Rosna Mirtcheva, MD

A 32-year-old man with chronic low back pain presented with acute worsening of back pain to his medical doctor. He was referred to an orthopedic surgeon who requested an MRI of his spine revealing disc disease at L5/S1 and splenomegaly.

A 40-year-old woman presented to our hospital with a painless right axillary mass with duration of two months. Her history included stage IIA right breast cancer diagnosed 18 months prior. She underwent mastectomy and sentinel lymph node sampling followed by immediate transverse rectus abdominis muscle reconstruction. The tumor was a multifocal, moderately differentiated infiltrating lobular carcinoma with extensive ductal carcinoma in situ, and nonsentinel lymph node from the right axillary tail of the breast was positive for macrometastasis. The tumor was ER-positive, PR-positive and HER-2/neu-negative. She received adjuvant chemotherapy with four cycles of dose dense doxorubicin and cyclophosphamide and is currently on adjuvant hormonal therapy with tamoxifen.