Ductal carcinoma in situ - branching calcification

Case contributed by Dr Garth Kruger

Presentation

No family history. Referred for her first mammogram.

Patient Data

Age: 40 years
Gender: Female

Routine screening images of the right breast. Note the group of tightly packed linear microcalcifications in a duct

Mag views of the microcalcifications.

Arrow indicates the microcalcifications of interest. 

Ultrasound manages to find the microcalcifications.

Arrow indicates 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 took 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
Published: 24th May 2013
Last edited: 23rd Oct 2019
System: Breast
Inclusion in quiz mode: Included