Ductal carcinoma in situ

Case contributed by Dr Arlene Mou


65 year old presents for routine screening mammography.

Patient Data

Age: 65 years old
Gender: Female

Screening Mammogram

Modality: Mammography
Standard mammograms demonstrate a cluster of microcalcifications in the superior aspect of the left breast. Further workup with coned compression magnification views is recommended, including views in the lateral projection.

Workup Views

Modality: Mammography
Magnification views in the lateral and craniocaudad projections, as well as the lateral contact view, demonstrate an indeterminate cluster of microcalcifications. Correlation with tissue diagnosis is recommended with a stereotactic vacuum assisted core biopsy.

Stereo, Specimen XR & Post biopsy Mammogram

Modality: Mammography
Specimen XR taken immediately following stereotactic biopsy demonstrates representative microcalcification within the specimen. Post biopsy mammogram demonstrates a marker clip at site of stereo biopsy.

Case Discussion

Core biopsies left upper, central breast: High grade ductal carcinoma in situ with microcalcifications and comedonecrosis, ER+, PR+
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Case Information

rID: 51695
Case created: 3rd Mar 2017
Last edited: 10th Mar 2017
System: Breast
Inclusion in quiz mode: Included

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