Bilateral Breast Cancer 116 122 129
A 52-year-old woman presented with a sixmonth history of hardening and change in consistency of the left breast. She had noticed this while “comfort feeding” her child and over the preceding six weeks had been aware of several red nodules overlying the left breast (which she described as “mosquito bites”). Furthermore, there had been a progressive change in shape of the left breast, though no discrete lump or nipple discharge was reported. There were no previous breast problems except for an episode of mastitis in the past. The patient’s maternal grandmother had developed breast cancer in her 70s, and she had four children all of whom were breastfed (first child at age 34 years). The patient was perimenopausal and had never used any form of exogenous hormonal preparation.