The FP originally thought the nodules were abscesses, but began to suspect that they might be metastases from her breast cancer. A punch biopsy was performed with local anesthesia. There was no abscess, fluid, or fatty tissue and the solid tissue was sent for pathology. Pathology came back and confirmed the FP’s suspicion.
The FP shared the results of the biopsy with the patient and referred her to an oncologist.
Photos and text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Mayeaux, EJ. Breast cancer. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. Color Atlas of Family Medicine. 2nd ed. New York, NY: McGraw-Hill; 2013:551-556.
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