Breast carcinoma

Case contributed by Dr Hein Els

Presentation

Routine screening. Positive family history of breast carcinoma. Previous mammogram of 3 years prior was normal.

Patient Data

Age: 43
Gender: Female
Modality: Mammography

BI-RADS type 3 breast density pattern/heterogeneously dense breast. Spiculated lesion deep centro-medial in the left breast with associated architectural distortion. No calcifications or other lesions.

Right breast (not shown) normal.

BI-RADS 5.

Modality: Ultrasound

Poorly circumscribed lobulated lesion at the 11 o'clock position. The lesion results in post acoustic shadowing.

BIRADS 5.

Case Discussion

Spiculated mass pathologically proven as grade I invasive ductal carcinoma. Estrogen and progesterone receptors positive.  Her-2 negative.

The differential diagnosis of a lesion with spiculated margins include a malignant mass, invasive ductal carcinoma, tubular carcinoma, post surgical scar, radial scar and fat necrosis.

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Case Information

rID: 33108
Case created: 31st Dec 2014
Last edited: 4th Oct 2015
System: Breast
Inclusion in quiz mode: Included

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