Ductal carcinoma in situ: calcification

Case contributed by Garth Kruger
Diagnosis certain

Presentation

Routine screening mammogram

Patient Data

Gender: Female
ultrasound

There are calcifications running in the duct along the bottom right of the image, on a background of scattered calcification. 

Case Discussion

On biopsy, this patient had ductal carcinoma in situ (DCIS). This case illustrates:

  1. The ductal distribution of the malignant calcifications.
  2. The orientation of the benign lobular calcifications of the lobular calcifications in the breast.
  3. The heterogeneous nature of the DCIS calcifications with sharp forms and differing densities.

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