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Requests for reprints should be addressed to Madiha Naqsh Siddiqui, MD, Department of Internal Medicine, Trinity Health Ann Arbor Hospital, 5333 McAuley Dr, Ypsilanti, MI 48197.
A 73-year-old woman presented to her primary care provider's clinic for discomfort
and swelling under her left axilla for 1 week (Figure 1). She first noticed axillary swelling with uncomfortable tension when lifting her
arm and doing routine activities such as brushing her hair. Her symptoms were more
prominent with shoulder elevation and abduction. She denied any constitutional symptoms
(including fever or weight loss), history of known malignancy, breast surgery, or
trauma to the area. The patient was a caregiver by profession, which involved repetitive
use of her upper extremities and heavy lifting.
Figure 1Initial presentation with axillary swelling and visible cord.
Conflicts of Interest: The authors have no conflicts to disclose; the authors of this manuscript have no financial relationships with any entity involved in producing, selling, marketing, re-selling or distributing health care products used by or on the patient.
Authorship: Siddiqui was responsible for conceptualization, drafting the manuscript, and revisions. Gale drafted the manuscript and obtained patient images. Burman supervised and approved the project.
