Cat scratch disease unveils hidden breast carcinoma: A diagnostic twist.

Radiol Case Rep

Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, 71122 Foggia, (FG) Italy.

Published: September 2024

AI Article Synopsis

  • Cat scratch disease can cause various symptoms, including swollen lymph nodes, and requires careful diagnosis.
  • A 45-year-old woman with lymphadenopathy was evaluated for cat scratch disease, but a routine mammogram revealed undiagnosed breast cancer (DCIS).
  • This case emphasizes the need for thorough differential diagnosis and a team-based approach when encountering unusual symptoms that may indicate serious, unrelated conditions.

Article Abstract

Cat scratch disease is a rare condition that can present with different clinical manifestations, including axillary lymphadenopathy. Here, we report the case of a 45-year-old female who presented with axillary lymphadenopathy attributable to a process of differential diagnosis to cat scratch disease. During the thorough investigation of her condition, a routine mammogram was performed, due to the unilateral axillary lymphadenopathy, revealing the presence of previously undiagnosed breast carcinoma in situ; in fact, a DCIS (invasive ductal carcinoma with spread to the ipsilateral axillary nodes) was incidentally found. This case highlights the importance of comprehensive differential diagnosis and a multidisciplinary approach in managing patients with atypical presentations of common diseases, given that other alarming but unrelated findings are visible.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11231499PMC
http://dx.doi.org/10.1016/j.radcr.2024.05.075DOI Listing

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