Presentation
Palpable breast masses bilaterally.
Patient Data
Patchy and dense asymmetric fibroglandular tissue is seen in both breasts.
A hyperdense mass with irregular and spiculated margins containing areas of internal calcification can be seen in the UOQ of the left breast and a similar smaller mass in the UOQ of the right breast. Both masses cause surrounding tissue distortion and nipple retraction. (BI-RADS 5)
Dominant lymph nodes are evident in the axillary regions of both sides.
Case Discussion
The patient underwent a bilateral breast core needle biopsy, and histopathology evaluation confirmed invasive lobular carcinoma.
Typically, invasive lobular carcinoma can be multicentric and bilateral (10-15%), and an imaging evaluation of the contralateral breast is needed.