High grade ductal carcinoma in situ

Discussion:

The patient underwent a mammographic examination that showed multiple suspicious microcalcifications and then a breast MRI examination that revealed an area of enhancement with suspicious dynamic features.
A biopsy examination was performed and revealed "foci of high-grade ductal carcinoma in situ (consistent P63+)".
The patient had undergone a tomosynthesis examination less than a year previously, performed to undertake a course of hormonal stimulation. On the previous tomosynthesis, the large calcific fibroadenoma was appreciable, but some small surrounding calcifications may warrant further evaluation. The patient will undergo mastectomy and the diagnostic process will continue.

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