Neuroendocrine tumor of the breast
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A 39-year-old G2P1 female presented with a new palpable right breast lump, which she had noticed while breastfeeding. Her risks for breast cancer included a maternal grandmother who was diagnosed with breast cancer in her 50s and late childbearing at age 37. On physical examination, she had a large palpable non-tender mass in the lower right breast.Ultrasound of the palpable mass in the right breast revealed a 4.5 × 4.8 × 4.1 cm circumscribed hypoechoic mass at the 6:00 location. The mass was felt to represent a lactating adenoma. An ultrasound-guided biopsy was recommended. The patient presented one month later for the biopsy. The mass had increased to 6 cm at the time of the biopsy. A mammogram revealed a 6 cm round mass with partially circumscribed margins in the central right breast. There was also skin thickening noted in the inferior medial right breast on the mammogram. Ultrasound-guided biopsy of the right breast mass revealed high-grade neuroendocrine tumor with small cell features.

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