Breast carcinoma

Case contributed by Dr Hein Els


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

Patient Data

Age: 43
Gender: Female

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.



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


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
Published: 31st Dec 2014
Last edited: 1st May 2020
System: Breast
Inclusion in quiz mode: Included