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Image IQ: 42-year-old Woman with Recent Stage III Malignant Melanoma Diagnosis

Poll

A 42- year-old female with recent diagnosis of stage III malignant melanoma in her leg presents for evaluation of a palpable right breast lump.

 

CLICK on the images to enlarge.

 

On mammography, in the patient’s area of concern in the right 8:00 position, a well-circumscribed, round mass is seen measuring 5 mm. Just adjacent to this is an additional 10 mm round, well-circumscribed mass. On physical examination, there is a palpable superficial mobile lump in the right 8:00 area of concern.  Ultrasound demonstrates a cyst measuring 4 mm, corresponding to the area of concern at 8:00. At the 8:30 position, there is a heterogeneous round mass noted measuring 12 x 9 x 6 mm.      

          

What is your diagnosis?

Invasive ductal carcinoma
Metastatic malignant melanoma
Fat necrosis
Fibroadenoma
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