Inverted

A 60 year old man presents with pain in his left breast for 3 weeks. He is otherwise asymptomatic.

His medical and surgical histories are only significant for a right-sided inguinal herniotomy at the age of 55, which was without complications. His family history is unremarkable.

He only drinks socially, and has never smoked.

Select Relevant Investigations
Ultrasound Breasts

Performed

The ultrasound scan reveals a 2.0 x 1.1 cm hypoechoic irregular mass in the left breast, with posterior acoustic shadowing. The left axilla appears normal, as does the right breast and axilla.
FNAC

Performed

The fine needle aspiration report comes as C4 (suspicious of malignancy).
Incision Biopsy

Performed

You realize that an incision biopsy is not indicated here.
Tumor Markers

Performed

CA 15-3, CA-27.29, and carcinoembryonic antigen (CEA) levels are all within the reference ranges.

Select Relevant Management
L/S Mastectomy
Antituberculous Therapy
Surgical Drainage
IV Antibiotics