Breast mass - BI-RADS 5

Case contributed by Dr MT. Niknejad

Presentation

Screening mammography.

Patient Data

Age: 65 years
Gender: Female

A small mass with irregular and spiculated margin and few fine internal calcifications is noted in the upper central portion of the left breast, which causes surrounding parenchymal distortion. 

Case Discussion

Small spiculated mass with fine internal calcification and surrounding parenchymal distortion in screening mammography of a 65 years old patient; a new finding compared to prior mammography about two years ago; compatible with BIRADS 5 lesion and highly suggestive of malignancy.

The patient underwent an ultrasound-guided core needle biopsy, and a histopathology evaluation confirmed invasive ductal carcinoma.

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