Carlos Benitez, MD

This case profiles a 46-year-old woman with no significant medical history who was referred by her infectious disease specialist to the ED in May for left arm pain and swelling.

A 43-year-old male with no significant past medical history and a family history of breast cancer was found to have an elevated PSA of 15.3 on routine screening. The patient had been asymptomatic with no complaints of urinary dysfunction. He denied any systemic symptoms and had no complaints of bony pain.

A 63-year-old woman without significant personal past medical history presented to her primary physician with a one-month complaint of palpable right breast mass. The patient was referred to a breast surgeon for evaluation and underwent imaging studies that showed a 4 cm × 3 cm mass in the right upper outer quadrant. Core biopsy of the mass was performed and pathology revealed an invasive lobular carcinoma, classical type.

A 60-year-old woman presented to us with newly diagnosed breast cancer. She had a screening mammogram that revealed loose collections of punctate and linear calcifications on the left breast with ultrasound showing two to three poorly marginated hypoechoic zones. Breast biopsy was consistent with ductal carcinoma in situ with microinvasion. She underwent mastectomy with negative sentinel lymph node biopsy.

An 89-year-old woman presented to our institution after a mechanical fall. She had a remote history of breast cancer with left breast mastectomy in 1978. She also had degenerative joint disease and underwent right hip replacement in 1994. She complained of progressive left hip pain for the past three months and has been using a walker at home. Examination revealed left hip erythema and tenderness with limited range of motion. The rest of the examination was otherwise unremarkable.