Breast mass - BI-RADS 5

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain


Left breast palpable mass on physical exam. History of right partial mastectomy about 10 years ago.

Patient Data

Age: 50 years
Gender: Female

A mass with an irregular margin and a few tiny calcifications is noted at the lower central portion of the left breast, causing adjacent skin retraction. A dominant lymph node is also observed in the left axillary region. 

Case Discussion

Small irregular mass with fine internal calcification and adjacent skin retraction in diagnostic mammography of a 50 years old patient with a history of right partial mastectomy about 10 years ago and new palpable mass in the left breast; 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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