Mohd Athar1, Himanshu Singh2, Kumar Vineet3
A 35-year-old married woman presented to us with chief complaint of right sided
breast lump for 3 months and distension of abdomen for 2 months. (Figure 1)
Breast lump was irregular and well defined, non-tender involving upper outer and
lower outer quadrants of breast along with axillary lymphadenopathy. Ipsilateral
lymph nodes were firm, discrete and more than a cm in size. There was no contra
lateral lymphadenopathy. Patient also gave history of weight loss. Distension of
abdomen had increased significantly in girth as compared to when it was first
perceived by the patient. Patient had history of loss of appetite for the last 2
months along with difficulty in breathing. There was no menstrual irregularity.
Patient had regular bowel movements. Patient’s build was lean and thin with
distended abdomen. No icterus, pallor was present. Patient’s vitals were stable.
On breast examination, right breast was found to be non-tender along with nonmovable
swelling. Skin had no ulceration or satellite nodule. On per abdomen
examination, it was soft, distended and non-tender. On percussion, dull and
tympanic notes were present along with presence of fluid thrill.
