Case 30-1987

Presentation of CaseA 43-year-old woman was admitted to the hospital because of severe dyspnea and lethargy.She was well until 38 months earlier, when she first noticed a lump in the right breast. A mammographic study, performed elsewhere, was reported to be negative. Eight months later she felt a lump in the right side of the neck and was admitted to this hospital.The patient was premenopausal. The first of her three children was born when she was 27 years of age, and the last was born at 35 years. There was a history of Hashimoto's thyroiditis, for which . . .