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Case Reports
. 2020 Sep;102(7):e167-e169.
doi: 10.1308/rcsann.2020.0078. Epub 2020 Apr 29.

Axillary lymphadenopathy in a pregnant woman: a case report

S Jalilzadeh Afshari  1   2 , A Saad Abdalla Al-Zawi  2 , P Idaewor  2 , D W Chicken  2
Affiliations
Case Reports

Axillary lymphadenopathy in a pregnant woman: a case report

S Jalilzadeh Afshari et al. Ann R Coll Surg Engl. 2020 Sep.

Abstract

Lymphadenopathy is a common presentation in surgical assessment units and has numerous differential diagnoses. In one-stop breast clinics, its discovery often raises concerns of malignancy. This case report focuses on the case of a 33-year-old pregnant woman presenting to the breast clinic with a right axillary lump, which was found to be the result of toxoplasmosis.

Keywords: Breast cancer; Congenital toxoplasmosis; Lymphadenopathy.

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Figures

Figure 1
Figure 1
Ultrasound of the right axilla identified at least two abnormal looking lymph nodes with thickened hila up to 5.8mm. This was graded U3/4 (indeterminate to suspicious of malignancy).
Figure 2
Figure 2
Haematoxylin and eosin staining of lymph node core biopsy (× 10 magnification). The paracortex contained a mixed cell population comprising lymphocytes, plasma and some nucleolated cells. Aggregates of pale staining clusters of epithelioid histiocytes can be seen.
Figure 3
Figure 3
Haematoxylin and eosin staining of lymph node core biopsy (× 40 magnification). The clusters of epithelioid histiocytes are present within the germinal centres.
See this image and copyright information in PMC

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