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Case Records of the Massachusetts General Hospital
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Volume 358:513-523 January 31, 2008 Number 5
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Case 4-2008 — A 33-Year-Old Pregnant Woman with Swelling of the Left Breast and Shortness of Breath
Lawrence N. Shulman, M.D., Rachel A. Hitt, M.D., and Judith A. Ferry, M.D.

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Presentation of Case

A 33-year-old pregnant woman was admitted to the hospital at 30.7 weeks' gestation because of swelling of the left breast, shortness of breath, and tachycardia.

The patient had received prenatal care at this hospital since 9.7 weeks' gestation. The blood type was O Rh-positive and the woman was immune to rubella. Test results for hepatitis B surface antigen, chlamydia and gonorrhea infection, rapid plasma reagin, cystic fibrosis–carrier status, and fetal aneuploidy were negative, and quadruple-marker screening confirmed low risks for fetal aneuploidy and neural-tube defects. At 18.6 weeks' gestation, ultrasonographic examination revealed normal fetal anatomy and growth. Other laboratory-test results . . . [Full Text of this Article]

Differential Diagnosis

Breast Enlargement in Pregnancy

Mastitis

Breast Cancer

Venous Obstruction

Differential Diagnosis of a Mediastinal Mass

Lymphomas Involving the Mediastinum

Lymphomas Involving the Breast

Lymphomas in Pregnancy

Management of Lymphomas in Pregnancy

Treatment for This Patient

Clinical Diagnosis

Dr. Lawrence N. Shulman's Diagnosis

Pathological Discussion

Anatomical Diagnosis


Source Information

From the Department of Medical Oncology, Dana–Farber Cancer Institute (L.N.S.); the Department of Medicine, Brigham and Women's Hospital (L.N.S.); the Departments of Radiology (R.A.H.) and Pathology (J.A.F.), Massachusetts General Hospital; and the Departments of Medicine (L.N.S.), Radiology (R.A.H.), and Pathology (J.A.F.), Harvard Medical School — all in Boston.




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