Breast carcinoma

Case contributed by Hein Els
Diagnosis certain


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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.