Breast mass - BI-RADS 5

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Right breast palpable mass on physical exam.

Patient Data

Age: 65 years
Gender: Female
mammography

A relatively hyperdense mass with an irregular and spiculated margin at the upper outer quadrant of the right breast causes slightly surrounding parenchymal distortion. A few tiny calcifications are seen within. (BI-RADS 5)

There are at least two small lesions with irregular margins in the vicinity of the mentioned mass that could be suggestive of satellite lesions.

A few dominant lymph nodes in the right axillary regions.

Mild skin thickening particularly in peri areolar regions.

Case Discussion

The patient underwent a right breast mass ultrasound-guided core needle biopsy, and histopathology evaluation confirmed invasive ductal carcinoma, the most common type of breast cancer.

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