Presentation
A 35 year old woman presents to her family physician with a mass lesion at 1 o'clock right breast
Patient Data
Age: 35
Gender: Female
From the case:
Mass lesion right breast
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This lesion is described by the radiologist as a complex cyst and called Birads III.
Do you agree ?
No you do not. Not in any shape or form is this a cyst. It even has a blood vessel on Doppler imaging. This is a poorly defined solid lesion with no capsule and its solid, not cystic. This is a Birads IV lesion and biopsy is mandatory after a mammogram is done.
From the case:
Mass lesion right breast
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Six weeks later the lesion has doubled in size and biopsy confirms an IDC.
Case Discussion
A cyst should at least look like a cyst.
The intention of Birads III is the lesion is likely being not possibly malignant. There is a difference between the two. Emphasis on benign.
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