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Breast ductal carcinoma in situ

Case contributed by Amr Farouk
Diagnosis almost certain


50-year-old patient coming for screening mammogram

Patient Data

Age: 50 year old
Gender: Female

Scattered fibroglandular densities (ACR b).

Left breast upper outer quadrant amorphous and fine pleomorphic calcifications having a segmental distribution occupying an area measuring 8X3 cm measured on MLO view ending 1.4 cm from the nipple.


The left breast upper outer quadrant micro-calcifications are seen corresponding with ultrasound to an area of altered echogenicity at 1-2 o'clock position.

Case Discussion

Left breast upper outer quadrant suspicious morphology micro-calcifications. Core biopsy was done showing focal DCIS (clinging with comedo necrosis) of high grade. No evidence of stromal invasive component. The final diagnosis showed focal DCIS of high grade.

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