A 61 year-old female patient suffers from 2 tumors of her right breast which are abandoned for 2 years by her husband's deadly illness.
Ultrasound and elastography technique notes 2 BI-RADS 4B tumors of her right breast.
Mammography notes a non symetric sign in superiolateral region of the right breast.
MRI confirms the 2 BI-RADS 5 right malignant breast tumors: # 34x28 mm and # 21x 27 mm, spiculated border, high signals on T2W2 and medium signals on T1W1, captured contrast media type 3-2.
But the report of histoimmunology is a breast sarcoma while axillary lymph nodes are not in malignancy.
Surgery is done in large field, no mastectomy nor lymph node curetage due to the sarcoma tumor characters.
As no clue of gene mutation, the patient is planned for 3 months of 54Gy dosages in 27 times of radiation therapy.