Ductal breast carcinoma

Discussion:

Besides the solidity, the spiculated outer borders and the visualized intra-tumoral innumerable micro-calcification foci of millimetric diameters seen, the lesion showed no overt posterior acoustic shadowing features. Of mention though, is of small sized vascular channels seen coursing within the lesion supero-medially with the ultrasound features (over all) being scored as BI-RADS 5 category (highly suspicious of malignancy).

Trucut ultrasound guided biopsy (images shown) was performed (under local anesthesia) and at least 5 samples retrieved for histopathological evaluation which yielded Grade II invasive left breast ductal carcinoma.

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