Ductal carcinoma in situ

Case contributed by Dr Garth Kruger

Presentation

Asymptomatic woman screening mammogram.

Patient Data

Age: 50 years
Gender: Female
mammography

Mag views of confirmed DCIS in left breast.

Case Discussion

You always see more of the calcification morphology with mag views. Don't try and cut corners with mag views and calcifications. Note the differing densities and morphologies and sharp points.

Initially, with DCIS there may be more of a ductal orientation in the calcifications; this can be as important a clue to the pathology as the calcification morphology. This tends to get lost as the disease spreads locally.

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