributed equally.

  • Accepted 20 October 2017
  • Published 9 November 2017


This is an 81-year-old man with a history of small bowel carcinoid. He was undergoing routine surveillance (every 6 months) CT chest, abdomen and pelvis with contrast, which showed an incidental left breast mass in the lower inner quadrant, 12×9 mm concerning for breast neoplasm, there was left axillary lymphadenopathy (LAD) as well (figure 1). Correlation with clinical examination, mammography and ultrasound were recommended. A left breast ultrasound noted a hypoechoic irregular mass with indistinct margins, 7 mm in size at the 10 o’clock position on the left breast, 3 cm from the nipple (figure 2). Breast imaging-reporting and data system (BI-RADS) category 4. Bilateral mammogram demonstrated a 1.3 cm irregular shaped mass …

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