Breast areolar calcification

Case contributed by Dr Giorgio M Baratelli

Presentation

Screening mammography

Patient Data

Age: 50 years
Gender: Female
Mammography

Screening mammograms show skin calcifications of the areola, which are bilateral, round and homogeneous. They are more numerous in the left than in the right areola.

Case Discussion

The calcifications are typically benign and are developed within the Montgomery glands of the areola. The woman is 50 years old and did not have surgery. The nipples are normal and no mass is present.

They are a rare finding that must be differentiated from pleomorphic subareolar calcifications of intraductal carcinoma and from benign calcifications in the skin of the areola, secondary to surgery.

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