BIRADS III lesion: infiltrating ductal carcinoma

Case contributed by Dr Garth Kruger

Presentation

This 50 year old client gets her annual screening mammogram. She has very dense breast parenchyma. Ultrasound is performed and this solid lesion is found in her left breast. No family history of breast carcinoma. her mom died of colon carcinoma.

Patient Data

Age: 50
Gender: Female
Modality: Ultrasound

There is a solid lesion which is poorly circumscribed and non compressible on real time ultrasound imaging. It has no pseudocapsule. On the axial view it is as tall as broad. This is never a fibroadenoma. 

Biopsy 6 months later confirmed an infiltrating ductal carcinoma. The lesion had doubled in volume in 6 months. This patient had postive regional lymph nodes on surgical exploration.

Case Discussion

Related article

BIRADS III lesions

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Case Information

rID: 18523
Case created: 11th Jul 2012
Last edited: 9th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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