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Mrs H, 54 years old

Ultrasound: 2 pathologically enlarged lymph nodes in right axilla

Ultrasound-guided biopsy right breast and fine needle aspiration (FNA) right

axilla

Histology right breast: infiltrating ductal carcinoma, grade

3, ER1%, PR1%, HER2 positive

FNA right axilla: metastases

MRI:

1. tumor in right breast, 4 cm

2. 2nd tumor in right breast, 18 mm, BIRADS-6.