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Mrs H, 54 years old
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Ultrasound: 2 pathologically enlarged lymph nodes in right axilla
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Ultrasound-guided biopsy right breast and FNA right axilla
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Histology right breast: infiltrating ductal carcinoma, grade
3, ER10%, PR1%, HER2 positive
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FNA right axilla: metastases
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MRI:
1. tumor in right breast, 4 cm
2. 2nd tumor in right breast, 18 mm, BIRADS-6.
2 pathologically enlarged lymph nodes in right axilla
interpectoral region: 2 enlarged lymph nodes
internal mammary nodes: 1 enlarged lymph node