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A correction has been published: N Engl J Med 2000;343(2):160.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:1590-1597 May 25, 2000 Number 21
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Case 16-2000— A 53-Year-Old Woman with Swelling of the Right Breast and Bilateral Lymphadenopathy
Eric A. Pillemer, and Nancy L. Harris

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Presentation of Case

A 53-year-old woman was admitted to the hospital because of swelling of the right breast and bilateral lymphadenopathy.

The patient had been well until five months earlier, when severe bronchitis developed. She received trimethoprim–sulfamethoxazole, but there was no improvement. Soon thereafter, the palmar surface of her right hand swelled and became slightly tender, but the swelling soon receded. During the next few days, her right arm also became tender, with right axillary lymphadenopathy and swelling of the right breast. Three weeks later, a mammographic examination (Figure 1) showed density and trabecular thickening of the right breast, with diffuse . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Eric A. Pillemer's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References




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