Breast mass - BI-RADS 5

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Right breast palpable mass on physical exam. Familial history of breast cancer in first and second-degree relatives.

Patient Data

Age: 40 years
Gender: Female
mammography

A hyperdense mass with irregular and spiculated margin and fine internal foci of calcification is present in the upper inner quadrant of the right breast, which causes surrounding parenchymal distortion, better seen on tomosynthesis images. (BI-RADS 5)

Case Discussion

Ultrasound-guided core needle biopsy is performed for the right breast mass, and histopathology evaluation confirms invasive ductal carcinoma.

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