DCIS extensively in the right breast

Case contributed by Dr Garth Kruger

Presentation

Diagnostic mammogram in a 60 year old lady. CC image right breast.

Patient Data

Age: 60
Gender: Female

This lady had a huge mass in the right breast occupying most of the substance of the breast.

The markings are a left over from analogue imaging and indicate a large cyst  centrally in the breast.

Case Discussion

This case illustrates how extensive DCIS can be. In this case the calcifications occupy the whole breast. Remember DCIS calcification underestimates the extent of disease. Do not be phased if the  disease this extensive; the individual calcifications are still suspicious when looked individually.

Remember: segmental distribution limited to a segment of the breast or a quadrant is a red flag.

Always do ultrasound and see if there is a solid component. I am happy to biopsy these calcifications if they are found on ultrasound, using ultrasound guidance. If you are careful and meticulous about technique, you can on occasion find DCIS even in small volumes. 

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Case information

rID: 18653
Case created: 17th Jul 2012
Last edited: 9th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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