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Primary Inflammatory Carcinoma of the Breast

Retrospective Review of Mammographic Findings

¹ Division of Diagnostic Imaging, Box 57, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030.
² Department of Breast Medical Oncology, Box 56, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030.

View larger version (100K): [in a new window]   Fig. 1. —32-year-old woman with inflammatory carcinoma of the breast who presented with swollen left breast. Craniocaudal mammogram shows diffuse skin thickening (arrows).

View larger version (104K): [in a new window]   Fig. 2A. —47-year-old woman who presented with 2-month history of breast erythema, ridging, peau d'orange, and poorly defined 6 x 5 cm palpable mass in right upper inner quadrant extending into right lower inner quadrant. Mediolateral oblique mammograms of the right (A) and left (B) breasts show diffusely increased density of right breast, architectural distortion in upper right breast (straight arrow, A), and abnormal axillary lymph node (curved arrow, A).

View larger version (98K): [in a new window]   Fig. 2B. —47-year-old woman who presented with 2-month history of breast erythema, ridging, peau d'orange, and poorly defined 6 x 5 cm palpable mass in right upper inner quadrant extending into right lower inner quadrant. Mediolateral oblique mammograms of the right (A) and left (B) breasts show diffusely increased density of right breast, architectural distortion in upper right breast (straight arrow, A), and abnormal axillary lymph node (curved arrow, A).

View larger version (100K): [in a new window]   Fig. 3A. —Trabecular thickening in 60-year-old woman with breast carcinoma who presented with axillary lymphadenopathy. Craniocaudal mammograms of right (A) and left (B) breasts show diffusely thickened Cooper's suspensory ligaments in left breast.

View larger version (95K): [in a new window]   Fig. 3B. —Trabecular thickening in 60-year-old woman with breast carcinoma who presented with axillary lymphadenopathy. Craniocaudal mammograms of right (A) and left (B) breasts show diffusely thickened Cooper's suspensory ligaments in left breast.

View larger version (70K): [in a new window]   Fig. 4. —Trabecular thickening in subcutaneous breast tissue of 58-year-old woman who presented with 1-month history of left breast enlargement with erythema of inferior aspect of breast. Craniocaudal mammogram shows thickened reticular network of lymphatics in subcutaneous region (arrows).

View larger version (66K): [in a new window]   Fig. 5A. —Inflammatory carcinoma of the breast with mass in 57-year-old woman who presented with erythema of right breast and slight nipple inversion. Craniocaudal mammogram of right breast shows diffusely increased density with 1.4-cm spiculated mass in outer breast (arrow).

View larger version (89K): [in a new window]   Fig. 5B. —Inflammatory carcinoma of the breast with mass in 57-year-old woman who presented with erythema of right breast and slight nipple inversion. Mediolateral oblique mammogram of right breast shows 1.4-cm spiculated mass in upper breast (arrow) and abnormal lymph node in axilla (curved arrow).

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