Ductal carcinoma in situ: branching calcification

Case contributed by Dr Garth Kruger

Presentation

No family history is referred for her first mammogram.

Patient Data

Age: 40
Gender: Female

Routine screening images of the right breast

Mag views of the microcalcifications.

Ultrasound manages to find the microcalcifications.

Case Discussion

This case is confirmed DCIS. The initial mammogram shows a group of tightly packed linear calcifications in a duct. At first glance they look almost casting in nature.

The value of the mag views: the inferior part of the calcifications as projected on the image shows just the faintest hint that they are in fact branching and one or two sharp points are seen. this justified biopsy.

The yield on breast ultrasound is directly proportional to the skill and  care taken during the study. On good quality machines and with adequate care, you can make the most astounding lesions visible on ultrasound.

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Case information

rID: 23135
Case created: 24th May 2013
Last edited: 14th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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